BAHASA

INGGRIS III
Lectured by:
Mrs. Nita Yuanita, S.Pd., M.Si.
Mrs. Lusiana Lesari, S.S., M.M.

10. DISCHARGE
INSTRUCTION
Prodi S1 Keperawatan, Tk. 3/ Sem. VI
STIKes Karsa Husada Garut, Tahun Akademik 2019/ 2020
Personal care after discharge
from the hospital
(Discharge Instruction/
Post Hospital Care)
is vital
to reduce re-admissions and
complications.
HERE ARE THE SEVEN 7STEPS YOU NEED TO FOLLOW
TO IMPROVE THE COMPREHENSION OF POST
HOSPITAL CARE INSTRUCTION:
1. Let’s patients know why you’re calling ASAP (As Soon As Possible)
2. Reassure your patient that their recovery is a top priority.
3. Confirm they received their discharge instructions
4. Review and Clarify any misunderstanding
•Address the specific instructions provided to each patients
•Create a meaningful connection with the patient over the telephone
5. Facilitate all outstanding follow up care activities
• Helping them find appropriate PCPs (Personal Care Physician)/
Physician Specialist
• Scheduling follow up appointments with relevant health care
practitioners
• Coordinating patient transportation services as needed
• Arranging any additional follow up services (telephonic, in-home nurse
visit, medication, etc.)
6. Find the causes of non-compliance/ poor literacy
7. Notify relevant departments and/ or employees
DISCHARGE INSTRUCTIONS FROM YOUR
PHYSICIAN WILL INCLUDE:
• Your admission reason and discharge diagnosis
• Pending tests, results of tests and surgeries or procedures
• Tests or blood work that needs done
• Special instructions
• Referrals to other agencies or services
• List of medications (the dosage, times, and frequency)
• Prescription for any newly prescribed medications
• Pain medications as ordered
• Follow-up appointments with your physician/s
• Activity restrictions if any
• Diet
• Fluid requirements if necessary
• Wound care and signs of infection
• When to call your physician or return to the hospital
USEFUL EXPRESSIONS
PATTERN 1: RECOMMENDATION (SARAN/ ANJURAN)
Pattern Meaning Example
Have to harus dilakukan - You should take the complete
Should (entire) dose prescribed.
Must - These tablets contain antibiotic. It
Be + required is required you to take the
essential complete dose prescribed
important
indicate

Had better + sangat dianjurkan - You’d better take your medicine

bare infinitive menyarankan regularly
Advice - I advise you to see a doctor soon
Suggest - I suggest you drink a lot of water
USEFUL EXPRESSIONS
PATTERN 2: PROHIBITION. LARANGAN

Pattern Meaning Example

Should not dilarang - You should not drink
Must not tidak boleh this antibiotic with milk.
May not +
Should + avoid +ing sangat dilarang - You should avoid
Have to + avoid + ing drinking alcohol
Had better not + bare  
infinitive
VOCABULARY
Avoid : (v) menghindari, mengurangi
Indicated : (v) dianjurkan
Suggest : (v) menyarankan
Contraindicated : (v) dilarang
Pus : (n) nanah
Splint : (n) penyangga pada luka patah tulang
Paralysis : (n) kelumpuhan
Swollen : (adj) bengkak
Foul : (adj.v.n) sangat bau
Rash : (n.adj) kulit yang memerah (ruam,jw.biduren)
Rub : (v.n) mengucek
Patch : (n.v) menutup dengan perban
Convulsion : (n) gerakan tubuh yang tidak terkontrol (jw.kekedutan)
Therapeutic : (adj) yang mengandung unsur atau nilai pengobatan
EXERCISE 1.
1. Lukanya harus dijaga supaya tetap kering dan bersih
You should keep the injury dry and clean
2. Anda harus minum banyak air
3. Anda jangan makan apapun 2 jam setelah muntah
4. Kalau anak anda panasnya tinggi, anda harus segera menelpon UGD
5. Anda sebaiknya meninggikan posisi kaki yang terluka selama satu atau
dua hari sampai bengkaknya mengempis
6. Anda harus mengindari gerakan-gerakan yang menimbulkan rasa sakit
7. Anda tidak boleh mengucek mata anda
8. Anda perlu menghindari kontak langsung dengan sinar yang terang atau
sinar matahari
9. Kalau anda merasa semakin sakit atau muntah, anda harus segera kembali
ke UGD
10. Selama hidung anda masih berdarah, anda tidak boleh minum air panas.
EXERCISE 2.
Study the discharge instruction below and answer the
question!
Case: A child with an injury receives a treatment in the ER
“OK Mrs. Brown, now I’ll give you suggestion what to do at
home for your son’s injury care. You should keep the injury
clean and dry. You have to cover the injury with clean dressing
and change daily. It’s important to rest the injury and elevate it
for 12 hours. Contact your doctor if you find redness or increased
soreness. Comeback here in two days to check your sutures”

1. Who is the patient? Mrs. Brown or her son?

2. What is the patient’s problem?
3. What does the nurse suggest?
 
EXERCISE 2.
What do you probably say!
Simulation
1. Give suggestion to the patient to take the temperature if he/
she gets fever
2. Give suggestion to the patient not to take anything to eat
after vomiting
3. Give recommendation for the patient not to consume dairy
product
4. Tell the patient if the condition worsens, he/ she should
contact the ER or doctor
5. Ask the patient if he/ she feels blurred vision, he should call
the doctor
 
 GROUP TASK:
WRITE DOWN THE POSSIBLE DISCHARE
INSTRUCTION TO EACH CASE BELOW

THE INSTRUCTION MUST BE INCLUDE

THE SUGGESTION & PROHIBITION

The cases:
1. Patient with stomachache case.
2. Patient with leg injury from a motorcycle
accident.
3. Patient with headache case
4. Patient with allergic case
5. Patient with broken hand from a traffic accident
 END SECTION
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YOU