Файл: Outpatient Care.docx

Практическое занятие по теме 26

Тема: Outpatient Care

Грамматика: Функции слова ‘one’

Повторение: Причастие I и Причастие II в функции определения
LESSON 19

Grammar: Function of ‘one’, Revision Present Participle, Past Participle

Outpatient Care

I. Answer the questions:

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

2. Have you ever visited a doctor at the policlinic? What was the reason?

3. Were you satisfied with doctor’s visit? What did you feel? (nervous, calm, irritated, etc.)?

Word building

Noun Suffix– ology, - ologist, - ics, - ician
Names of specialties usually and in suffix – ology; names of specialists end in suffix – ologist: dermatology – dermatologist. If the name of a specialty ends in suffix – ics, the name of the specialist ends in suffix – ician: obstetrics – obstetrician. There are some exceptions: anaesthetics - anaesthetists.

Remember: therapy – therapist, surgery – surgeon, dentistry – dentist.

II. Read and translate the words of Latin-Greek origin

ambulatory [`xmbjqlqtrI], basis [`beIsIs], diagnosis [,daIqg`nqusIs] (pl. diagnoses [,daIqg`nqusJz]), observation [,Obzq`veISn], rehabilitation [‘rJq,bili’teiSqn], technology [tek’nOlqGi], procedure [prq’sJGq], asthma [‘qesmq], diabetes [,dQiq’bJtJz], anesthesiologist [,qenisTizi’OlqGist], neurologist [njuq’rOlqGist], dermatologist [,dWmq’tOlqGist], ophthalmologist [,OfTqel’mOlqGist], organizational [,LgqnQi’zeiSqnql], associated [q’souSieitid], routine [rH’tJn], service [‘sWvis], chronic [`krOnIk], assistance [q`sIstns], therapy [`TerqpI], pharmacy [`fRrmqsI], hospitalization [,hOspitqlQi’zeiSn]
Active vocabulary

outpatient care (ambulatory care [,xmbjqlqtrI) - амбулаторное лечение, амбулаторная помощь

medical care - медицинское обслуживание, медицинская помощь

to observe [qb`zWv] - наблюдать, замечать

acute [q`kjHt]- острый, сильный, пронзительный

preventive health care [prI,ventIv] - профилактика здоровья

to include [In`klHd] - включать в себя, охватывать

condition [kqn`dISn] - состояние, условие

to prevent [prI`vent]– предупреждать, проводить профилактику

hospital admission [qd,mISn] – поступление в больницу

follow-up [`fOlquAp] – последующее наблюдение врача, диспансерное наблюдение

physician [fI`zISn] – врач, терапевт

to see a patient [`peISnt]– принимать пациента

house call [`haus,kLl]– вызов врача на дом

to make an appointment [q`pOIntmqnt] - записываться на приём к врачу

referral [rI`f E:rql] – направление к врачу-специалисту

doctor's office [`OfIs]– кабинет врача

urgent care center [`WdZqnt `keq] - центр неотложной помощи

to evaluate [I`vxljueIt] - оценивать, определять

severe [sI`vIq]- острый, тяжёлый, серьёзный

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complication [,kOmplI`keISn] – осложнение (вследствие заболевания)

general medical practice [`dZenqrql , `prxktIs] - врачебная практика

general practitioner [prxk`tISqnq] - врач общей практики, терапевт

to provide ambulatory care [prq`vaId ,xmbjqlqtqrI] - предоставлять уход за амбулаторными пациентами

walk-in clinic [`wLk,In] - клиника, обслуживающая без предварительной записи

injury [`IndZqrI] –повреждение

medical record [`rekLd] – медицинская карта, медицинская документация

to offer [`Ofq] – предлагать, оказывать

staff [stRf]– штат сотрудников

internal medicine [In,tWnql] – медицина внутренних болезней, терапия

registered nurse [`redZIstqd ,nWs] – младшая медсестра

nurse practitioner [prxk`tISqnq] – практикующая медсестра

clinical nurse specialist [`speSqlIst]– частнопрактикующая медсестра - специалист

disease management [mxnIdZment] - ведение больного, управление течением заболевания

emergency [I`mE:dZnsI] - неотложная помощь

major [`meIdZq] - важный, главный, старший
Useful vocabulary

acute care [q`kjHt] (emergency [I`mE:dZnsI])- неотложная помощь, скорая медицинская помощь

minor surgical procedure [`maInq ,sE:dZIkql prq`sJdZq] – малая операция (осуществляемая амбулаторно)

