English Drama – Neurosurgery
by Rubie Elffie
Scene 1 Admission Interview
Mrs. Walla is at the hospital. She feels dizzy and her hands tremble once in a while.
N(1)：Hi, Mrs. Walla. I’m your day shift nurse. Would you mind if I asked you a few questions？
P(1)：Okay. I don’t mind.
N(2)：Why did you come to our hospital today？
P(2)：My family found that my behavior is a little freakish this morning. I couldn’t hold a cup, because of the tremble in my hands. I also felt dizzy.
N(3)：Okay. So how do you feel now？
P(3)：I still feel dizzy, and a little headache now.
N(4)：(Give a pen to the patient) Can you hold this pen？
P(4)：(The patient tried to hold the pen) I can’t remain steady, I feel frustrated.
N(5)：(Pacified the patient with hands) Don’t worry. Have you ever had this kind of medical history？
P(5)：I was diagnosed with brain tumor a year ago.
N(6)：How about your family？
P(6)：My father has hypertension, and my mother has diabetes. Oh！I also have hypertension, too！
N(7)：For how long？ And did you use medication to control it？
P(7)：Yap！For 2 years.
N(8)：Did you check your blood pressure at home？
P(8)：Yes. I checked my blood pressure everyday.
N(9)：Good. How many bowel movements did you have from yesterday morning until this morning?
P(9)：No, I have constipation for 2 days already.
N(10)：Okay. Please lie down and rest for 30 minutes. I’ll come back to check on you.
Scene 2 Post-Operation Assessment
The nurse is explaining post-operation care to Mrs. Walla and her daughter.
N(11)：Your blood pressure is 152/96. I’ll insert an intravenous line and start the medication for you.
N(12)：And this is the intracranial pressure monitor. It can drainage your cerebrospinal fluid. We’ll check your intracranial pressure, and prevent the increased intracranial pressure sign, like headache, nausea, vomit, diplopia.
P(12)：Should I keep an eye on it？
N(13)：Yes. You should mind to elevate the head of bed 30~45°. When you’re coughing, please cover your mouth and nose carefully.
P(13)：Okay. Can I get out of bed now？
(Mrs. Walla’s daughter comes into the ward.)
N(14)：Hmm, you have to be on bed rest now, and you should change the posture with the help of your daughter.
D(14)：Oh, what’s going on？
N(15)：Your mom has to be on bed rest, so you should help your mother to change the posture every two hours. It can prevent the injury to her skin.
D(15)：I see. So, how should I do it？
N(16)：Watch carefully. You should keep her spine straight when rolling her over.
D(16)：Okay. So I should put one hand over her shoulder, and the other hand on the buttock, right？
N(17)：Exactly. But you should be careful not to pull on the drainage tube of the intracranial pressure monitor when you help her rolling over.
D(17)：Yes. I will be careful.
N(18)：Great！ And you also have to watch the height of ICP data.
D(18)：What should I notice？
N(19)：The intracranial pressure is 12mmHg now. If you find something wrong, please tell me.
D(19)：Okay. I will take notice of it.
N(20)：Good. (Turns to the patient.) I’ll come back to pull the needle out after the IV is finished. Please let me know if there is any pain or swelling at the IV site.
Scene 3 Discharge Teaching
The nurse is preparing Mrs. Walla for discharge.
P(21)：The doctor said I can discharge today.
N(21)：Congratulations！But I also have to teach you something before you discharge.
P(22)：Of course. What should I know？
N(22)：After removing the suture, you will have a wound on your head. You should keep it dry.
P(23)：Should I change the dressings？
N(23)：Nope. If you feel uncomfortable, please come back to the hospital.
P(24)：Okay. Is there anything else I should remember？
N(24)：Yap. You also need to be careful about your diet. Eat more fruits, vegetables, dairies, nuts.
P(25)：I know. I can’t eat anything too salty or greasy, right？
N(25)：That’s right. You also can’t eat anything too sweet, like cake, pastry.
P(26)：Oh, cake is my favorite dessert.
N(26)：But a healthy lifestyle is as important as your medication.
P(27)：Surely. I’ll avoid it as much as possible.
N(27)：And remember not to stop the medicine without consulting your doctor first.
P(28)：Certainly. I’ll take my medicine regularly and pay attention to my blood pressure everyday.
N(28)：Good. How will you go home？
P(29)：My daughter will come to pick me up by car.
N(29)：Okay. I will help you apply for discharge procedures later. Take a rest for a moment.
P(30)：Thanks for taking care of me.