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Monitoring Patients in Hospital Care

The document discusses the importance of monitoring patients in hospitals to prevent sudden deterioration in their health, known as becoming acutely ill. It outlines the procedures healthcare professionals should follow upon patient admission, including measuring vital signs and creating a monitoring plan tailored to the patient's condition. Additionally, it emphasizes the need for regular checks and prompt action to mitigate serious health risks.

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helena ney
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0% found this document useful (0 votes)
221 views6 pages

Monitoring Patients in Hospital Care

The document discusses the importance of monitoring patients in hospitals to prevent sudden deterioration in their health, known as becoming acutely ill. It outlines the procedures healthcare professionals should follow upon patient admission, including measuring vital signs and creating a monitoring plan tailored to the patient's condition. Additionally, it emphasizes the need for regular checks and prompt action to mitigate serious health risks.

Uploaded by

helena ney
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

READING COMPREHENSION

Read the text and answer the questions correctly

Monitoring Patients In Hospital


Sometimes,the health of a patient in hospital may get worse suddenly (this is called becoming
acutely ill). There are certain times when this is more likely, for example following an
emergency admission to hospital ,after surgery and after leaving critical care. However,it can
happen at any stage of an ilnnes .it increases the patient’s risk of needing to stay longer in
hospital ,not recovering fully or dying.
Monitoring patients (checking them and their health) regularly while they ae in hospital and
taking action if they show signs of becoming worse can help avoid serious problems.
Arriving on the ward or in the emergency department .
When you first arrive on the ward either as a new patient or from a critical care area such as the
intensive care unit, a healthcare professional should :
 Measure your pulse, blood pressure and temperature, how fast you are breathing,and the
amount of oxygen in your blood
 Look at how alert you are and whether you are aware of what is going on around you.
You should also have these’vital signs’ measured if you are in the emergency department and it
has been decide you need to stay in hospital.
The staff should write a plan for which of your vital signs should be monitored and how often.
The plan should take into account :
 Why you are in hospital
 Any other illnesses or health problems you have
 What you agreed about your treatment.

Comprehension
1. What is meant by acute ill?
Answer : acute ill is the health of a patient in hospital may get worse suddenly.
2. When can acute ill occur
Answer :There are certain times when this is more likely, for example following an
emergency admission to hospital ,after surgery and after leaving critical care.
3. What risk can be taken if a patient has can acute ill?
Answer :the patient’s risk of needing to stay longer in hospital ,not recovering fully or
dying.
4. As a nurse,what do you do when you monitor your patients in hospital?
Answer :Monitoring patients (checking them and their health) regularly while they ae in
hospital and taking action if they show signs of becoming worse can help avoid serious
problems.
5. As nurse who works in emergency unit, what should you do first for your patients who
arrive there?
Answer :When you first arrive on the ward either as a new patient or from a critical care
area such as the intensive care unit, a healthcare professional should :
 Measure your pulse, blood pressure and temperature, how fast you are
breathing,and the amount of oxygen in your blood
 Look at how alert you are and whether you are aware of what is going on around
you.
You should also have these’vital signs’ measured if you are in the emergency
department and it has been decide you need to stay in hospital.

6. What should be included in a plan for monitoring the patients?


Answer :The staff should write a plan for which of your vital signs should be monitored
and how often. The plan should take into account :
 Why you are in hospital
 Any other illnesses or health problems you have
 What you agreed about your treatment.
PEMAHAMAN MEMBACA

Baca teks dan jawab pertanyaan dengan benar

Memantau Pasien Di Rumah Sakit

Kadang-kadang, kesehatan seorang pasien di rumah sakit mungkin memburuk secara tiba-tiba
(ini disebut menjadi sakit akut). Ada saat-saat tertentu ketika ini lebih mungkin, misalnya setelah
masuk darurat ke rumah sakit, setelah operasi dan setelah meninggalkan perawatan kritis.
Namun, hal itu dapat terjadi pada tahap apa pun di masa lalu. Ini meningkatkan risiko pasien
perlu tinggal lebih lama di rumah sakit, tidak pulih sepenuhnya atau sekarat.
Memantau pasien (memeriksa mereka dan kesehatan mereka) secara teratur saat mereka berada
di rumah sakit dan mengambil tindakan jika mereka menunjukkan tanda-tanda menjadi lebih

buruk dapat membantu menghindari masalah serius .


