Файл: Учебное пособие 2 по английскому языку Для студентов лечебного и педиатрического факультета (2 семестр) 2020 год.doc

A meeting between a patient and a physician (family doctor, general practitioner) to get health advice or treatment for a symptom or condition is a doctor's visit (physician office visit). A patient usually presents with ambulatory care sensitive condition (ACSC), an illness or a health condition, the appropriate ambulatory care prevents or reduces the need for hospital admission, e.g. asthma, diabetes mellitus, dental conditions and others. If it is necessary to visit to a specialist, GP can supply a patient with a referral (referral letter) and make an appointment. According to a survey in the USA, a physician usually sees 50-100 patients per week. A physician sees each patient for 13-16 minutes. Anesthesiologists, neurologists, and radiologists spend 25 minutes or more, whereas dermatologists and ophthalmologists spend 9 - 12 minutes per patient. The service ‘a house call’, a visit to the patient’s home by a doctor or other professional, can be also provided.

Sites where ambulatory care can be delivered are the following:

Doctor's office (doctor's surgery).This is the most common site for the delivery of ambulatory care. Physicians of many specialties deliver ambulatory care, including specialists in family medicine, internal medicine, OB\GYN, cardiology, ophthalmology, etc.

Clinics. Clinics include ambulatory care clinics, polyclinics, ambulatory surgery centers, and urgent care centers. These centers are designed to evaluate and treat conditions that are not severe enough to require treatment in a hospital emergency department but still require treatment beyond normal physician office hours or before a physician appointment is available.

Ambulatory care nursing is the nursing care of patients who receive treatment on an outpatient basis. Ambulatory care includes those clinical, organizational and professional activities engaged in by registered nurses with and for individuals, groups, and populations who seek assistance with improving health and/or seek care for health-related problems.

The most common type of ambulatory care institutions is a clinic or outpatient clinic (ambulatory care clinic). It is a healthcare facility primarily focused on the care of outpatients. Typically covering the primary healthcare needs of populations in local communities clinics can be privately operated or publicly managed and funded. They are often associated with a general medical practice run by one or several general practitioners. Also there are specialized clinics, e.g. physical therapy clinic run by physiotherapists.

There are many different types of clinics providing outpatient services. They are:

- a walk-in clinic in the U.S. describes a very broad category of medical facilities defined as those that accept patients on a walk-in basis and with no appointment required. A number of healthcare service providers include urgent care centers, retail clinics and even many free clinics or community health clinics. Walk-in clinics offer the advantages of being accessible and often inexpensive. All types of walk-in clinics provide basic medical services, such as routine vaccinations, evaluation of cold and flu symptoms, and treatment for less severe physical injuries

- a general out-patient clinic offers general diagnoses or treatments without an overnight stay

- a polyclinic provides a range of healthcare services without need of an overnight stay

- a specialist clinic provides advanced diagnostic or treatment services for specific diseases or parts of the body

- an ambulatory surgery clinic (outpatient surgery, day surgery) offers outpatient or same day surgery services, usually for surgical procedures less complicated than those requiring hospitalization., including diagnostic and preventive procedures

- a healthcare center, health center

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, or community health center is one of a network of clinics staffed by a group of general practitioners and nurses providing healthcare services to people in a certain area. Typical services covered are family practice and dental care, but some can include internal medicine, pediatric, women’s care, family planning, pharmacy, laboratory testing, and more.

- a nurse-led clinic is any outpatient clinic run or managed by registered nurses, usually nurse practitioners. Nurse-led clinics typically focus on chronic disease management, but also where a patient may not necessarily need to see a physician at every visit.
IX. Choose the correct answer for the question:

1. What is outpatient care?

• 
  the medical care provided on an inpatient basis
  
• 
  the medical care provided on an outpatient basis
  
• 
  the medical care provided on an nursing basis
  

2. What is a doctor's visit?

• 
  a meeting of the team with the attending doctor to get health advice or treatment for a symptom or condition
  
• 
  a meeting between a patient and a nurse to get health advice or treatment for a symptom or condition
  
• 
  a meeting between a patient and a physician to get health advice or treatment for a symptom or condition
  

3. What is a follow-up?

• 
  a patient is continuously monitored or otherwise advised to return when (or if) symptoms appear or reappear.
  
• 
  a patient is monitored once a year or otherwise advised to return when (or if) symptoms appear or reappear.
  
• 
  a patient is not monitored or otherwise advised to return when (or if) symptoms appear or reappear.
  

