Fachenglisch für Gesundheitsberufe (eBook)

Vorwort 6
Acknowledgements 7
Weitere Beiträge 8
Contents 9
Unit 1: Health and Health Care 11
Not Feeling Well 12
Introduction to Health and Ill Health 13
Some Commonly Encountered Medical Conditions 18
Health Professionals 20
Types of Health Care Systems 22
The Health Care System of the UK: The National Health Service ( NHS) 24
Health Care in the USA 28
Health Services in the USA 32
The German Health Care System 33
Unit 2: Body Parts and Body Functions 35
Basic Anatomical Terms 36
The Anatomy of the Human Body 37
The Parts of the Body 39
Compound Words in Anatomy 39
The Brain and Nervous System 43
Human Locomotion 44
The Physiology of Voice 45
The Larynx and Thoracic Cavity 50
Auscultation of the Lungs 52
Human Anatomy in English Proverbs and Sayings 54
Unit 3: Places of Work and Professional Responsibilities 57
Allied Health Professions 58
What Do Occupational Therapists, Physiotherapists and Speech and Language Therapists Do? 59
The Working Conditions of Occupational Therapists, Physiotherapists and Speech and Language Therapists around the World 63
Occupation – Movement – Communication 63
Therapeutic Treatment Methods in Occupational Therapy and Speech and Language Therapy 64
Physiotherapy Fields of Activity and Clinical Practice 66
Working in Private Practice in the USA 68
Working for a School Board in the USA 70
Working in a Hospital in the USA 71
The Multi-Professional Setting within a Hospital in the United Kingdom 73
Asking and Giving Directions 75
Working Shifts for Allied Health Professionals in Public Hospitals 79
Instruments and Equipment in the Hospital 80
Health and Safety in the Hospital 81
Unit 4: Communicating with Patients – From Initial Assessment to Discharge 85
The Therapeutic Relationship and the Intervention Process 86
Making an Appointment 87
Case History 88
The Initial Assessment Interview – Basic Interview 89
The Initial Assessment Interview – Detailed Interview and Questionnaire 94
Documentation – Case Notes 98
Completing a Physical Examination 101
Clinical Reasoning Processes in Chest Physiotherapy – An Excursion to Respiratory Physiotherapy Treatment 104
Interpretation of Test Results and Observations 107
Treatment 111
Documentation – SOAP Notes 115
Progress Report and Discharge Summary 121
Unit 5: Interdisciplinary Collaboration – The Vocabulary of Health Professionals in Multi- Professional Teams 125
Health Care Teams and Team Collaboration 126
The International Classi.cation of Functioning, Disability and Health ( ICF) 127
Health Professionals and Attitudes toward Disability 129
Assistive Devices 130
Areas Covered in Rehabilitation Programmes 133
Team Conference on an Inpatient Sub-Acute Stroke Unit 134
Team Meeting for an IEP (Individualized Education Plan) in the USA 137
Neurological Patient Admission to Hospital – Example of a Hospital Medical Ward Chart Note 141
Unit 6: Higher Education – OT, PT, SLT at University 146
Di.erences between School and University 147
Study Skills: Academic Reading 147
Study Skills: Academic Writing 150
Study Skills: Presentations and Discussions 153
A Short Overview of Higher Education in the UK and the USA 158
Doing a Bachelor’s Degree – An Occupational Therapy Student’s Perspective 162
Doing a Master’s Degree – A Speech-Language Pathologist’s Experience 164
The International Perspective on AHP Programmes 166
University Application and Statement of Purpose 167
Unit 7: Working Abroad 170
The Experience of Working Abroad 171
State Registration and Professional Associations 175
The Job Application Process in the United Kingdom and the Republic of Ireland 178
Writing a Curriculum Vitae ( CV) 187
Writing a Covering Letter for a Job Application 190
Unit 8: Appendix 196
Abbreviation List 197
General Grades of Specialization of OTs, PTs and SLTs in the UK 201
Therapy Materials and Equipment 201
Directions and Planes of Reference 203
Human Locomotion 204
Useful Phrases for Patient Communication 204
Useful Phrases for Presentations and Discussions 207
Key – Lösungsschlüssel 208
Bibliography 214

