236 2021 u8 treatment LIS

UNIT – LISTENING & SPEAKING (2 hours) ENGLISH IN MEDICINE – GENERAL PRACTITIONER Y2 TREATMENT & THERAPY Editor: Nguyen Hoang Quynh Mai Email: nguyenhquynhmai@duytan.edu.vn PRONUNCIATION EXERCISES Radiotherapy Chemotherapy Targeted therapy Phototherapy Acupuncture Chiropractic Hydrotherapy Balneotherapy Detoxification Homeopathy Psychotherapy Cognitive Family-focused Animal-assisted Dialectical Behavioral Conventional Alternative Complementary Exposure Symptomatic Etymological Wheelchair Hypnosis Cure Treat Heal Palliative PRONUNCIATION EXERCISES Therapy is any of various techniques used in the treatment of physical or mental illnesses Therapy is used not only during the course of a disease but also after recovery if the patient suffers lingering effects Although some disorders may be treated by only one form of therapy, a combination of therapeutic techniques is often required In treating physical diseases, probably the most common form of therapy in Western medicine is chemotherapy, or drug therapy The many drugs available range from commonly used compounds like aspirin, which reduces fever and relieves pain, to the complex chemicals used in the treatment of cancer Radiotherapy is frequently used in the treatment of cancer, often in combination with surgical treatment and chemotherapy Therapeutic methods drawn from non-Western traditions are collectively referred to as alternative medicine and include techniques such as chiropractic, acupuncture, and homeopathy PRONUNCIATION EXERCISES Like physical disorders, mental illnesses may be treated with drugs, particularly antidepressants However, while drugs help relieve the patient’s symptoms, they seldom cure the underlying problems More useful therapies include techniques that rely heavily on verbal and emotional communication Collectively referred to as psychotherapy, these techniques help the patient to express, understand, and cope with underlying problems that are not due to physical disease Emotionally disturbed children who cannot express their problems verbally may be treated by play therapy The children are encouraged to engage in certain forms of recreation or to act out scenes on the theory that this process will reveal their feelings PRONUNCIATION EXERCISES The final stage in treatment of physical and mental illnesses is often rehabilitation This may include physical therapy, which involves exercise, massage, and the application of heat and water (hydrotherapy) to improve or restore functioning to damaged and weakened parts of the body People with disabilities also benefit from recreational and occupational therapy, which helps people master their personal and work-related activities, such as buttoning clothes or cooking while seated in a wheelchair Speech therapy is given to people who have speech problems of physical or psychological origin In addition, people with disabilities may require psychotherapy to help them overcome the emotional and psychological problems that are sometimes associated with disability LISTENING EXERCISES VIDEO: https://www.youtube.com/watch?v=Uv8te6DBkNw Google form: https://forms.gle/ijnZm2tYq92U8eDh7 Listen to the video twice and try to fill in the blanks LISTENING EXERCISES Hello, I’m Dr Vaughan I’m here to talk to you about (1) , particularly to make some plans about how best to take care of you in the future Okay It would help me to know (2) _ from what your doctors have told you about your current condition I understand that the medicine is no longer working and I’m not going to (3) I’m very tired and my heart hurts LISTENING EXERCISES When you say your heart hurts, what you mean by that? I think I (4) and I feel just worn out You seem sad to me Well, I’m not really sad I’m sorry that the medication, you know, we’ve come to this part of my journey And I guess I’m ready (5) and see what happens What are you expecting? Uh, what am I expecting? Um… I’m expecting to, I would like to be comfortable I would like (6) to my family I would like to have the best quality of life that I can at this time LISTENING EXERCISES So what you’ve told me is the doctors have told you that despite everything they’ve done that (7) is getting worse Right And you know that I And what you’re hoping for in the future is to be comfortable and to have (8) _ Right Is there anything else you’re hoping for, to your family or friends at home? I just don’t want to be a burden to them and I know that I can’t this alone without them LISTENING EXERCISES Hello, I’m Dr Vaughan I’m here to talk to you about your current health care, particularly to make some plans about how best to take care of you in the future Okay It would help me to know what you understand from what your doctors have told you about your current condition I understand that the medicine is no longer working and