4. What is a house call?

• 
  a meeting between a patient and a doctor or other professional
  
• 
  a visit to the patient’s home by a doctor or other professional
  
• 
  a visit to the doctor’s office by a patient
  

5. What is a doctor's office?

• 
  the most common site for the delivery of inpatient care and usually consists of a physician’s visit.
  
• 
  the most common site for the delivery of ambulatory care and usually consists of a nurse’s visit.
  
• 
  the most common site for the delivery of ambulatory care and usually consists of a physician’s visit.
  

6. What is a clinic?

• 
  a healthcare facility primarily focused on the care of outpatients
  
• 
  a healthcare facility primarily focused on the care of inpatients
  
• 
  a healthcare facility primarily focused on the care of aged patients
  

7. What is awalk-in clinic? 

• 
  a very narrow category of medical facilities that accept patients on a walk-in basis and with no appointment required.
  
• 
  a very broad category of medical facilities that accept patients on a walk-out basis and with no appointment required
  
• 
  a very broad category of medical facilities that accept patients on a walk-in basis and with no appointment required
  

8. What is a polyclinic?

• 
  a healthcare facility providing a range of healthcare services with a need of an overnight stay.
  
• 
  a healthcare facility providing a range of healthcare services without need of an overnight stay.
  
• 
  a healthcare facility providing a range of healthcare services with a need of a week stay.
  

9. What isan ambulatory surgery clinic?

• 
  a healthcare facility offering outpatient or same day surgery services, including diagnostic and preventive procedures.
  
• 
  a healthcare facility offering outpatient or the other day surgery services, including diagnostic and preventive procedures.
  
• 
  a healthcare facility offering inpatient or same day surgery services, including diagnostic and preventive procedures.
  

10. What isahealthcare center?

• 
  one of a network of clinics staffed by a group of general surgeons and nurses providing healthcare services to people in a certain area.
  
• 
  one of a network of clinics staffed by a group of general practitioners and nurses providing healthcare services to people in different areas.
  
• 
  one of a network of clinics staffed by a group of general practitioners and nurses providing healthcare services to people in a certain area.
  

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11. What isa nurse-led clinic?

• 
  a clinic run or managed by registered nurses providing services where a patient may not necessarily need to see a physician at every visit.
  
• 
  a clinic run or managed by registered doctors providing services where a patient may not necessarily need to see a physician at every visit.
  
• 
  a clinic run or managed by registered nurses providing services where a physician may not necessarily need to see a physician at every visit.
  

X. Read the following sentences and choose a correct word:

1. 
   Outpatient care or ambulatory care is medical care provided on an outpatient basis\inpatient basis.
   
2. 
   Some patient having Health Insurance Plan cards are able to take advantage of the house call system\doctor’s visit system, and arrange for appointments with physicians at their home.
   
3. 
   Physicians of many specialties deliver ambulatory care\healthcare, including specialists in family medicine, internal medicine, and others.
   
4. 
   The telemedicine-based follow-up\treatment is feasible and safe for the evaluation of early postoperative complications.
   
5. 
   Clinics are often associated with a general medical practice\primary care run by one or several general practitioners.
   
6. 
   Typical large outpatient clinic\hospitals houses general medical practitioners (GPs) such as doctors and nurses to provide ambulatory care and some acute care services.
   
7. 
   All types of walk-in clinics\healthcare centers provide basic medical services, such as routine vaccinations, evaluation of cold and flu symptoms, and treatment for less severe physical injuries.
   
8. 
   A specialist clinic\general clinic provides advanced diagnostic or treatment services for specific diseases or parts of the body.
   

XI. Make a word combination, match the words:

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ambulatory visit

medical clinic

diagnostic nurse

doctor's center

house investigation

outpatient practitioner

health call

registered care

general procedure
XII. Match the verbs (1-6) with the correct meaning (a-f):

1. to observe 2. to prevent 3. to follow-up 4. to evaluate 5. to offer 6. to present with

1. 
   to watch carefully and attentively
   
2. 
   to form an idea about volume, number, amount, value
   
3. 
   to examine or observe a patient in order to monitor the success of the earlier treatment
   
4. 
   to keep something from happening
   
5. 
   to visit a doctor with disturbing symptoms
   
6. 
   to suggest something
   

XIII. Explain the following terms by your own words:

polyclinic, health center, referral, outpatient care, walk-in clinic, nurse-led clinic, follow-up patient, doctor’s visit, house call, health care facility, ambulatory care sensitive condition
XIV Fill in the gaps with the words\word combinations from the Word bank:
Word Bank: outpatients,clinic, hospitals,medical school, populations, privately, healthcare, medical practice

Ambulatory care clinic is a __________________ facility that is primarily focused on the care of _______________. Clinics can be _____________operated or publicly managed and funded. They typically cover the primary healthcare needs of __________________in local communities, in contrast to larger ______________ which offer specialized treatments and admit inpatients for overnight stays. Most commonly, the word clinic in English refers to a general__________________________, run by one or more general practitioners, but it can also mean a specialist _________________. Some clinics retain the name “clinic" even while growing into institutions as large as major hospitals or becoming associated with a hospital or________________________.
XV. Complete the sentences:
A policlinic is……..

