English for nursing docx

Pharmacy is a rewarding profession in the health care system that involves working closely with doctors and patients.. Pharmacy offers flexible work schedules, a broad spectrum of opport

English for nursing

INTRODUCTION

Contrary to popular belief, pharmacy is not limited to counting and dispensing pills Pharmacy is

a rewarding profession in the health care system that involves working closely with doctors and patients.

No matter what health field you step into, there will always be a need for pharmacists They provide their expertise on the composition, use, and manufacturing of a drug, as well as its physiological and chemical interactions Pharmacy offers flexible work schedules, a broad spectrum of opportunities, direct patient contact, and top salaries right out of college!

Pharmacists not only educate consumers on medication use, but also monitor their patient's health

to ensure that the patient is getting the full benefits of the drug Pharmacists also advise doctors and other health care professionals on making wise medication decisions In fact, pharmacists are consistently ranked as one of the most trusted professions for the services they render.

Due to the rapid growth of the health care system, the increasing elderly population, and the burgeoning pharmaceutical and biotech industry, there is unprecedented demand for pharmacists today Although most of us are familiar with our neighborhood retail pharmacy chains such as Walgreens, Long's, or RiteAid, many are unaware of the other exciting opportunities in the pharmacy field such as:

 Hospital Pharmacy - Staff Pharmacist, Clinical Pharmacist, Pharmacy Adminstrator

 Pharmacy Consultant - Home Health Care, Long-Term Care Facilities, Internet Consultant

 Pharmaceutical Industry - Research and Development, Manufacturing, Pharmacogenomics

 Government Agencies - Hospice and Home Care, Public Health Services, FDA inspector

 College and Universities - Professor/Lecturer

 Medical and Scientific Publishing - Editor-in-Chief, Science Writer

 Nuclear Pharmacy - Chemotherapy pharmacist

 Law - Retail Pharmacy/Pharmaceutical Company Attorney

As you can see, the pharmacy profession is not as dull or limited as most think It is this latitude that makes pharmacy so appealing; when you're bored with one field, you can enter a different aspect of pharmacy with ease! In fact, most pharmacy students go on to earn an MBA degree, a RPH degree, and even a JD to become a pharmacy attorney! For more information on what you can do with a Pharm.D degree, check out this site at Pfizer.

The degree you receive from pharmacy school is a doctors degree (Pharm.D.), which requires four years of schooling like other professional schools However, the pharmacy program can be a 2+4 year program! You can apply to pharmacy school as soon as you finish all the prerequisities, meaning that you

do not need a college degree to enter

In addition to wide variety of pharmacy professions you can choose from, there are some other perks

in pharmacy Due to the high demand for pharmacists, the starting salary for a retail pharmacist is $86,000

a year, with benefits! For those of you who are concerned about raising a family, the pharmacy profession

is quite flexible with time Most pharmacy professions allow the pharmacist to set their own schedules and vacation dates, giving them time to spend with their family and friends.

Thus, pharmacy is more than just counting pills Its an important and trustworthy occupation that reaches into almost all aspects of medicine and healthcare From direct patient care and guidance to the

forefront of pharmaceutical research, pharmacy caters to many fields Most importantly, the pharmacist's role in society is to promote the well-being of their patients.

UNIT 1: STRESS SECTION 1: READING COMPREHENSION

Maria is a single mother who often feels stressed She is a computer programmer with athirteen-year-old son At work, she sits in front of a computer for most of the day While sitting atwork, her lower back often hurts and her eyes get tired from looking at the computer for longperiods

During her lunch break, she enjoys taking a walk with a couple of friends She enjoys thefresh air and talking with her friends For lunch, she usually eats something light like a salad andfruit At work, she drinks water instead of coffee or soda

She worries about her son since she cannot be there when he arrives home from school.She also worries about not having enough money to pay the bills

Maria suffers from migraine headaches When this happens, she feels severe pain on bothsides of her head, loses her appetite, feels nauseous, and sometimes even vomits She can feel thisway of three or four days

Maria has high blood pressure High blood pressure is when the heart works harder topump blood through the arteries Maria watches her weight and takes medicine for this disease.She realizes she must be concerned about her high blood pressure otherwise, she could have aheart attack, stroke, or suffer from kidney disorders

Maria realizes that she needs to manage her stress Therefore, she walks with her friendsduring the week On weekends, she often goes riding with her son She knows she needs to eat asensible diet to maintain the energy needed to cope with her stress

She sets her priorities to avoid unnecessary time pressures In the evenings, she does stretchingexercises Then she relaxes in a warm bath before going to bed Maria tries to get eight hours ofsleep a night

Questions and Answers:

Use the story on Stress to answer the following questions:

1 What does Maria drink at work?

B Polite requests:

Will/Would + S + V0, please?

Would you mind + V-ing, please?

Ex: Command: Come in

Polite request: Come in, please!

Will you come in, please?

Would you come in, please?

Would you mind standing up, please?

Patients in hospital are usually anxious and fearful It is important that staff put them attheir ease, by being polite and pleasant The following drills teach you polite forms in English

Drill : Change these commands to polite requests Be careful to make your voice rise and fall

correctly:

Command: Sit down/Turn over/Bend down/Turn round/Lie down.

