Методологическая разработка по английскому языку на тему «GENERAL MEDICAL CASES: CONFUSION»

МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ

НА ТЕМУ «GENERAL MEDICAL CASES: CONFUSION»

Warm-up

·         How to describe pain?

·         What is confusion?

·         What can be the reasons of confusion?

Vocabulary

Read the text

Confusion

 History

An 86-year-old man has been in a residential home for 3 years since his wife died. He was unable to look after himself at home because of some osteoarthritis in the hips limiting his mobility. Apart from his reduced mobility, which has restricted him to a few steps on a frame, and a rather irritable temper when he doesn’t get his own way, he has had no problems in residential care. However, he has become much more difficult over the last 36 h. He has accused the staff of assaulting him and stealing his money. He has been trying to get out of his bed and his chair, and this has resulted in a number of falls. On some occasions his speech has been difficult to understand. He has become incontinent of urine over the last 24 h. Prior to this he had only been incontinent on one or two occasions in the last 6 months. The duty doctor is called to see him and finds that he is rather sleepy. When roused he seems frightened and verbally aggressive. He thinks that there is a conspiracy in the ward and that the staff are having secret meetings and planning to harm him. He is disorientated in place and time although reluctant to try to answer these questions. He is a non-smoker and drinks 1–2 units a month. On a routine blood test 8 years ago he was diagnosed with hypothyroidism and thyroxine 100 mg daily is the only medication he is taking. The staff says that he has taken this regularly up to the last 36 h and his records show that his thyroid function was normal when it was checked 6 months earlier. The staff says that he is now too difficult to manage in the residential home. They feel that he has dementia and that the home is not an appropriate place for such patients.

URL: https://www.moscmm.org/pdf/100_Cases_in_Clinical_Medicine.pdf  

Answer the questions

1.       Why has the man been in a residential home for 3 years?

2.       Why has he become more difficult over the last 36 months?

3.       What were his actions?

4.       Has his speech changed?

5.       Are there changes in urine?

6.       How does he feel when the duty doctor examines?

7.       What are his bad habits?

8.       Does he take medicines?

9.       What does the staff say about his condition?

10.   What is his proposed diagnosis?

Follow-up

·         What examination and investigation should be provided?

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