SS. 2186. Insulin Injections- Spk - Sangeeta Leema Nurse
- GrandMasterClass
- Mar 9, 2022
- 9 min read
SPEAKERS
INTERLOCUTOR (58%), NURSE (42%)
IG INTERLOCUTOR GRANDMASTER 0:00 Yes, Sangeeta Lima you can startNS NURSE SANGEETA LEEMA 0:05 Good morning.IG INTERLOCUTOR GRANDMASTER 0:07 Good morning nurse.NS NURSE SANGEETA LEEMA 0:09 My name is Ankita I one of the registered nurses working in Community Health Centre. I'm looking for Mr. Matt. Maggie Am I in the right place?IG INTERLOCUTOR GRANDMASTER 0:19 This is Mrs. Maggie Margaret Thatcher Mrs. Margaret Thatcher.NS NURSE SANGEETA LEEMA 0:26 Miss Maggie Am I in the right place?IG INTERLOCUTOR GRANDMASTER 0:28 Yes nurse This is my house come on in welcome have your seat please.NS NURSE SANGEETA LEEMA 0:34 Thank you. Today I'm here to your general practice I asked me to visit you as you know that you're having diabetes and so far have been managing your condition with a diet and oral medication. Am I right?IG INTERLOCUTOR GRANDMASTER 0:51 Yeah, absolutely right nurseNS NURSE SANGEETA LEEMA 0:59 what happened if you can correct me?IG INTERLOCUTOR GRANDMASTER 1:01 Yes, nurse I surely you know. You have come for what purpose? I don't know exactly. Can you tell me?NS NURSE SANGEETA LEEMA 1:10 Yes. Your doctor asked me to visit you since you're having diabetes. And he is so far you have been managing he told me that you've been managing with the tire and the oral medications.IG INTERLOCUTOR GRANDMASTER 1:23 Yes, he is absolutely right. I have been managing well with my diabetes diet, medication regimen and exercise programme everything is going on smoothly. Fine, then what's the problem?NS NURSE SANGEETA LEEMA 1:36 Yeah, the problem here I know that I appreciate you. We are managing well. But your doctor thinks that your sugar sugar blood sugar level is still high. And we think that you're now it is not able to manage with oral medication. And he wants to start you on insulin injection.IG INTERLOCUTOR GRANDMASTER 1:55 I don't understand what's the problem with this doctor way does he want to change my medication regimen from medication to insulin injections. I don't understand the reason and logic can you please explain me for theNS NURSE SANGEETA LEEMA 2:12 I can understand your concern Miss Maggie. But the thing is, you know the your blood sugar level is still high even though you're trying your level best to control with the diet and the oral medication. But your record is not accepting and your sugar his blood sugar is still getting higher because the send to the test which has done it shows that your blood sugar is high. So that's the reason that we now the last point is we have to start doing insulin injection. That is the only the solution which will help you to control the sugar. Am I clear to you?IG INTERLOCUTOR GRANDMASTER 2:44 Is there no other way to manage my diabetes? Nurse?NS NURSE SANGEETA LEEMA 2:50 No, because TV try giving you a tablet but it still leaves sugar level is still high. So we have this is the last thing which we can do.IG INTERLOCUTOR GRANDMASTER 3:01 I'm really scared about these injections nurse, I'm helpless. Okay, if there is no other option? Okay, tell me what am I supposed to do now?NS NURSE SANGEETA LEEMA 3:17 No way of taking injections. And you said that you're having you're scared about taking injection, insulin injection. But don't worry, these days the technology has improved. And there are injections which is available the needles which is available, which is painless. So you get a pen, just like a pen you get and it is easy for you.IG INTERLOCUTOR GRANDMASTER 3:40 Am I clear to you? Yes, nurse?NS NURSE SANGEETA LEEMA 3:43 Can I proceed?IG INTERLOCUTOR GRANDMASTER 3:45 Okay, fine. That's fine. Yeah. Carry on nurse Tell me more.NS NURSE SANGEETA LEEMA 3:50 Okay, first of all, like there is insulin injection is when you have to, while taking this insulin injection, make sure that you wash your hands, and you have to sell it the larger area of your body like you know, one day you can take on the right hand on the left arm, or maybe on the abdomen, you can just sell it, you have to just don't make sure that you don't take injection at the same area which you have taken previously. So you need to rotate the site. Is that clear to you?IG INTERLOCUTOR GRANDMASTER 4:19 Yes, nurse, of course, absolutely clear. And actually speaking, I'm not a nurse. And I am not aware of all these