epn 3 modul 1 student

8/13/2019 Epn 3 Modul 1 Student

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2 | P a g e

#er Al$ays /nce.e#er reuently T$ice'eldom 'ometimes tc%

/ften Many times(are )sually

Look at the rest of conversation and complete Susans questions.

'usan : *1+99999999999999999 do you see you local doctor 6Mrs% &im : ! see her at least once a month for a checkup%'usan : *0+99999999999999999 do you check you '-"s, you blood sugar le#els 6Mrs% &im : At the moment, ! check before meals and 7ust before ! go to bed'usan : Do you find it easy to use the glucometer 6Mrs% &im : !t"s easy no$% ! can manage it uite $ell% My ;P sho$ed me ho$ to use it%'usan : That"s good% ! kno$ $hat you mean, they are a bit difficult at first%

*2+ 9999999999999999 do you ha#e a urine test to check your kidneyfunction 6

Mrs% &im : /nce a year% ! ha#e it all done at once% ! ha#e the urine test, the eye exam tocheck for retinal damage and my feet examined for ner#e or circulationproblems% ! did ha#e some eye problems a $hile back and my feet ha#e beenbothering me lately%

'usan : /h, that"s a pity% )nfortunately, diabetes management isn"t 7ust about sugarcontrol% There are uite a fe$ things $hich need to be checked as $ell%*3+ 9999999999999999 ha#e any hypos 6 ! mean, any hypoglycaemia

attacks 6Mrs% &im : /nly occasionally% !t usually happens if i skip too many meals%'usan : Mm, it is #ery important to eat on time% *4+ 9999999999999999999 go to the

podiatrist to ha#e your nail cut 6Mrs% &im : <es, ! do no$% ! used to try to do it myself but ! got a nasty infection once%'usan : /h, that"s not so good% !"m glad you go to the podiatrist no$

%isten at the con!ersation between &usan and 'rs. (im, find examples of &usan empatheticresponses.

!rammar Corner

Communication "ocus

#aking $mpathetic responses.

Making empathetic responses encourage open communication and indicates emotionalsupport by the listener% A rising then falling intonation is often used $ith expressionsindicating understanding and support% xample :

/h dear,

/h that"s not good,

!"m sorry to hear that,

Mm%%

That"s a good idea,



3 | P a g e

Read the information at the reading passage andanswer the following questions.

1% 5hat is the exocrine function of the pancreas 60% 5hat is the endocrine role of the pancreas in diabetes management 62% 5hat does insulin do to blood sugar le#els 63% 5hat hormone has the opposite function to insulin 64% 5hat is the function of alpha and beta cell 6

%eading section

The pancreas is a small L-shaped organ which sits againts the duodenum behind the

stomach. It is quite small, at around 15 cm long. The pancreatic duct runs along the middle othe pancreas and empties into the duodenum. It supplies pancreatic en!"mes, also calledpancreatic #uices, which aid in the digestion process. This is described as the e$ocrineunction o the pancreas, exo meaning %out o&. Pancreatic #uices low out o the pancreasthrough the pancreatic duct. The pancreatic duct is #oined b" the common bile duct beoreempt"ing into the duodenum. The pancreas also has an endocrine unction, endo meaning%within&.

This is the release o hormone within the bloodstream. There are our main t"pes o hormoneproduced in the hormone producing cells o the pancreas the islets o Langerhans 'islet cell(.)ne o the our cell t"pes -beta cells-produce insulin. The unction o insulin is to lower theblood sugar le*el. +eta cells mae up almost eight" percent o all islet cell. lpha cells maeup almost twent" percent, and these release glucagon, which raises the le*el o glucose inthe blood. This is the opposite unction to insulin. The le*el o glucose in the blood is calledeither blood sugar le*el '+L( or blood glucose le*el '+/L(. Insulin stimulates cells in thebod" to use or store the glucose produced rom the metabolism o carboh"drates in ood./lucose is used in the bod" as an energ" source.

Source: Cambridge English for Nursing, Intermediate Book p.33 and picture from docstoc.com

epn 3 modul 1 student

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