SS.29. Insulin Injections - Speaking - Ivy Tejada - Nurse - GrandMaster

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CONVERSATION-AUDIO FILE-29

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INTERLOCUTOR GRANDMASTER 0:00

Yes, I read the Giada you can start your session

Unknown Speaker 0:05

All right. Good afternoon IV. I will be visiting Mr. Peter as per his doctor's order. May I know if he is here today

INTERLOCUTOR GRANDMASTER 0:19

or yes nurse come on in. I am here. Please come in.

Unknown Speaker 0:26

Yes, thank you. May I know if I can talk to him sir?

INTERLOCUTOR GRANDMASTER 0:31

Yes, definitely. Fine you can come and you can discuss with me what's the reason for your arrival?

Unknown Speaker 0:39

Yes, I think you Yes. Mr. Peter. Good afternoon. I'm IV again the nurse that was advised by your doctor to visit you today. Actually, sir, it is regarding the diabetes that you are having right now. As per your doctor she saw she advised you to commence with insulin injections. Do you know about this Sir Peter.

INTERLOCUTOR GRANDMASTER 1:08

Tell me nurse What should I do now?

Unknown Speaker 1:12

Yes, sir. Absolutely sir. The insulin is an injectable medicine for your blood sugar. This is to maintain and control the blood sugar that was been high this past few weeks despite of the diet and oral medicines but do I think he Are you aware of this?

INTERLOCUTOR GRANDMASTER 1:36

Nurse actually, I am not very comfortable. I don't know what's wrong with the doctor. Why I'm doing well. I'm managing my diabetes excellently with my diabetes diet and medication and exercise regimens. And everything is going on smoothly and fine fit and fine, then what's wrong here?

Unknown Speaker 2:00

Yes, sir. I do understand you're a bit upset and confused regarding the doctor's order. But Sir Peter, please come down. And then let me explain to you why the doctor ordered you to commence on insulin insulin injections, is it okay?

INTERLOCUTOR GRANDMASTER 2:20

Yes nurse is that they will manage my diabetes.

Unknown Speaker 2:28

So I'm so sorry about that. But as per the as per your choice, the diabetes that we're having right now is cannot be controlled by your diet and or medical medication. So, the doctor ordered you to comment on the insulin injections. But rest assured that if things are better or being controlled again maybe the doctor will order you to go back to your oral medications. How about that?

INTERLOCUTOR GRANDMASTER 3:01

So, if there is no other option, okay, you can go ahead and explain me the procedure what am I supposed to do?

Unknown Speaker 3:09

Yes sir. Thank you for that if I may, if I may give you some information regarding the insulin injection first kindly wash the Can you wash your hands second is to you can put you can put them at the same the correct made for the correct unit of the medicine and inject it in your part the part of the body so usually it's in the tummy or in the armpit. Can you follow sir?

INTERLOCUTOR GRANDMASTER 3:43

Yeah, of course I can understand like what am I supposed to do?

Unknown Speaker 3:51

Yes sir. Thank you for that. And then after giving after you injecting the the insulin is disposed in there in the needle container. And if the metre container is already half hole or three 410 we pasted the Community Health Centre for disposal so that we will prevent you from needle breach. Is that okay?

INTERLOCUTOR GRANDMASTER 4:23

Okay, fine. And what about the injections? Where am I supposed to take the injections?

Unknown Speaker 4:30

Oh, yes. Absolutely sure. I can be sick you if you need if you need the injections and the many things I can give it to you. i Sorry, I can deliver it to your house.

INTERLOCUTOR GRANDMASTER 4:43

Okay, that's fine. And how am I going to take these injections? Am I going to take it on my own or everyday you will come and give me

Unknown Speaker 4:54

all this. But thank you for that question. Sir. This, this inject this insulin injection is very easy. You can do this on your own sir. Would you like to know about?

INTERLOCUTOR GRANDMASTER 5:08

Yes, of course. I want to know more about that. Can you please explain me further?

Unknown Speaker 5:14

Yes, thank you for being optimistic and being empowered. So by the way, I will teach you how to put insulin in the needle, you just need to push some of the units that isn't necessary for your for your blood sugar for today. And then kindly wipe the area with the photon balled usefully on your tummy so that you can you can easily see and it's a party area also. And then you can inject the needle 45 degrees and it's very, it is this is not painful, it's like an insect bite on the and then push the way this thing and then remove that it's it's very doable. And then finally, put the needle kindly put it in the container for disposal purpose.