I’m not going to get any better I’m very tired and my heart hurts LISTENING EXERCISES When you say your heart hurts, what you mean by that? I think I have no energy and I feel just worn out You seem sad to me Well, I’m not really sad I’m sorry that the medication, you know, we’ve come to this part of my journey And I guess I’m ready to just relax and see what happens What are you expecting? Uh, what am I expecting? Um… I’m expecting to, I would like to be comfortable I would like not to be a burden to my family I would like to have the best quality of life that I can at this time LISTENING EXERCISES So what you’ve told me is the doctors have told you that despite everything they’ve done that the heart failure is getting worse Right And you know that I And what you’re hoping for in the future is to be comfortable and to have your symptoms managed Right Is there anything else you’re hoping for, to your family or friends at home? I just don’t want to be a burden to them and I know that I can’t this alone without them LISTENING EXERCISES Have you heard the word hospice before? I have What does that word mean to you? Oh it’s kind of frightening in a way I have friends who have had hospice but I don’t know a whole lot about it I don’t know What they could offer When you said Hospice is frightening, say more about what’s frightening about it Well, I think just the part that you’re going to die and that’s an unknown LISTENING EXERCISES I think many people are frightened by that word because they only hear it in the context often after someone you’ve known has died, and someone says, well you know what, they are the hospice care But it really means something I think quite different It’s a program of a team of people helping you at this time of your life to achieve the things that you just said you want it, to be comfortable, to be at home, to not be a burden on your family, but to help take care of you for as long as you have left Wow, that’s a pretty big That’s a lot that they offer Well, that’s usually most people’s reaction once they learn about it They think why didn’t somebody tell me sooner And it sounds a little too good to be true It does LISTENING EXERCISES And so my goal today is to not tell you all the details We can have somebody from the hospice program tell you and your family in more detail My goal today was to introduce this concept and tell you that I and the rest of your doctors think this is the best way to take care of you at this time of your life Okay, it sounds good So I think the best thing would be to make an appointment now I can call them or I can give you their telephone number, and you can call them And I recommend you have them see you at home Okay, and could I include my family? LISTENING EXERCISES That would be an excellent idea Okay, I would like to that, just to see what they really have to offer Right, and then after you have that conversation, we can get together again to talk about what you learned, and I can help you with any further questions and maybe make a decision There’s a plan Okay, sounds good Okay, thanks Thank you LISTENING EXERCISES Additional video for practicing: https://www.youtube.com/watch?v=-H6-yUpzdt4&t=19s SPEAKING ACTIVITIES DESCRIBE THE PICTURE SPEAKING ACTIVITIES DESCRIBE THE PICTURE SPEAKING ACTIVITIES START A DISCUSSION WITH THE PATIENT  Establish the setting [S]  Assess patient’s perception [P]  Assess patient’s expectation [E/I]  Discuss the treatment [K/S]  Respond to emotions [E]  Introduce the goal for this discussion [G]  Establish the next steps [S] SPEAKING ACTIVITIES [S] Hi, I’m _ I’m here to talk to you about [P] Tell me what you understand about your current condition [E/I] What are you expecting? [K/S] Have you heard before? [E] Tell me more about what’s frightening when you say that [G] My goal today is to not tell you all the details, but to We can [S] So I think the best thing would be to After that, we can SPEAKING ACTIVITIES TAKING HISTORY OF PATIENT Introduce yourself - name & role Confirm patient details - name & DoB Explain the need to take history Gain consent Present complaint Ask for details Other symptoms Previous health Summary & next step SPEAKING ACTIVITIES MAKE A CONVERSATION QUESTIONS & ANSWERS ... disability 2 LISTENING EXERCISES VIDEO: https://www.youtube.com/watch?v=Uv8te6DBkNw Google form: https://forms.gle/ijnZm2tYq92U8eDh7 Listen to the video twice and try to fill in the blanks 2 LISTENING... pain, to the complex chemicals used in the treatment of cancer Radiotherapy is frequently used in the treatment of cancer, often in combination with surgical treatment and chemotherapy Therapeutic... START A DISCUSSION WITH THE PATIENT  Establish the setting [S]  Assess patient’s perception [P]  Assess patient’s expectation [E/I]  Discuss the treatment [K/S]  Respond to emotions [E] 