ENGLISH FOR NURSING II

  ENGLISH FOR NURSING II

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    UNIT!8:!STARTING!AN!INTERVENTION!
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A. INTRODUCTION!
This! unit! contains! grammar,! vocabulary,! reading,! writing,! speaking! and! listening! sections! that! will!
develop!nursing!students!knowledge!on!starting!an!intervention!
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Indicators:!
After!studying!this!module,!students!are!able!to:!
1. Understand!starting!an!intervention!in!English.!
2. Perform!intervention!to!patients!in!English!
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B. VOCABULARY!
Exercise!1.!Read!this!card!below,!discuss!in!pairs!
1. Which!kind!of!intervention!that!mostly!done!by!nurses?!
2. Which!interventions!do!you!think!most!important?!
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C. VOCABULARY.!
Exercise!1.!Translate!the!meaning!of!the!following!words!to!Bahasa!Indonesia!!
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1.! Nursing!interventions! 13.! Educating!the!patient!
2.! Treatment!for!a!patient! 14.! Keeping!the!patient!stable!
3.! Professional!nursing!organizations! 15.! Minor!medical!procedures!
4.! High!level!of!care! 16.! Obstructed!airway!!
5.! Improve!the!health!and!comfort!of!the!patient! 17.! Broken!legs!
6.! Assessment!! 18.! Theoretical!cases!
7.! Administration!of!prophylactic!antibiotics! 19.! Hypothetical!assessment!
8.! Appropriate!intervention!plan! 20.! Nursing!plan!
9.! Patient!care!teams! 21.! Routine!interventions!
10.! Admitted!to!the!hospital!! 22.! Regular!basis!
11.! Checking!patient!vitals! 23.! Monitoring!fluid!output!
12.! Monitoring!fluid!output! 24.! Medical!staff!
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LeniM.Ed.
Leni Amelia Suek, S.S., MA., Amelia Suek, S.S., MA., M.Ed. 29!
 
 ENGLISH FOR NURSING II
 
ENGLISH FOR NURSING II
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D. GRAMMAR!
Simple!Present!Tense!
1. Instruct!patient!to!report!pain!as!soon!as!it!began.!
2. Monitor!vital!signs.!
3. Explain!the!causes!and!effects!of!pain!on!the!client!and!his!family.!
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E. READING!SECTION!
Exercise!1.!Read!the!following!passage.!
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What!are!Nursing!Interventions?!
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Nursing!interventions!are!actions!undertaken!by!a!nurse!to!further!the!course!of!treatment!
for! a! patient.! In! several! nations,! professional! nursing! organizations! have! created! complex!
classification!systems!for!such!interventions,!creating!a!standardized!system!that!can!be!used!by!all!
nurses!to!provide!a!high!level!of!care.!The!goal!is!to!improve!the!health!and!comfort!of!the!patient.!
There! are! four! stages! to! nursing! interventions.! The! first! is! the! assessment,! in! which! the!
nurse!determines!what!the!problem!is,!as!for!instance!in!the!case!of!someone!with!a!nail!in!his!or!
her!foot.!After!the!assessment,!the!nurse!formulates!an!appropriate!intervention!plan,!which!in!the!
case! of! this! fictional! patient! would! involve! removal! of! the! nail,! irrigation! of! the! wound,! the!
administration!of!prophylactic!antibiotics,!and!a!tetanus!shot.!After!planning,!the!nurse!implements!
the!treatment!he!or!she!has!formulated,!and!then!evaluates!the!patient!to!determine!the!outcome!
of!the!interventions,!and!to!decide!if!additional!interventions!need!to!be!undertaken.!
Nurses!can!work!alone!or!as!part!of!patient!care!teams,!and!interventions!work!in!the!same!
way! in! both! cases.! When! a! patient! is! admitted! to! the! hospital,! for! example,! he! or! she! may! have!
medical! orders! from! a! doctor,! such! as! a! standing! order! for! medication,! but! the! nurses! also!
formulate! a! plan,! which! may! include! things! like! regularly! checking! patient! vitals,! monitoring! fluid!
output,!and!educating!the!patient!and!his!or!her!family!about!the!situation.!
Nursing! interventions! can! include! things! like! counseling,! referrals,! patient! advocacy,! the!
administration!of!medication,!and!the!performance!of!minor!medical!procedures.!As!in!all!medical!
care,! the! primary! concern! is! keeping! the! patient! stable! enough! to! receive! treatment,! while! the!
secondary! concern! is! evaluating! all! patient! needs! and! deciding! on! a! course! of! action.! When! a!
patient! comes! in! with! an! obstructed! airway! and! a! broken! leg,! for! instance,! the! airway! must! be!
secured!before!the!broken!leg!can!be!treated.!Nurses!are!also!unafraid!to!call!in!support!from!other!
medical!professionals!when!they!need!it.!
In! nursing! schools,! students! are! usually! taken! through! a! number! of! theoretical! cases! in!
which! they! are! presented! with! a! hypothetical! assessment,! and! asked! to! come! up! with! a! nursing!
plan,!which!includes!specific!interventions.!Nursing!students!also!discuss!routine!interventions!that!
are!used!on!a!regular!basis,!and!learn!about!how!to!assess!patients,!how!to!work!with!other!medical!
staff!to!achieve!a!treatment!plan,!and!how!to!interact!with!patients!and!their!families!to!ensure!that!
everyone!stays!informed,!comfortable,!and!happy.!
*source:!http://www.wisegeek.org/whatGareGnursingGinterventions.htm!
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Sample!of!Nursing!Diagnosis!Y!Interventions!for!Gastritis!
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1. Nursing!Diagnosis:!Risk!for!Fluid!Volume!Deficit!related!to!inadequate!intake!and!excessive!fluid!
output!(nausea!and!vomiting)!
Goal:!
After!nursing!actions,!adequate!fluid!intake.!
Expected!outcomes!are:!
• The!mucosa!of!the!lips!moist!
• Good!skin!turgor!