Tiba di bangsal atau di departemen darurat.
Ketika Anda pertama kali tiba di bangsal baik sebagai pasien baru atau dari area perawatan kritis
seperti unit perawatan intensif, profesional kesehatan harus:
 Ukur nadi Anda, tekanan darah dan suhu, seberapa cepat Anda bernapas, dan jumlah
oksigen dalam darah Anda
 Lihatlah seberapa waspada Anda dan apakah Anda sadar akan apa yang terjadi di sekitar
Anda
Anda juga harus mengukur tanda-tanda seksual ini jika Anda berada di unit gawat darurat dan
telah diputuskan bahwa Anda harus tinggal di rumah sakit.
Staf harus menulis rencana yang mana tanda vital Anda harus dipantau dan seberapa sering.
Rencana tersebut harus mempertimbangkan:
 Kenapa kamu di rumah sakit
 Penyakit lain atau masalah kesehatan yang Anda miliki
 Apa yang Anda sepakati tentang perawatan Anda

Pemahaman
1. Apa yang dimaksud dengan sakit akut?
2. Kapan penyakit akut dapat terjadi
3. Risiko apa yang dapat diambil jika pasien memiliki penyakit akut?
4. Sebagai perawat, apa yang Anda lakukan saat memantau pasien di rumah sakit?
5. Sebagai perawat yang bekerja di unit gawat darurat, apa yang harus Anda lakukan pertama
kali untuk pasien Anda yang tiba di sana?
6. Apa yang harus dimasukkan dalam rencana pemantauan pasien?
Vocabulary
Translate the following words or phrases into bahasa Indonesia
N Bahasa indonesia English Bahasa Indonesia
o English
1. Monitorin Memantaupasien Department Departemen
g patients
2 Get worse Menjadilebihburuktiba- New patient Pasienbaru
suddenly tiba
3 Acuately Sakitparah a Critical Area perawatankritis
ill care area
4 Emergenc Keadaandarurat Intensive Unit perawatanintensif
y care unit
5 Admissio Penerimaan Health care Unit perawatankesehatan
n unit
6 Surgery Operasi healthcare Kesehatan
7 Critical Perawatankritis Professional Profesional
care
8 Stage of Tahapsuatupenyakit Measure Ukurnadianda
an illness your pulse
9 Increases Meningkat Blood Tekanandarah
pressure
10 Patient’s Risikopasien temperature Suhu
risk
11 Stay Tinggallebih lama How fast Seberapacepatandabernafas
longer you are
breathing
12 In hospital Di rumahsakit The amount Jumlahoksigendalamperingatandaraha
of oxygen in nda
your blood
alert
13 Not Tidakpulisepenuhnya Vital Tanda-tanda vital pengukuran
recoverin signs’measur
g fully e
14 Dying Sekarat Plan Rencana
15 Taking Mengambiltindakan
action
16 Signs Tanda-tanda
17 Avoid Menghindari
18 Serious Masalahserius
problems
19 Agree Setujutentangperawatanan
about da
your
treatment
20 Emergenc Keadaandarurat
y

EXPOSURE TO SRUCTURE
1. Simple present passive
In a an active sentence, the subject performs the action. Meanwhile,in a passive
sentences,the subject receives the action ( Dalamkalimataktif,
subyekmelakukantindakan,sedangkandalamkalimatpasif,subyekmelalukantindakan,sedan
gkandalamkalimatpasif,subyekmenerimatindakan.) It is used to state habitual actions in
passive form ( digunakanuntukmenyatakankegiatan yang
biasadilakukandalambentukkalimatpasif ).
Formulation :
(+) Subject + am,is,are + past participle (V3) + by…
(-) Subject + am,is,are+not+ past participle (V3) + by..
(?) Am,is are + Subject + past participle (V3) + by..?

