UNIT 7 1

PATIENT DISCHARGE

How do you feel about

going to home today, Mr Dedep?

After studying this unit, you will be able to:

- talk about patient discharge plan
- explain medication
- make appointment on the phone
 UNIT 7 2
PATIENT DISCHARGE
A. Let’s Start

Label the different types of medication. Use the words in the box.

a. Bottle of tablets d. tube of ointment f. nasal spray

b. eye drops and a dropper c. capsules e. cough syrup

1. Eye drops and a 2. capsules 3. Cough syrup

dropper

4. Bottle of tablets 5. Tube of ointment 6. Nasal spray

Study the words below before you listen to the

conversation on Task 2.

Vocabulary Pronunciation Vocabulary Pronunciation

Tablet : /’tæb.lət/ Stitch : /stɪtʃ/
Capsule : /’kæp.sju:l/ Prescribe : /prɪ’skraɪb/
Syrup : /’sɪr.əp/ Medication : /,med.ɪ’keɪ.ʃ ə n/
Ointment : /’ɔɪnt.mənt/ Pharmacy : /’fɑ.mə.si/
Spray : /spreɪ/ Appointment : /ə’pɔɪnt.mənt/
Antibiotic : /,æn.ti.baɪ’ɒt.ɪk/ Outpatient : /’aʊt.peɪ.ʃ ə nt/
Painkiller : /’peɪn,kɪl.ə r / Heal : /hi:l/
Laxative : /’læk.sə.tɪv/ Worry : /’wʌr.i/
Constipation : /,kɒn t  .stɪ’peɪ.ʃ ə n/ Discharge : /dɪs’tʃɑdʒ/
Infection : /ɪn’fek.ʃ ə n/ Do not/ Don’t : /dəʊnt/
Mealtime : /’mɪəl.taɪm/ Important : /ɪm’pɔ.t ə nt/
Anticeptic : /,æn.ti’sep.tɪk/ Tube : /tjub/
 UNIT 7 3
PATIENT DISCHARGE
B. Let’s Listen and Speak

Please, translate the words below from English into Indonesia

before you listen to the conversation on Task 3.

English Indonesia English Indonesia

Tablet : tablet Stitch : menjahit
Capsule : kapsul Prescribe : menentukan
Syrup : sirup Medication : pengobatan
Ointment : salep Pharmacy : farmasi
Spray : semprot Appointment : janji
Antibiotic : antibiotik Outpatient : rawat jalan
Painkiller : penawar rasa sakit Heal : menyembuhkan
Laxative : pencahar Worry :khawatir
Constipatio : sambelit Discharge : melepaskan
n
Infection : infeksi Do not/ Don’t : jangan
Mealtime : waktu makan Important : penting
Anticeptic : antiseptik Tube : tabung

Nancy Anisa is going to be discharged from hospital this day.

A nurse is talking to her about medication and post-discharge
care. Listen and give Tick (√) on the the best answers.

1. How does she feel today?

□Worried (√) Better □Sick

2. The capsules that the doctor is going to give are ...

(√) Antibiotic □Painkillers □laxatives

3. The tablets are for ...

□Constipation (√) Pain □Infection

4. The laxative syrup is for ...

□Pain (√) Constipation □Infection

5. Who will get Nancy’s medication for her?

□Her brother-in law (√) Her sister □Her neighbour

6. Why does she need to visit the Outpatient Clinic?

□To see her specialist □To check on her (√) To have her
diet stitches taken out
 UNIT 7 4
PATIENT DISCHARGE
 UNIT 7 5
PATIENT DISCHARGE

Listen to audio on Task 3, then complete the nurse

istructions.

I just want to talk to you now about your Medication , If that’s

OK. I’m going to give you a list. Your doctor will give you
some Capsules and Tablets . The capsules are antibiotics.
These are very important because they will stop you Infection.
You need to Take two capules, three times a day At minute
time.

