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Task NE | Respiratory System | Thorax

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  PATIENT ASSESMENTVOCABULARY AND READING Inspection, palpation, percussion and auscultation are examination techniques that   enable thenurse to collect a broad range of physical data about patients.1.  Inspection The process of observation, a visual examination of the patient’s body parts to detect normal characteristic or significant physical signs2.  Palpation Involves the use of the sense of touch. Giving gentle pressure or deep pressure using your hand is the main activity of palpation.  Percussion Involves tapping the body !ith fingertips to evaluate the si e, borders, and consistency of  body organs and discover fluids in body cavities.#.  Auscultation $istening to sounds produced by the body. TASK INSTRUCTION 1 Students . Menton wha actviy you do for each case lised below! No Actviy Technique 1Examining paten’s respiraory 2Inspectng he mouh and hroa s ing paten o sand up o #nd wheher here isscoliosis or no$%ressing her middle #nger of non&dominan hand#rmly agains he paten’s bac ' (ih palm and#ngers remaining o) he s in* he tp of he middle#nger of he dominan hand sri es he oher* using+uic * sharp sro e,-bserving he color of he eyes .-bserving he movemen of air hrough he lungs/0estng deep endon reexes using hammer3hec ing he ender areas wih her hand 4%ressing abdomen deeply o chec he conditon of underlying-rgan15%reparing a good lightng* hen he observes he bodypars INSTRUCTION Lecturer explain ho! to use present simple, have to, shall, and should.  They are several !ays to telling someone !hat to do. The imperative is he mos direc ypecommand'  Positive Check  for signs of circulation.  Apply  the pad  = infinitive T te!! me#$% &'at (t t $) a$$ 6on’  NegativeDon’t remove burnt clothing  = do + not (don’t) + infinitive 0o emphasi7e wha is imporan* you can use he Ma e sure 8  ake sure  the wound is clean  ake sure  you don’t touch this body  ake sure  the dosage doesn’t exceed 200 ml. (hen as ing insructon we can use he %resen 9imple* have o* shall* and should'  How do I set   the charge on the defibrillation?Where exacly do I have to apply  the pads?  !hall I tie  the bandage tightly?  !hould I re ove  the burnt clothing?= !uestion word # do#shall#should $ $nfinitive TASK INSTRUCTION *Stu$e(t + Mach he beginnings and endings of he senences' 1.Check that2.What do3.Make sure you4.Don’t let5.Should I6.Shall I bandage.Don’t!.What dosage shall .#ake1$.Where do Ia.I count u% to bet&een breaths'b.I g()e her'c.*a)e to a%%ly the %ads'd.#he %at(ent (s breath(nge.#he %at(ent try to stand u%+.,ut the brunt area under runn(ng &ater'g.#he %at(ent’s %ulse aga(n.h.#(e the bandage too t(ght-(.#he &ound no&' ./se a ster(le needle. PATIENT,S CONDITION GRAMMAR AND -RITINGLecturer can explain about past simple and past continuous. Pa t imp!e (e use he pas simple o al abou hings which happened in he pas' P itive   $%&ou%We%'hey%He%(he% slipped   on some ice.= sub)ect *ast (imple Ne.ative  $%&ou%We%'hey%He%(he% didn’t $reak any bones.= sub)ect did + not (didn’t)   infinitive /ue ti( S'rt a( &er  +id $%&ou%We%'hey%He%(he  fall  ?&es, $%&ou%We%'hey%He%(he did% &es, $%&ou%We%'hey%He%(he didn’t% =  Did    sub)ect infinitive? -ote that the he%she%it form does not change at all in the positive and negative or in !uestion. 9pelling rules for %as 9imple I(0i(itive Pa t Simp!e  ost verb$nfinitive /edWait  waited 1erbs ending in &e  $nfinitive /drrive  arrived 1erbs ending in consonant = /y &y   &i &ed  'ry  tried 1erb ending in vowel consonant  +ouble the consonant &ed  (top  stopped  3xept if final consonant is  '  , &   , or &y  +elay delayed  any verb have an irregular *ast (imple form, which has to learn separately. 'heseinclude4 5e 6 was brea7 6 bro7ehave 6 had  8all 6 fellgo 6 wentta7e 6 too7 We use the past simple to tal7 about an action that happened at a particular point in the past. We often use past time expression such as yesterday, last wee7, and in month%season%year.'he doctor ea ined   my leg  yesterday% %as 3ontnous P itive  $%He%(he% as aiting  for the doctor &ou%We%'hey ere aiting   for the doctor = sub)ect as#ere &ing   form Ne.ative  $% He%(he% as not (asn’t) wor7ing here then.  &ou%We%'hey ere not (eren’t)  wor7ing here then.= sub)ect as#ere not    &ing   form9uestionWas he listening to him?Were you listening to him?= as#ere   sub)ect &ing   formWe use the *ast :ontinous to tal7 about an action that was happening in the bac7ground when another event happen. $t is often used in a sentence with when *ast (imple. He as getting off the bus hen he slipped% We can change the order of the sentence He slipped hen  he as getting off   the bus. *hen he as getting off the bus, he slipped.  a ple, NURSING CARE REPORT CLIENT IDENTITY  Client is Mr. M, 57 years old, a breeder. Client lives at Jl. Buncit Indah RT. 7, client religionis Islam, client is graduated from lementary !chool and he is married and has children. Client entered to #lin $eneral %os&ital Ban'armasin on (ednesday, )th of May*+  at -++ am and as hos&itali/ed in 0ahlia (ard ith lung cancer medicaldiagnose. Client medical record is 1*+125133. Client4s net of 6in is Ms. !  years old,client8s daughter. !he graduated from !enior %igh !chool and she is a student. MAIN COMPLAINT The main com&laint on the assessment on Monday, 2th of May *+ , client said &ain onhis chest and s&read to the bac6, the &ain gets orse hen lying don, the &ain is felt li6e, stic6y &ain and a&&ears continuously ith scale 5 9+15 scale:. HEALTH HISTORY OF CURRENT DISEASE Before entering the $eneral #lin %os&ital, the client com&lained chest &ain for about one ee6 and as ta6en to the &ulmonary clinic on ;riday, *2th of <&ril *+ , thereclient got several medication such as Codein + mg 9= :, salbutamol * mg 9= :, asamtraneamat 5++ mg 9= : and meloicam 5 mg 9* :, and the &ain decreased but didn4t solved totaly. >n (ednesday, )th of May *+  client com&lained &ain and cannot slee& at night and as ta6en to the <nsari !aleh $eneral %os&ital on +.++ am, thereclient didn4t get any medication and suggested to be admitted to the #lin generalhos&ital by ambulance, client came to the emergency room on .++ am. Then client transferred to 0ahlia (ard on *.=+ &m to get more intensive care. (hile 5 days of caring, client had blood test on Thrusday, 5th of May *+  and had &lan to do thora !T1!can on (ednesday, th of May *+ . Client is still com&lains about his &ain andsuffered vomiting on the third day on caring. HEALTH HISTORY OF PREVIOUS DISEASE
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