Leni Amelia Suek, S.S., MA., M.Ed. 30!

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Leni Amelia Suek, S.S., MA., M.Ed.
 
 ENGLISH FOR NURSING II
ENGLISH FOR NURSING II
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  • Good!capillary!refill!
  • Input!and!output!balanced!
  • Nursing'Interventions:!
  • Fill!your!individual!needs.!Encourage!clients!to!drink.!
• Provide!additional!IV!fluids!as!indicated.!
 
• Monitor!vital!signs,!evaluation!of!skin!turgor,!capillary!refill!and!mucous!membranes.!
  •
 
Collaboration:!the!provision!of!drugs.!
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Rational:!
• Adequate!fluid!intake!will!reduce!the!risk!of!patient!dehydration.!
• Replacing!lost!fluids!and!improve!fluid!balance!in!the!immediate!phase.!
• Indicate!the!status!of!dehydration!or!the!possibility!of!the!need!to!increase!fluid!
replacement.!
• Provision!of!drugs!serves!to!inhibit!gastric!acid!secretion.!
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2. Nursing!Diagnosis:!Acute!pain!related!to!irritation!of!the!gastric!mucosa!secondary!to!
psychological!stress.!
Nursing'Interventions:!
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1. Investigate!complaints!of!pain,!note!the!
Goal:'
location,!intensity!of!pain,!and!pain!
After!the!act!of!nursing,!pain!can!be!reduced,!
scale.!
patients!can!rest!and!generally!good!
2. Instruct!patient!to!report!pain!as!soon!as!
condition.!
it!began.!
Expected!outcomes!are:!
3. Monitor!vital!signs.!
• Clients!express!the!pain!diminished!or!
4. Explain!the!causes!and!effects!of!pain!on!
disappeared.!
the!client!and!his!family.!
• The!client!does!not!grimace!in!pain.!
5. Encourage!rest!during!the!acute!phase.!
• Vital!signs!are!within!normal!limits.!
6. Encourage!relaxation!techniques.!
• The!pain!intensity!was!reduced!(reduced! 7. Provide!an!environment!conducive!
pain!scale!1G10).! situation.!
• Demonstrate!relax,!rest,!sleep,!increased! 8. Collaboration!with!the!medical!team!in!
activity!quickly.! the!delivery!of!the!action.!
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Rationale:!
• To!find!out!where!the!pain!and!facilitate!interventions!to!be!performed.!
• Early!intervention!to!facilitate!recovery!of!muscle!control!pain!by!decreasing!muscle!
tension.!
• Autonomic!responses!include,!changes!in!blood!pressure,!pulse,!respiration,!associated!with!
pain!relief.!
• With!the!causes!and!consequences!of!pain!the!client!is!expected!to!participate!in!treatment!
to!reduce!pain.!
• Reduce!pain!that!was!exacerbated!by!movement.!
• Decrease!muscle!tension,!increase!relaxation,!and!increased!sense!of!control!and!coping!
abilities.!
• Provide!support!(physical,!emotional,!increased!sense!of!control,!and!coping!skills).!
• Eliminate!or!reduce!the!client's!complaints!of!pain.!
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3. Nursing!Diagnosis!:!Imbalanced!Nutrition:!Less!Than!Body!Requirements!related!to!the!lack!of!
food!intake.!
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Leni Amelia Suek, S.S., MA., M.Ed. 31! 3  