INTERLOCUTOR GRANDMASTER 6:04

Okay. Yes, that's quite fine. Is there anything that I should know nurse

Unknown Speaker 6:13

Yes, before the injection before the insulin injection, please make sure that you will monitor your Sukkah your blood sugar first, if it is low, kindly, don't give injection but if it is high, I will give you the accurate unit for you to give yourself this will be your parameters if ever you need an insulin. Yeah. Can we follow sir?

INTERLOCUTOR GRANDMASTER 6:46

Oh yeah, definitely. That's very nice nurse Thank you very much for your guidance and I am not a nurse actually. So what if there are any side effects and in problems arising from this situation? What should I do then?

Unknown Speaker 7:02

Sir, thank you for that question. By the way sir, I will give you a I will give you a number just in case is there anything unusual that you will experience after giving the installation please please advise also your relatives or siblings here in the in the house that they need to call us if ever you you will feel being tired sweat having sweating or shortness of breath.

INTERLOCUTOR GRANDMASTER 7:33

Okay. Yes. Okay, fine. Fine.

Unknown Speaker 7:41

Yes, sir. So, with this, I will leave you this case. And then I will teach you now on how to do it. And we do that turn

INTERLOCUTOR GRANDMASTER 7:51

Yes. Thank you nurse. Thank you very much. I appreciate your effort.

Unknown Speaker 7:57

Thank you sir. And then just in case you need something I'm currently called the hospital and then all of the nurses there will be highly glad to to answer all your questions.

INTERLOCUTOR GRANDMASTER 8:10

Okay nurse

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Yes. So, I Vita Giada Are you are from Philippines and this is your session regarding fine you are done well this is regarding diabetes okay change of injections suggestions to the patient he has you have explained well, but you have to follow certain procedure. For example, first what you have to say second what you have to say directly you have said about the disposal of syringes and needles, but before that, when you have to tell about where to take the injection, how to take the injection and what is the procedure to take the injection and disposal of the injections is the last one not the first one. So, you should insert according to the order first of all you should say why doctor has sent you what is required now you are not able to manage. So for example, your general practitioner has informed me to come and tell you discuss with you the procedure for insulin injection self injection of insulin. Okay. So this is how you have to start like that when then you have to say yes. Okay, you. You are right, absolutely right that you are managing well. But let me tell you yesterday you have the reports. And based on those reports, we got the results today and based on those reports week, it's very clear the doctor has understood that your blood sugar levels or not, or about the manageable level or reasonable level. So that's why there is no other option that you can continue the medications as you have been doing for quite some time. Now it's time to change your medication to insulin injections because it is the need of the arm. So, like this you have to change slowly slowly slowly you have to change the topics and then the okay nurse, how is it possible no problem, I am going to explain you everything the procedure and I will be helping you until you learn how to do it excellently well. So, until then I will be guiding you and supporting you, once you are sure enough that you can handle all by yourself, then I will love you and you can carry on with your injections, but afterwards also if there any problem arises, you can always contact me and so, like that and where to take the injections you have to tell about that. So, you have to take these injections, there are three places first is the shoulders and second one is the inner thighs. And then the third one is the umbilical cord around the umbilical cord. So, the belly button you can say so, these are the three places so totally five places to shoulders to in inner thighs and around the umbilical cord the umbilical cord is the best location where you can take the injections, but you can take it on a rotation basis one day one shoulder and the inner thigh of rifle then next to the left then left shoulder then umbilical. So like this you can rotate the location on a daily basis. So now you understand IV how you have to speak. Yes sir. Yes. So this is how you have to go in a systematic manner. And then only you will get see your little bit confused. You don't know what is the pattern? What is the flow of speech how you have to speak. So once you learn this style, automatically, everything will be fine.

Unknown Speaker 11:51

Thank you, sir. Okay,

INTERLOCUTOR GRANDMASTER 11:53

I VT Jada from Manila Philippines. Did you understand was the session beneficial for you?

Unknown Speaker 12:00

Yes, it's more on the systematic way. And just the note of close.

INTERLOCUTOR GRANDMASTER 12:08

Yes. Okay. Thank you. Have a nice day.

Unknown Speaker 12:12

Thank you, sir. Is there any other session that we could

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