The tablets are Painkiller . If you’re in pain, then take two

tablets. But Don’t take more than two every six hours, and no
more than eight tablets a day. There’s also a tube of Anticeptic
outpatient . You need to put this on twice a day in the
morning when you get up and at night when you go to bed.
Apply it to the area where your Stitch are.

Pay attention to the way you give suggest, advice or

prohibition expression.

Recomendation
Pattern Example
Should/Must You should take the complete medicine
which prescribed
required
Essential These capsules contain antibiotic. It is
Be + Important required you to take the complete dose
Indicated prescribed
Have to ...
Had better + bare invinitive You had better take your medicine
regularly
Advice/ Suggest I advise/ suggest you to drink a lot of
water.
 UNIT 7 6
PATIENT DISCHARGE
Prohibition
Pattern Example
Should not
Must not You should not drink this medicine
May not with milk
Do not
Should + avoid + ing
Have to + avoid + ing Yo have to avoid smoking people
Had better not + bare invinitive

Read the following conversation and pay attention to theexpressions

used. Then, Mark the following statements True (T) or False (F).
Nurse : How do you feel about going to home today, Nancy?
Nancy : I was a bit worried yesterday, bit I feel better today. It was good to look at
the Discharge Plan Together
Nurse : Good! Now, I just want to talk to you now about your medications, If
that’s OK. I’m going to give you a list. Your doctor will give you some
capsules and some tablets. The capsules are antibiotics. These are very
important because they will stop you getting an infection. You need to take
two capsules, three times a day at mealtimes.
Nancy : OK.
Nurse : The tablets are painkillers. If you’re in pain, then take two tablets. But
don’t take more than two every six hours, and no more than eight tablets a
day. There’s also a tube of anticeptic ointment. You need to put this on
twice a day in the morning when you get up and at night when you go to
bed. Apply it to the area where your stitches are.
Nancy : Right, is all this written down?
Nurse : Yes. Don’t worry it’s all on the list. Oh, and I forgot. It isn’t unusual for
patients to suffer from constipation after surgery so the doctor has also
prescribed a laxative syrup for you.
Nancy : Oh, good. Thank you.
Nurse : You need to take a tablespoonful three times a day at mealtimes. Can
your sister get your medications from the pharmacy for you?
Nancy : Yes, we can do that on the way home. What’s going to happen about my
stitches.
Nurse : A home care nurse will be coming to visit you at home the day after
tommorow. She’ll change your dressings and make sure you’re healling
well. Then in ten days you have an appointment in the outpatient clinic.
We’ll take your stitches out for you then. It’s all written down here.

Mark the following statements True (T) or False (F).

1. Nancy is in good condition at the time. (T)
2. The doctor gives capsule, tablet, and syrup. (T)
3. Nancy should take antibiotics two capsules a day at mealtimes. (F)
4. Nancy should drink the painkiller tablets. (T)
 UNIT 7 7
PATIENT DISCHARGE

5. A home care nurse will come to visit on the next two days. (F)

Oerthopaedic Nurse Ahmad Khasan is discharging his patient.

He needs to make a phone call to book an appointment for him.
Look at the information below (a-d) and brainstorm for each
patient in the checklist.
a. His patient needs to see the doctor at his
local healthcare.
b. The appointment should be in about
seven days’ time.
c. The date today is September, 11th 2018.
d. The patient’s name is Mrs Dewi
Suryandari, and she would prefer
anafternoon appointment.

Making appointment checklist

Orthopaedic Nurse Poly Nurse

1. Greet person Reply
Good Morning
2. Your Identity Reply
My name is nurse anisa from kusuma husada hospital, is this true
with Mrs Dewi Suryandari?
3. Reason for calling Reply
Here I will say that the next seven days will get treatment to
remove the stitches of the wound.
4. Suggest day and time Reply
For the next seven days, which is September 18 th, 2018, can you?
5. Confirm day and time Reply
Okey, the date which is September 18th 2018 at five in the
afternoon
6. Give pateint details Reply
We have already noted that you will perform suture removal
procedures on 18 th September 2018 at five in the afternoon
7. Thank person. Reply
Thank you and always healthy.