Move your head/Lift your leg/Put out your tongue Arch your back/ Bend your knees/Wriggle your fingers Take your shirt off /Keep your mouth open/Keep your eyes shut

C Our bodies give us signs to show us that we are sick.

These signs are called symptoms Here are some common symptoms

Ex: I get chest pains after running

I’ve got a sore throat

I feel nauseous

I can’t breathe properly

Practice: How can you say when you get sick?

SECTION 4: PRACTICE

I/ Choose “my, your, his, her, its, our, or their” to complete the sentences:

1 Ann has three children ………….children like to read books

2 I have a sister ………….sister is younger than I am

3 The children have new toys ………… toys are nearby

4 You have five fish………….fish is pretty

5 We have a dog………… dog is big

6 Dick has five cousins……….cousins live in Mexico

7 Tell Miss Smith to raise………right arm

8 I have had a new blouse ……… color is white

9 I have a new telephone .number is (055) 677078

10 You have long hair is pretty.

II/ Choose am, is, are to complete the sentences:

1 Susan……….infected with the virus

2 There……… no cure for AIDS

3 A hospice………….a special home

4 There………….several doctors in the clinic

5 I……….very tired

6 Mary and Brown……… dentists

7 My brother ………walking to the store

8 They ……….eating a healthy snack

9 My parents……… riding their bicycles

10 Henry and I ……….going to the movies

III/ Complete the sentences using one of the words in the parentheses:

1 (That/ Those)……… children are happy

2 (This/ These) ………fence is tall

3 (This/ These)………gate is locked

4 (That/ Those)……… boy runs fast

5 (This/ These)………accidents need to stop!

IV/ A Sylvia has a cold What symptoms could she have? Tick them

1 She has got a sore throat 

2 She has got a toothache 

3 She has got a runny nose 

4 She’s got a cough 

5 She feels nauseous 

6 She has got a rash 

B Peter’s doctor says he has food poisoning What could his symptoms be? Tick them

1 He has got a sore throat 

2 He feels nauseous 

3 He has diarrhea 

4 He cannot breathe properly 

5 He has itchy skin 

6 He has a pain in his stomach 

C Match the names of the diseases with their symptoms:

1 A fever a You have a pain in your head.

2 Stomachache b You sneeze frequently, have a sore throat and cough.

3 Nausea c The body temperature is higher than normal.

4 Toothache You feel like vomiting.

5 A cold e You have a pain in or near your stomach.

6 Headache f You have a pain in your teeth or one tooth.

V/ Write the plural form for each noun:

10 hobby 20 deer

VI/ Put the verbs in brackets into the simple present tense:

1 She (not/work) in the X – ray department

2 He usually (study) hard

3 you (finish) at 12 o’clock?

4 Miss Thanh always (help) the other nurses

5 The bus (stop) outside the main gate

6 Your eyes (hurt) ?

7 Your head (hurt) ?

8 I (want) to attend lectures 9 she (study) hard? 10 The late shift (not/finish) at 10 p.m VII/ Write sentences with the following frequency adverbs: Always 1………

Usually 2………

Often 3………

Sometimes 4.………

Seldom 5………

Rarely 6.………

Never 7………

VIII/ Use each verb once to fill in the blank: cries pushes kisses teaches worries pays eats studies drinks watches 1 Maria……… a lot of water 2 Susan……… the bills 3 Jose……… his children about fire safety 4 Jim………about his mother who is in the hospital 5 She………her math everyday 6 The baby……… when he is hungry 7 Silvia ………fruit for a snack 8 Armando………his weight 9 Marta ……… her grandmother in the wheelchair 10 Jack………his children before they go to school IX/ Choose have, has, do, does, go or goes to complete the sentences: 1 Mark……….high blood pressure 2 Nancy……… to work at eight o’clock 3 Tom……… his homework in the evening 4 She……… to the grocery store on Mondays 5 Jay and Kim………their exercises in the morning 6 Luis and I………to high school 7 I………a pain in my chest X/ Choose at, in or on to complete the sentences: 1 I was born……….1948

2 I live ………….Quang Trung street.

3 ……… Wednesday I go to the dentist

4 She was born………August 7, 1952

5 The baby sleeps………night

6 My class begins………….9.30 a.m

7 We live ……… 21 Hung Vuong street

8 They live ………….Quang Ngai city

XI/ Put in the correct word from this list: off, to, back, in, on, down, by, up, round, from, with, in, to, of:

1 Ask the patient to come……… and sit………

2 Ask the patient to stand……….and turn………

3 Will you lie……… on the couch, please?

4 Would you roll………your sleeve?

5 Ask Mr Smith to take……… his coat

6 Bend……… and touch your toes, please?

7 Take……… your trousers, please?

8 Will you put………….your clothes, please?

9 Come………… next week, please

10 She was taken……….hospital

2 They left……….hour ago

3 ……….of her friends have high blood pressure

4 During her lunch break she takes………… walk with her friends

5 There are………children still at school

UNIT 2: DRUG INSTRUCTIONS SECTION 1: READING COMPREHENSION

Read the passage about Jane and answer the questions:

