Wahyu Febriana ( P07120218033 )

Rifki Aulan N (P07120218050)

Str Keperawatan smt 6

ENGLISH II
Nursing Communication in Health Teaching

CASE
Tn. R is taken care in Jogjakarta International Hospital. He has got diabetes melitus type 2. Ana
is a nurse. Ana will give health education to Tn. R

ORIENTATION PHASE
Nurse : Good morning, Mr R.
Client : Good morning, nurse.
Nurse : How are you today?
Client : Good, but I feel tired today.
Nurse : I would like to introduce myself. My name is Ana, I am the nurse in this room.
What would you like to be called?
Client : Mr. R, please.
Nurse : Oke, Mr R. I practice here from 7.30 am to 2.00 pm to take care of you. I hope you
could cooperate so that you could be health again as before
Client : Okay, nurse.
Nurse : In here, I work with other health profession such as physician, physiotherapist,
pharmacist, and dietitian. You may ask anything about treatment, particulary about
something that you don’t understand.
Client : Thank you, nurse.
Nurse : Now, we will discuss about your disease, namely diabetes melitus.
Client : Okay, nurse.
Nurse : It is important to do, it is can increase your knowledge about diabetes melitus, so after
the treatment in the hospital, you can continue the treatment at home by yourself
properly.
Client : Okay, nurse
Nurse : It will take about 10 minutes.
Client : It’s okay.
Nurse : I will keep the confidentiality of some parts of this discussion. If you feel
uncomfortable, so would you please not hestiate to express your feeling and your
problem.
Client : Thank you, nurse.

WORKING PHASE
Nurse : Is there anything you want to ask or to do before we start?
Client : Not yet.
Nurse : Could we start right now?
Client : Yes, please.
Nurse : Mr. R, have you ever heard diabetes melitus?
Cilent : Sorry, I don’t know exactly.
Nurse : Diabetes is a disease that affects the way your body uses food. Most of the food you eat
changes into glucose, or sugar, for your body to use as energy. The pancreas, an organ
near the stomach, makes a hormone called insulin, which helps sugar get into the body's
cells. The cells use sugar for energy.
When you have diabetes, your body either doesn't make enough insulin or it can't use the
insulin that it makes. This causes you to have high blood sugar.
There are two types of diabetes-type 1 and type 2. In type 1 diabetes, the body doesn't
make insulin.
Most people with diabetes have type 2, which usually develops in adults over age 40.
With type 2 diabetes, the body still makes insulin but the cells can't use it. The disease
that you suffer is diabetes melitus type 2.
This disease has a high risk of complications including hypoglycemia and hyperglycemia
Low blood sugar, or hypoglycemia, can occur in people taking medications for diabetes.
Severe hypoglycemia can be dangerous because you may pass out. Signs to watch out for
are feeling dizzy, nervous, weak, and shaky. You may also sweat, feel sleepy, confused,
or hungry, or have trouble speaking. If your blood sugar level is 70 mg/dL or lower,
eating or drinking any of these foods can help:
 one-half cup (4 ounces) of any fruit juice
 one-half cup (4 ounces) of a regular (not diet) soft drink
  one cup (8 ounces) of milk

 one or two crackers

 five or six pieces of hard candy
 one or two teaspoons of sugar or honey.
You can check your blood sugar level again after about 15 minutes, and if it's still too
low, have another serving. You should always carry one of these foods with you.
 Another possible complication of diabetes is hyperglycemia, or high blood sugar. It can
cause poor vision, slow-healing cuts and sores, vaginal and skin infections, and nerve
damage. Early signs include increased thirst, headaches, trouble concentrating, blurred
vision, frequent urination, weight loss, and feeling weak and tired.
To keep your diabetes under control:
 Change your diet. Your healthcare provider and a nutritionist can help you plan
meals that are low in fat, salt, sugar, and cholesterol. Cut calories if you're
overweight. Limit your alcohol intake.
 Stop smoking. Besides raising your blood sugar level, smoking also damages your
heart and kidneys.
 Exercise regularly. A balanced program of exercise and rest can help keep your
blood sugar level stable. Check your blood sugar level before and after exercise.
Always carry a carbohydrate snack (like crackers) to eat if you feel weak.

Nurse : Is there anything that you still don’t understand?

Client : I think I can get your point.
Nurse : Is there anything that you want to know more about diabetes melitus type 2?
Client : No, thank’s.
Nurse : Could you explain what we have already discussed, please?
Client : Yes, Diabetes melitus is disease that is caused because body does’nt make enough
insulin or it can’t use the insulin that it makes. This causes my body have high blood
sugar.
I am suffering diabetes melitus type 2 it means my body still makes insulin but the cells
can't use it. This disease has a high risk of complications including hypoglycemia and
hyperglycemia.
Some things I should do to keep my diabetes under control are change my diet, stop
smoking, and exercise regulary.
TERMINATION PHASE
Nurse : Mr. R, from the discussion I can make a conclusion that you have already known about
diabetes melitus.
Client : Thank you, nurse.
Nurse : You were so active while we were discussing about this disease.
Client : Thank you, nurse. My pleasure.
Nurse : Mr. R, I will write the result of this discussion on your daughter’s status, thanks for your
attention.
Client : Your welcome.
Nurse : See you leter.