Discuss the following questions with your friends.

1. Are you sure that your patients satisfied
with your treatment?
yes
2. Why does patient satisfaction matter?
 UNIT 7 8
PATIENT DISCHARGE

because it increases patient comfort

3. What do we know about patient

satisfaction data?

Patient satisfaction, namely the patient's response to the suitability of the

level of interest or expectations of the patient before receiving services and

after receiving services at the hospital

C. Let’s Read and write

Read the directions for three over the counter medications. Find
phrases that mean following. The answer is a-e in the box.
a Don’t take this b It can make you feel c Swallow hole
medicine more than four times sleepy. Don’t drive when you
in twenty four hours are taking this medicine.

d Take this e Only take

medicine when you this medicine by
need it according to mouth.

Directions: Directions: Directions:

How to take:
For Oral Use. ( a )
Swallow capsules with water.
Do not Chew.
How much to take:
Adults and children over 12:
Two capsules to be taken
every four hours. Do not
exceed eight capsules in 24
hours.
Children 6-12 years:
One capsule evry four hours.
Do not exceed four capsules in
24 hours. ( e )
Do not give to children under
six years.
The tablets should be
chewed followed by glass
of water.
Adults, the elderly and
children 12 years and over:
two tablets.
Children 6-12 years: One
tablet.
Not to be given to children
under six years.
To be taken every two to
four hours as required
according to the severity of
the symptoms. ( d )
Do not exceed six doses in
24 hours.
How to take this medicine:
For oral use only. ( c.)
Do not use more than the
stated doses.
Adults and children aged 12
years and over: two tablet
1,5 ml spoonfuls four times a
day.
Children under 12 years:
This medicine is not
recommended for children
under 12 years old.
Danger: May cause
drowsiness.
Avoid driving or operating
machinery when taking this
medicine. ( b )
 UNIT 7 9
PATIENT DISCHARGE
 UNIT 7 10
PATIENT DISCHARGE

Please, read carefully the magazine article.

Patient Satisfaction Surveys

Do you know how happy your patients are? We can help you find out.

Patient satisfaction
surveys are gaining in
importance and should be at
the heart of any healthcare
facility. It's valuable to get a
holistic view of what patients
really think about the care
and treatment they receive.
These simple insights will
lead to smart decisions on how
to improve healthcare, patient
happiness and the job
satisfaction of your doctors
and nurses.

What makes your patients happy? Could appointment waiting

times be improved? Is the waiting room comfortable? How likely are
your patients to recommend your service to friends and family if they
needed similar care or treatment? A short survey taken in private (or
anonymously) can quickly reveal a wealth of information on every
area of your patients' experience. Your questions could also determine
your patient's opinion on the following topics:
a. Quality of treatment received
b. Hospital, practice and GP surgery facilities
c. Appointment booking, procedures and waiting times
d. Interactions with staff
e. Level of communication between patients and providers
f. Health and safety
g. Level of support for outpatients
h. Accessibility of facilities

Patient satisfaction surveys are a very effective way of enabling the

patient-provider collaboration needed to ensure quality healthcare.
 UNIT 7 11
PATIENT DISCHARGE

Pay attention to the way you ask about satisfaction and

expressing satisfaction

Expressing satisfaction is an expression for a feeling of happiness or pleasure

because you/patients have achieved something or got what you wanted.
1. Asking about satisfaction/ dissatisfaction:
a. How do you like your room?
b. Is everything O.K.?
c. Is everything satisfactory?
d. Are you satisfied?
e. Did you find our service satisfactory?
f. Do you want to complain about something?
g. Was something not to your satisfaction?
h. Are you dissastisfied with something?
2. Expressing satisfaction:
a. I really like the hospital service.
b. I’m completely satisfied with everything you’ve done for me.
c. It was satisfactory.
d. Everything is fine, thank you.
e. Everything was just perfect.
f. I’m happy enough with it.
g. It was okay. Not too bad.
h. Good enough.

