OET Speaking (RADIOGRAPHY) - Patient Pacemaker

                           OET Speaking Radiography

                                 Patient Pacemaker

Setting: Hospital Radiography Department

RADIOGRAPHER

You see a 67- year-old patient who requires a chest X ray to screen for tuberculosis. He/she is concerned about X ray because he or she has a pacemaker (an implanted device that helps to regulate heart rate)

* Confirm the reason for the visit. (Chest X ray: screening for tuberculosis) Find out how the patient is feeling ( any chest pain, breathing difficulties etc.)

* Explore patient's anxiety about X ray (previous experience, radiation)

* Reassure the patient about the effect of X ray on pacemaker function ( e.g., no effect, radiation used for X ray are not  electromagnetic waves, no need for concern etc.). Emphasise the importance of advising medical professionals about pacemaker. (e.g., possible need to avoid some medical tests /treatments). Find out any concerns.)

* Reassure the patient about the radiation exposure during X ray (e.g., minimal level, etc.) Suggest keeping track of X rays for the future reference (e.g., personal medical diary, total number of  X rays, etc.)

* Explain patient positioning for X ray ( e.g., standing, chin up, hands on the hip with palms up, elbows out, shoulders forward, deep breath, keeping still, etc.) Emphasise  importance of holding deep breath when instructed (e.g., clear image, less need for repeat X rays etc.) Find out about patient preparation  for X ray (e.g., if the pt has jewellery in chest area etc.)

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