DISCHARGE INSTRUCTION

METI AGUSTINI, NS., M.KEP

 USEFUL EXPRESSION
1. Recommendation
2. Prohibiton
Instruction chart 1
• Chart Instruction 2
How to give a reason?

Because/cause

That’s way

As/Since

Because of
 EXPRESS A REASON
• BECAUSE (c)
>>  I was worried because your blood pressure
was drop

In conversation we very often use the form 'CAUSE

>> The doctor prescribed you ibuprofen cause

your temperature was being unstablle
 EXPRESS A REASON
• BECAUSE  OF + noun (p)
This is a preposition, so it is not followed by a
clause with a verb, it is followed by a noun or
noun phrase

>> The doctor was late because of the traffic

>> Your current temperature is high because of
infection process
 EXPRESS A REASON
• AS / SINCE (c)
These conjunctions are formal. In a less formal language we prefer the
equivalent with SO:

As today is your last day hospitalization, I will provide you some

informations about your home treatment.
 (= It is your last day hospitalization, so i will give you some
informations about your home treatment)
 
Since your blood glucose is unstable, I think you should concern on
carbohidrate consumption 
(= your blood glucose is unstable, so I think you should concern on
carbohidrate consumption )
They're used when the reason is already well known,
or it is less important than the rest of the sentence. 
These clauses often begin the sentence:
>> Since today is your last day hospitalization, I will
provide you some informations about your home
treatment.
      >> Since you’ve diagnosed TB infections, the doctor
prescribed you rifamfisin.
      >> It's very noisy here, since your room close to a
construction area.
• THAT'S (THE REASON) WHY (c.)
This relative clause is very commonly used to express
reason (especially in its short version)
 
   >>  Your leucosite is under normal value, that's the
reason why you are susceptible to any infection.
    >> I didn’t know corticosteroid shouldn’t consume
in long period, that’s why i kept consume them
   
 Agreeing with an opinion
We use these words and phrases to agree with someone else's point of view:
• Of course.
• You're absolutely right.
• Yes, I agree.
• I think so too.
• That's a good point.
• Exactly.
• I don't think so either.
• So do I.
• I'd go along with that.
• That's true.
• Neither do I.
• I agree with you entirely.
• That's just what I was thinking.
• I couldn't agree more.
 Disagreeing with an opinion
We use these words and phrases to disagree with someone else's point of view:
• That's different.
• I don't agree with you.
• However…
• That's not entirely true.
• On the contrary…
• I'm sorry to disagree with you, but…
• Yes, but don't you think…
• That's not the same thing at all.
• I'm afraid I have to disagree.
• I'm not so sure about that.
• I must take issue with you on that.
• It's unjustifiable to say that...
 Making suggestions and giving advice
• You should try to  live a healthy life
•  I think you should follow the doctor’s instruction

•  Why don’t you join a sport community?

•  You’d better wake up early.

•  Let’s have healthy breakfaast

•  What about consulting your problem in advance?

•  How about drinking water frequently?

•  Don’t you think it would be a good idea to have a rest in Sunday.

•  If I were you, I’d take some alternatives.

•  I suggest that you take a nap.

•  You may want to try non farmachologic

•  Perhaps you could try guided imagery to reduce your anxiety.

•  I strongly advise you to do more work out.

•  I recommend that you get some rest.

•  It’s better for you to sleep a little more.

 Accepting Suggestion

•  Thanks, I’ll do it.

•  It sounds good.

•  That sounds like a good idea.

•  Thanks. It’s a good suggestion.

•  I think you’re right.

•  Why didn’t I think of that?

 Refusing suggestions

•  No, I’d rather not.

•  I don’t think so.

•  I don’t feel like it.

•  No, I don’t this it’s a good idea.

•  What a bad idea!

 SIMULATION to give advice and appropriate
suggestion
Make a conversation between nurse and patient

Situation:
A patient has just got medical treatment in outpatient clinic. Now you have to
give discharge instruction to your patient.

Steps:
1. Greet the patient; tell him/her that after getting the treatment he/she may
go home. And you’ll give some advice
2. Create a leaflet about disease or treatment which will be given to patient in
hospital
3. Explain the medical suggestions and advices
4. Don’t forget to record the video!
 SIMULATION
Pick one patient!

Diabetes Mellitus
Hypertension Anemia

Post Stroke