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* It will be over very quickly.
* It won’t take long.
* You’re doing very well.
Talk the patient through the procedure
* First I’ll …
* Then I’ll …
* You’ll fell …
* When it’s over, I’ll …
* That’s it. All over.
Share your findings with the patient.
* Well, I’m fairly certain you’ve got a …
* The possibility is it could be what we call …
* I haven’t found anything to suggest any problems.
b) Complete the instructions for a lumbar puncture with words
and phrases from section a).
Morning Mr Maxwell, all right? Now, (1) …? Well, (2) … put a
little needle into your spine and take some fluid off your back to
find out what’s giving you these headaches. You might feel (3) …
but it won’t (4) …. When it’s (5) …, we’ll ask you to lie still for a
few hours. Now Mr Maxwell, (6) … roll onto your left side? I
want you to curl up into a little ball. So could you bend your
knees up and tuck your head in for me. That’s fine lovely, OK.
Now (7) … swab down your back with some antiseptic, all right?
It’ll be a bit cold. Are you (8) …? Now I’m going to give you a
local anaesthetic so it won’t be sore. You’ll feel just a slight jab.
OK, scratch coming now. There. We’ll wait for a few minutes for
that to take effect. Right now, lie still, that’s very important. Now
(9) … me pressing down as I put the needle in. You’re doing (10)
…. OK. That’s it. All (11) ….
c) Think of an examination you frequently carry out. Write
down the instructions you would give the patient.