Leni Amelia Suek, S.S., MA., M.Ed.
 
 ENGLISH FOR NURSING II
ENGLISH FOR NURSING II
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Goal:'
  Nursing'Interventions':!
After!the!patient's!nutritional!needs!of!
  nursing!actions!are!met.! • Instruct!patient!to!eat!small!meals!but!
  Expected!outcomes!are:! frequently.!
  • General!condition!is!quite! • Give!soft!foods.!
  • Good!skin!turgor! • Perform!oral!hygiene.'!
  • Increased!weight! • Measure!weight!basis.!
• Difficulty!swallowing!is!reduced! • Texture!observation,!the!patient's!skin!turgor.!
  ' • Observations!of!nutritional!intake!and!output.!
  ! !
  Rationale:!
  • Keeping!the!patient!remained!stable!nutritional!prevent!nausea!and!vomiting.!
  • To!facilitate!the!patient!to!swallow.!
  • Oral!hygiene!can!stimulate!the!appetite!of!the!patient.!
• Knowing!the!development!of!nutritional!status!of!patients.!
  • Knowing!a!patient's!nutritional!status.!
  • Knowing!a!patient's!nutritional!balance.!
  !
  *Source:http://nursesnanda.blogspot.com/2012/07/sampleGofGnursingGdiagnosis.html!
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F. WRITING!
  Exercise!1.!Make!a!summary!of!the!reading!passage!
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Exercise!2.!Write!an!intervention!of!a!case.!
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  G. SPEAKING!SECTION!
 
  Nurse! :! Hi,!Mr.!Daniel.!How!are!you!today?!
  Patient! :! I!am!fine!nurse,!thanks.!
Nurse! :! I!want!to!check!your!condition.!How!is!your!eating!habit?!
  Patient! :! Good,!I!eat!regularly,!three!times!a!day.!
  Nurse! :! That’s!good,!but!I!think!you!should!change!your!eating!habit.!
  Patient! :! What!do!you!mean?!
  Nurse! :! You!should!eat!small!meals!but!frequently.!
  Patient! :! Oh!I!see.!
Nurse! :! We!should!measure!your!weight!and!perform!your!oral!hygiene!too.!
  Patient! :! Okay.!
  Nurse! :! Let!me!help!you!to!measure!your!weight.!
  Patient! :! Thank!you.!
  Nurse! :! You!also!need!to!brush!your!teeth!after!taking!meals!and!taking!bath.!
Patient! :! Sure.!
 
Nurse! :! Any!questions!sir?!
  Patient! :! No,!thanks!
  Nurse! :! Excuse!me,!I!will!record!your!food!intake!and!output!
  Patient! :! Sure!and!thank!you.!
  Nurse! :! Your!welcome!sir,!take!a!rest!and!get!well!soon.!
Patient! :! Sure!and!thank!you.!
 
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  Exercise!1.!Make!a!conversation!about!nursing!intervention.!
 
 
 
 
  Leni Amelia Suek, S.S., MA., M.Ed. 32!

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Leni Amelia Suek, S.S., MA., M.Ed.