Study the examples below :


Active: Nurse Veti always ask me to stand tall when measuring height.
Passive :I am always asked a nurse to stand tall when measuring height.

Active :Nurse Endo examines my blood sugar three times a week.


Passive : My blood sugar is examines by Nurse Endo three times a week.

Active :The nurse always instructs the patient’s family to enter the room safely and in an
orderly manner.
Passive :

Common questions

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The frequency of monitoring changes based on the patient's condition and history by adjusting to the urgency and potential risks associated with their medical background. Patients with complex or unstable conditions typically require more frequent checks to quickly address any health changes, while those with stable conditions might need less frequent observation. This adaptive monitoring approach ensures appropriate resource allocation and prioritizes patient safety .

Understanding the reasons behind a patient's hospital admission is crucial for creating an effective monitoring plan as it provides context for potential complications and areas needing close observation. For example, different health issues require specific monitoring protocols; heart conditions may need close observation of cardiac vital signs, while post-operative patients might focus on signs of infection or pain management. Properly aligning monitoring efforts with admission reasons ensures targeted care, optimizing resources and improving patient outcomes .

The monitoring plan for a newly admitted patient who has undergone emergency surgery should include regular measurement of vital signs such as pulse, blood pressure, temperature, respiratory rate, and blood oxygen levels. It should also take into account the patient's awareness and alertness, the reasons for their hospital admission, any other existing illnesses or health problems, and their agreed treatment plan .

Measuring a patient's alertness upon arrival at the emergency department is crucial as it helps determine their level of consciousness and responsiveness, which are key indicators of their immediate health status. This assessment can influence urgent medical decisions and prioritize treatment interventions .

Healthcare professionals can mitigate the risks associated with acute illness in hospitalized patients by regularly monitoring their health and taking timely actions when there are signs of deterioration. This involves checking vital signs, understanding the patient's ongoing health status, and having a clear plan for more frequent observations if needed based on their medical history and agreed treatment goals .

Vital signs play a pivotal role in determining the treatment plan for hospitalized patients as they provide continuous and critical data about the patient's current health status. Regular monitoring of these signs ensures that any changes, which could indicate improvement or deterioration, are identified promptly. This ongoing assessment helps in adjusting treatment plans, making informed decisions about interventions, and planning for safe discharge .

Existing health problems of a patient influence the monitoring plan as they dictate the frequency and type of vital sign checks needed to prevent complications. For instance, a patient with a cardiovascular disorder might require more frequent monitoring of blood pressure and heart rate compared to someone without such a condition. This individualized approach helps in better management and timely intervention, reducing the risk of further deterioration .

Not tailoring a monitoring plan to a patient's agreed treatment plan can lead to missed signs of complications or inadequate management of the patient's condition. This oversight may result in delayed interventions, increased risk of adverse outcomes, prolonged recovery periods, and potentially longer hospital stays. A customized monitoring plan ensures that care is aligned with the patient's needs and enhances the effectiveness of the treatment received .

Factors contributing to the development of serious problems in hospitalized patients who become acutely ill include insufficient initial assessments, lack of continuous monitoring, inadequate response to early warning signs, and not adjusting care to the patient's specific health conditions and history. Timely identification and management of potential complications through regular monitoring can mitigate these risks and prevent severe outcomes .

Monitoring protocols in hospitals potentially reduce the duration of hospital stays by allowing early detection and treatment of complications, thereby preventing prolonged illness. By adhering to a structured monitoring plan, healthcare providers can respond quickly to changes in health status, reducing the likelihood of acute episodes that would necessitate extended care. This proactive approach enhances recovery rates and can lead to earlier discharges .

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