3.12 Working Shifts for Allied Health Professionals in Public Hospitals (p. 78-79)

In the United Kingdom, AHPs generally work a 37.5 hour week. In the Republic of Ireland, the working week is 33 hours. Occupational therapists and speech and language therapists work a fi ve-day week only (Monday to Friday). Physiotherapists’ working shift s vary depending on the care they provide. Th eir normal working time is also from Monday to Friday, however, in some cases they provide weekend services and on-call services, which include weekend and night duties.

Journalist Yvonne Atkins from The Weekly AHP Gazette is doing some research for an article on the work conditions of physiotherapists. She asks Patrick (a Senior II physio), Marcio (a Junior physio) and Jasmine (a Senior I physio) what they do for their weekends at work.

Yvonne: Patrick, can you describe how your weekend work is organized?
Patrick: Well, as you know I work in a general acute hospital, which also offers elective orthopaedic surgery. This means that physiotherapy services are provided on Saturdays and Sundays and each physio staff member is on a weekend rota list. On Saturdays I usually start at 9 a.m. and I would usually go to ICU fi rst and treat the patients there. This way I can organize my day more effi ciently and see some patients again in the afternoon, if they need to be seen twice a day. On Saturdays and Sundays I will treat chest patients, who have been put on the weekend patient list by the physios on the wards on Friday or otherwise have been newly referred by the doctors. Orthopaedic patients are seen on Saturdays only, this is for “day one” patients only, though.
Yvonne: What does that mean?
Patrick: What I mean by that is that only patients who had their orthopaedic surgery the Friday before will be mobilized on Saturdays, as it will be their fi rst day out of bed (day one). It is the policy in our hospital that each orthopaedic patient must be mobilized by a physiotherapist before mobilizing with other staff members, such as nurses, for instance. Once I have seen all the orthopaedic and chest patients I will go back to ICU and after that I will go home. Fortunately, there is no on-call service provided in our hospital.
Yvonne: Well, thanks a lot for all this information, Patrick. Marcio, as I understand, your Physiotherapy Department provides on-call services. Can you tell us about it?
Marcio: Sure. “On-call service” means that physiotherapy services are provided when indicated and generally requested by a doctor or ICU nurse outside the normal working hours, like 5 p.m. to 9 a.m. for example. I was on call last week for instance. This means that I have to be available and free to respond to a call during the on-call period. Before you participate in oncall duties you will have to have completed a respiratory rotation and have worked in ICU. Your senior physiotherapist will assess your skills and competencies with you. You must feel and be competent to provide on-call services, as you are kind of on your own and you are responsible for very seriously ill patients. You should also familiarize yourself with patient referral criteria, department policies, health and safety issues and response time, for example. Last week for instance I was on call and had to come in twice during the night to treat patients in the Intensive Care Unit. I was really tired the next morning, but anyway you still have to be back at work in the morning for your normal weekly work. If you are interested in emergency physiotherapy – as on-call service is also known – you can read the book Emergency Physiotherapy – On-Call Survival Guide by Beverley Harden. I can really recommend it to anyone who is on the on-call rota.
Yvonne: This is really interesting, thank you, Marcio. Now Jasmine, what about yourself – do you do weekend work or on-call physiotherapy? Jasmine: No, thankfully, I do not have to work nights or weekends anymore. See, in the UK in general, only Junior and Senior II physiotherapists do weekend or on-call work. There are, of course, exceptions, but usually Senior Is work Mondays to Fridays in the daytime only. I know that in the Republic of Ireland, however, even specialized senior physiotherapists have to work at least two weekends a year to maintain their skills.