things. How is it possible that I can take injections all by myself? And I don't understand the logic there, please.NS NURSE SANGEETA LEEMA 4:40 Yeah, that's a good question. Mrs. Maggie. I appreciate your attitude. Yeah. First of all, I know that you're not a nurse. But it's not necessary that this analysis only needs to be because as you know that you're going to live with this diabetes and you're going to continue this one with the incident injection. It will be you will be happy to know that one seven, you are taking insulin by yourself in order to depend on anybody else and it. New in details,IG INTERLOCUTOR GRANDMASTER 5:09 may I proceed? Yes, Nurse. Yes, asNS NURSE SANGEETA LEEMA 5:13 I said, you will be taking an injection and it is just like I'll be showing you this one, you have to select a newer, larger area, just you need to first wash your hands, clean the area with the spirits where and then you need to pinch the skin and do the injection like you can hold in a 90 day and read back how you're holding the pen. The same way you will be holding this injection needle and you will be just putting the injection and then you can push the injection. Did you get my point?IG INTERLOCUTOR GRANDMASTER 5:41 Yes, nurse? What if there are any side effects? If something goes wrong, then what am I supposed to do? Is it not risky?NS NURSE SANGEETA LEEMA 5:54 No, no, no, it is not at all risky, don't worry, I can understand your concern. First of all it is your going to inject the injection into the muscles. So there is no chances we will not go any other places you will be it will be going into your deep muscle, subcutaneous muscle, so you no need to worry about that. Okay, first few days, I'll be coming and I'll be teaching you and you will be demonstrating me and once I'm comfortable that you can do by yourself, then I'll leave it by yourself and then you can continue taking this injection as I analyseIG INTERLOCUTOR GRANDMASTER 6:25 Okay, am I clear? Yes, of course, and nurse, this is all the life lifelong have i to take this medication in this manner orNS NURSE SANGEETA LEEMA 6:40 now for the time being we will you will be taking this injection, then you can have a followup with your doctor. And then when you do the blood test, and then he will review. Maybe if you're it depends on so he will be the right person to explain you about that combination of the insulin injection.IG INTERLOCUTOR GRANDMASTER 6:57 Okay, nurse. And that is there any literature or brochures pamphlets or anything?NS NURSE SANGEETA LEEMA 7:03 Yes, yes, and I'm here is the patient information live let me to explain your details about the site of the injection and how you need to give and all this in detail. Even though you can forget whatever the instruction I have given to you, you can just read these instructions from this leaflet. And you will be it will be helpful to you. Yes, the important thing is you have to dispose the needle in this shop suitable container. See here is a container. It is as we usually call it as shop container. So you will be disposing of needles only in this box. Because since it is a home environment I don't want your gifts are there around so I don't want anything to happen. So make sure that you'll be disposing this needles in this container. So only and once when it is full. I'll be coming the next week, and I'll collect the Sunday now in case you fire. Before that if it is cool, you can just bring it to the clinic and they will exchange energy with the other container. Is that okay with you?IG INTERLOCUTOR GRANDMASTER 8:05 Yes, nurse? Absolutely.NS NURSE SANGEETA LEEMA 8:10 Do you have any other questions to ask me?IG INTERLOCUTOR GRANDMASTER 8:13 No, nurse, thank you very much.NS NURSE SANGEETA LEEMA 8:15 All of my gear was able to explain you and I was able to clarify all your doubts. In case if you remember this, you can call me this is my number. I'll be happy to assist you.IG INTERLOCUTOR GRANDMASTER 8:27 Yes, now, you have completed the speaking session. And I'm going to give you feedback. Now let's listen silently. Don't open your mouth. Just listen silently. So you're actually confused whether it is Mr. or Mrs. or Mr. You have used all the three options. I don't understand if you have any other option you can use that one also. But be very clear what exactly the title is. Is it Mr. or Mrs. I told you Mrs. Margaret Thatcher. So you have to be