In pairs, practise giving a patient questionaire. Student A, you are the

nurse, student B, you are the patient. Use the following prompts to help
you. Swap roles and practice again.

Nurse
Patient
Greet the patient
Reply

Express your purpose

Reply

Asking about the

patient’s satisfaction
Reply
 UNIT 7 12
PATIENT DISCHARGE

Please, write a patient satisfaction survey/questionaire.

Patient Satisfaction Survey

Name : Mrs. Ana Age : 35 tahun

Address : mojosongo, Surakarta

We are interested in receiving your feedback about the care provided at our
office. Please take a few minutes this survey and return it to us. Your responses are
important to us. Tick (√) the statements on 1, 2, 3, 4, or 5 based on your satisfaction.

No. Questions Great Good Ok Fair Poor

5 4 3 2 1
1. Overall, how would you rate the quality √
of service you have received today?

2. √

How do you rate the service the nurse

has provided?

3. √

Are the services provided in

accordance with the hospital's

operational standards?

4. √

What is the hospital service

satisfactory?

5. √

How is the attitude of the hospital

officers when serving

6. √

Are you satisfied by the service

officer. in delivering information
 UNIT 7 13
PATIENT DISCHARGE
 UNIT 7 14
PATIENT DISCHARGE

Read the patient information about patient discharge. Match the

missing titles a-e to the paragraphs in the leaflet.

a. Special equipment c. family support e. taking medication

b. problem to watch out for d. Contacting your healthcare provider

Your discharge plan

Post- discharge care
After you are discharged, you may be living at home or in another setting. It is important to
know where to find care and also to know who will help you after your discharge from
hospital
Taking medication
It is important to understand your prescription drugs, when to takethem and what side
effects you might experience. Ask for the name and number of the person to vall in case
you have any questions. Tell the hospital staff about the medication you took before
coming to hospital. Thes includes over-the counter drugs and prescription drigs, as well as
any suplements. Ask if you can still take them after your discharge.
Special equipment
It is important to know what medical equipment, e.g. walking stick, you will need to use
after your discharge. You may have some questions about this after you leave hospital, so
ask for the name and number of the person to call.
Contacting your healthcare provider
What if you have problems after your discharge? Do you know what they might be and
how to deal with them? Ask for the name and number of the person to call if you
experience prolmes.
Helping with special tasks.
How do you feel about using medical equipment, giving a shot or changing a bandage? If
you are unsure, ask a nurse to show you. Then, demonstrate to the nurse that you can also
do it. Ask for the name and number person to call if you need help after your discharge
from hospital.
Family support
May be you are worried about how you and your family are going to deal with your illness.
Ask your nurse about support groups in your area. If necessary, ask to talk to a therapist
before you leave hospital.
Problem to watch out for
Write down the name and telephone number of the doctor or healthcare provider you
should contact if you have problems or questions.
Follow up appointments
It is important to find out which test and/ or appointments you need in the weeks that
follow your discharge from hospital.
 UNIT 7 15
PATIENT DISCHARGE

Create a discharge planningr on febrile seizure patient.

Situation: A child has just got a medical treatment in hospital. Now you have to give
discharge instruction to your patient.

well, my mother has finished checking the condition of the mother's child, after I

checked the result was a body temperature of 39 Celsius, it was said to be quite high

for a child the same age as the mother's child. But mom, don't worry, I'll prescribe the

medicine and you can go home, and keep your child healthy, don't forget to take the

medicine regularly, the fever will go down by itself.

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Asses your progress in this unit. Tick (√) the statements

which are true.

No. Learning Objectives Very Much Much Little

1. I can describe about patient discharge √
plan.
2. I can explain medication. √
3. I can make appointment on the phone. √