Some outpatient care facilities are………

Clinic is ……..

Types of the clinic are ………

Listening

https://www.youtube.com/watch?v=zYoF4PnSC-Y what is ambulatory care?

https://www.youtube.com/watch?v=lnSi-kKyP50 walk-in clinics

https://www.youtube.com/watch?v=4Ps3WNsfZVM ambulatory nursing care
Telemedicine - connection between the doctor and the patient through Wi-Fi videoconferencing network

XVI. Watch the video ‘Huawei Telepresence Telemedicine Solution’ and name the solutions telemedicine gives to the outpatient care.

https://www.youtube.com/watch?v=vEL0dkwkEDc


LESSON 20
Grammar: Perfect Passive, Revision Modal Verbs, Modal Equivalents
Inpatient care

I.Answer the questions:

1. Can you give the definition of ‘Inpatient Care’?

2. Have you ever been admitted to the hospital? What was the reason?

Word building

Noun – Verb

• 
  access – to access
  
• 
  email – to email
  
• 
  google – to google
  

Verb – Noun

• 
  to attack – attack
  
• 
  to clone – clone
  
• 
  to cover – cover
  

II. Read and translate the following words paying attention to the suffixes:

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staff – to staff, head – to head, function - to function, note - to note, cost - to cost, test - to test, measure - to measure, discharge – to discharge, spread – to spread, sign – to sign, form – to form, progress – to progress, report – to report, follow-up – to follow up, visit – to visit, support – to support, document – to document, use – to use, process – to process
III. Read and translate the words of Latin-Greek origin

extremely [iks’trJmli], specialty [‘speSqlti], urgent [‘WGqnt], region [‘rJGqn], trauma [`trLmq], assistance [q’sistqns], campus [`kxmpqs], service [‘sWvis], geriatric [,Geri’qetrik], psychiatric [,sQiki’qetrik], anaesthetics [,xnqs`TetIks], pathology [pq`TOlqdZI], initial [I’niSql],identification [Qi,dentifi’keiSn], mask [mRsk], status [`steItqs], residence [‘rezidqns]

Activevocabulary

inpatient care - стационарное лечение

admission note [qd`mISn]- полная история болезни (от поступления в стационар до выписки)

case history– история болезни

to examine [Ig`zxmIn] – обследовать, осматривать

physical examination [,fIzIkl Ig,zxmI`neISn] - медицинский осмотр, физикальное обследование

to be admitted to the hospital [qd,mItqd]– поступить в больницу

care plan [`keq ] - план по уходу за пациентом

notes - дневники

to require [rI`kwaIq] - требовать, нуждаться

equipment [I`kwIpmqnt] – медицинское оборудование

health insurance [,helT In`Suqrns] - страхование здоровья

general hospital [‘dZenqrl]– больница общего профиля, неспециализированная больница

teaching hospital [,tJCIN] - клиника (при медицинском высшем учебном заведении), базовая больница

ambulance service [`xmbjqlqns ‘sWvIs]– служба скорой помощи

ward [`wLd] –больничная палата

department [dI`pRtmqnt]– отделение

unit [`jHnit]– подразделение

emergency department [I`mWdZnsI] - отделение неотложной помощи

accident and emergency (A&E) department [`xksIdqnt]) (Casualty [`kxZjuqltI]) - отделение экстренной медицинской помощи

critical care department (intensive care unit) – отделение интенсивной терапии и реанимации

diagnostic imaging department [daIqg`nOstIk ,ImIdZIN] (X-ray department [`eksreI]) – отделение лучевой диагностики

pathology (microbiology) department [pq`TOlqdZI]– отделение лабораторных методов исследования

to make a diagnosis [,daIq`gnqusIs] - ставить диагноз

findings [`faIndINz] –данные, результаты

to administer [qd`mInIstq] - назначать

health care professional – медицинский работник

robe - халат, одежда (для пациента)

gown [gaun] – медицинский халат

gloves [glAvz] - перчатки

consent form [kqn`sent]– подписка о согласии (с указанными условиями)

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