readily able to catch that one. So once you told Mr. Once you told Mrs. Once you told Mr. So confusion, our the confusion, be stronger and know who you are talking to 100% before you start is that layer. Then next one, confident your tone is very confident. You're speaking very well. Excellently well, you are tone is very confident. I mean you are strong enough. And then one problem with you use your repeating the sentences, you're repeating the verse, so don't repeat, never ever repeat the words it shows that you are not displaying variety. When it is very important. You have to display variety don't use the same words. It means that you don't know the alternative vocabulary. For example, in one situation you say generally, then in other situation you get us out normally are usually like the different different words you have to use. So, don't use the same words always and then I agree with your concern. So, that is repeated there are many other words which are repeated. So, Don't ever repeat the phrase or even word which is repeated Okay that is what I suggest you then injections which is available, what do you mean by this you don't know that it is plural or singular, you say injections and then which is available when you say injections then which becomes injections which is equal to injection that means they are plural which is nothing but injections that is pluralIG INTERLOCUTOR GRANDMASTER 10:47 it is plural, you have to understand that one very clearly injections is plural, you have to follow those things. The next one is injections which are available not which is available, then there are a number of passes and breaks. What do you mean by passes and breaks a number of times you're suddenly getting stuck and you're holding your speech and then after some time you are recovering maybe two seconds or three seconds or four seconds, you're recovering and continuing the speech. So, why is this happening sometimes what is happening you tell one or two words then you stop there and come back and start again that is what is happening with the same word or another word you're starting. So be careful of what when you started. So you should know okay, then you should not stop in the middle and next one is unnecessary sounds like that sounds avoid those sounds as far as possible, that is not good, that is not good. Avoid those sounds as far as possible. Next one, you have sound knowledge of the subject, you are excellent regarding the subject. So you need not bother about all these things. Then fluency your fluency that is what I told you passes and breaks and unnecessary sounds this is related to fluency. See, there should not be any break in between that is called fluids influence is not speed actually it is the flow of speech without any obstruction. The next one is accuracy. Accuracy means grammatical styles, vocabulary, and all these things together is accuracy means are you using the perfect words or not like that, the next step? Yeah, every day you have to practice two speaking sessions with Manju then you have to practice two speaking sessions with Linda then you will have one or two more practice sessions tomorrow. So like that every day I give you new new things. So you have to practice all the things possible then you have to come to me in the last after doing with everyone then you have to come to me then I will take one speaking session and I will give you feedback is that clear? Sangeeta okay diet directly if you come without any practice that will not be useful so practice as much as possible okay. And apart from that all the audios will be put in the group what you can do is these audios take them and listen them and then afterwards if any good sentence is there any good words or they're not down? Okay, so no down from all the audios take note down and you take a picture of them and send it to me. So I will tell you how to use those words and how to use those sentences in your own speaking styles. Okay. Right. Okay, okay. Are you happy with the today's session? Yes, yeah. In the evening. If you're possible. I'll take another speaking session for you okay.NS NURSE SANGEETA LEEMA 13:52 So evening I had no problemIG INTERLOCUTOR GRANDMASTER 13:55 whenever if you are available, okay. Now what you have to do is you have to do one writing session, one reading and one listening and send them to me, ok
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