doctor's visit (physician office visit [fI`zISn]) – визит к врачу, посещение врача

health care facility [fq`sIlqtI] - учреждение здравоохранения

to make a referral [rI`f E:rql] – выдать направление к врачу-специалисту

to deliver [dI`lIvq]– проводить, предоставлять

OB\GYN [`qubI,dZIn]– obstetrics\gynecology – акушерство\гинекология

to run [`rAn] - управлять

healthcare service provider [sWvIs prq,vaIdq] – поставщик медицинских услуг (доктор, больница)

overnight [,quvq`naIt] - на ночь

to present with [prIz`ent] (symptoms) - получить консультацию и пройти первичный осмотр по поводу….. (у врача), обратиться к врачу по поводу…..

III. Read and translate the following word combinations

to care – health care – medical care, to provide - provided - providing, to diagnose - diagnosis - diagnostic - diagnostics, to observe–observation, to prevent - preventive - prevention, emergency - emergency department, the patient - outpatient, a health condition - conditions of the environment, to follow up - the follow-up – follow-up patient, clinic – polyclinic – clinician, nurse – registered nurse - the nursing, to manage -management, to practice - medical practice - general practitioner, to injure - injured - injury.

IV. Read and translate the following word combinations

medical care provided on an outpatient basis, minor surgical and medical procedures, to get health advice or treatment for a symptom or condition, to present with ambulatory care, to prevent or reduce the need for hospital admission, one or more planned revisits for follow-up, to see 50-100 patients per week, to evaluate and treat conditions, to provide surgery services, to cover the primary healthcare needs of populations, a general medical practice, the major surgical and pre- and post-operative care facilities, advanced diagnostic or treatment services for specific diseases, a network of clinics staffed by a group of general practitioners and nurses.

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Grammar
V. Define the function of one and translate the sentences

1. The specialty hospital may provide the same procedures or slightly more complex ones. 2. One can describe ambulatory care nursing as a comprehensive practice which is built on a broad knowledge base of nursing and health sciences. 3. Urgent medical conditions are ones that are not considered emergencies but still require care within 24 hours. 4. One has shown that outpatient surgery is as safe as or safer than inpatient one. 5. In some university cities, polyclinics contain outpatient departments for the entire teaching hospital in one building. 6. One knows that all physicians of the same specialty in the same group are considered as one when providing services to patients. 7. Ambulatory Surgery Centers may perform surgeries in several specialties or specialize in their services to one specialty, such as eye care or sports medicine.

VI. Read and translate the sentences into Russian paying attention to Present and Past Participle:

1. Outpatient care or ambulatory care is medical care provided on an outpatient basis, including diagnosis, observation, consultation, treatment, intervention, and rehabilitation services. 2. This care includes advanced medical technologies and procedures. 3. A lot of medical investigations and treatments for acute and chronic illnesses and preventive health care can be performed on an ambulatory basis, including minor surgical and medical procedures, most types of dental services, and many types of diagnostic procedures. 4. Physicians of many specialties deliver ambulatory care, including specialists in family medicine, internal medicine, OB\GYN, cardiology, ophthalmology. 5. The telemedicine-based follow-up is feasible and safe for the evaluation of early postoperative complications. 6. 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. 7. There are many different types of clinics providing outpatient services. 8. Specialist clinic provides advanced diagnostic or treatment services for specific diseases or parts of the body. 9. Ambulatory surgery clinic offers outpatient or same day surgery services, usually for surgical procedures less complicated than those requiring hospitalization, including diagnostic and preventive procedures.

Reading
VII. What facts are true?

1. Hospital refers to outpatient care.

2. Outpatient care is provided on an outpatient basis.

3. A physician sees each patient for 13-16 minutes.

4. The service ‘a house call’ is available for everybody.

5. Doctor's office is the most common site for the delivery of ambulatory care.
VIII. Read the text and check your predictions:

Outpatient care facilities

Outpatient care or ambulatory care is medical care provided on an outpatient basis, including diagnosis, observation, consultation, treatment, intervention, and rehabilitation services. This care includes advanced medical technologies and procedures. A lot of medical investigations and treatments for acute and chronic illnesses and preventive health care can be performed on an ambulatory basis, including minor surgical and medical procedures, most types of dental services, and many types of diagnostic procedures. Other types of ambulatory care services include emergency visits, rehabilitation visits, and in some cases telephone\on-line consultations.

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 ‘

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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, 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
  

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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.
  

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.
   

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