Jane works as a nurse in a surgical ward in a London hospital She does shift work, so shedoes not go to work at the same time every day But now she is a student nurse at Saint Peter’sHospital She is still training She is learning to nurse patients suffering from diseases such ascardiac infraction, cerebral hemorrhage, cerebral thrombosis and pneumonia Now, she is helping

a staff nurse to give injections The staff nurse is explaining to her the doses, action and sideeffects of the drugs they are administering

The other nurses in the ward are carrying out various nursing duties Some are doing baths, one is helping a patient to get out of bed, and another is taking a patient’s temperature Adoctor is doing a ward round and a physiotherapist is helping a pneumonia-patient to do deep-breathing exercises

SECTION 2: GRAMMAR: Review: + Genitive cases

+ The present continuous tense

A Find examples of the present simple and present continuous tenses in the passage.

B Which tense describes:

something that happens regularly or every day?

something that is happening now or at the moment?

C Can you make -ING forms of verbs?

DRY ING

D Choose the correct form:

1 I go/ am going to work now Goodbye!

2 I read/ am reading a book about astrology.

3 I read/ am reading many books every year.

4 We go/ are going to a party every Saturday.

5 Nurses look/ are looking after people in hospital.

6 Annie comes/ is coming from Ireland.

7 She comes/ is coming for dinner this evening.

8 I speak/ am speaking four languages.

9 Do you want / Are you wanting to go out tonight?

10 It often rains/ is raining a lot in winter.

E Complete this conversation with the sentences given below:

Yes, he is He loves it 

No, I’m not I am living in Honolulu now 

Yes, we are We really love San Francisco 

Yes, I do I like it a lot. 

No, they aren’t They’re living in New York these days. 

Chris: Are you still living in San Francisco, Philip?

1 Number the instructions in order from 1 to 5:

A Follow the instructions

B Check that you’re taking the right dosage

C Take three times daily

D Keep out of reach of children

E Remember to shake the bottle first

2 Read the leaflet on taking medicine and circle the instruction words:

IMPORTANT THINGS TO REMEMBER WHEN TAKING MEDICINE

Medicine improves the lives of thousands of Australians every day, but they can be harmful ifnot used as intended To avoid this, talk to your doctor and pharmacist about your health andabout your medicine will work

A Make sure you understand how to take your medicine

B Ask your doctor or pharmacist about possible – effects

C Check, whether there are any precautions, you should take when using medicine, such asnot drinking alcohol

D Tell your doctor or pharmacist about any problems you have had with taking themedicine, and any adverse effects it has caused

SECTION 4: PRACTICE:

I/ Write the correct possessive word in the blank:

Article Possessor +‘s Thing possessed

The thing possessed may be omitted if it refers to a house, shop, church,…Ex: I am going to the doctor’s

1 (Sue’s, Mark’s )………dress is in the suitcase

2 My (mother’s, father’s)………name is Bill

3 The students have books The (student’s, students’)……books are new

4 (Silvia’s, Alan’s)………….stroke left her paralyzed on one side

5 My friend has an apartment My (friend’s, friends’) apartment is big

6 My ( parent’s, parents’) ………… name are Maria and Tim

II/ Make changes to produce correct sentences in Present Continuous:

1 She / write / letter / her / friend / now

III/ Put the verb in the brackets into Simple Present or Present Continuous:

1 Mr Green always (go) to work by bus

IV/ Choose the best answer:

1 Pharmacists are……….at a college of pharmacy

A studied B trained C learned D done

2 We should have a ………examination every 6 months

A medicine B medicate C medical D medicinal

3 I want to buy some aspirins Let’s go to the pharmacy

A department store B drugstore C clothing store D bookstore

4 You have……… sore throat Take……… three tablets……… day

A - / - / a B a / - / a C a / the / a D a /a /

-5 Blood………and X – ray are ways to discover the cause of some illnesses

A checks B tests C exams D diagnosis

6 ………are used for curing diseases

A Vaccines B Vitamins C Drugs D Machines

7 You have a toothache Why don’t you go to see a……….?

A pharmacist B physician C chemist D dentist

8 People try to avoid getting sick by…… properly, exercising and relaxing

A eat B eating C eaten D ate

9 Women ………….keep a healthy lifestyle to avoid cardiovascular disease

A have to B has to C must D A & C

10 Vegetables should be carefully washed whether eaten fresh………cooked

A but also B or C not only D if

SECTION 5: FURTHER PRACTICE:

Read the following drug instructions and check whether the statements are True (T) or False (F):

Purity Mouthwash

Directions for use

Put a teaspoonful of Purity Mouthwash into a

small cup and wash out your mouth for one

minute twice daily This mouthwash is

especially useful for a sore throat or for a bad

breath

Note: If you use this mouthwash, your tongue

and teeth may become slightly yellow

However, you can usually prevent this if you

brush your teeth firstly

Warning: Do not swallow the mouthwash Do

not let children play with it

Diotum

For stomachacheTake the tablets every 4 hours They can cureyour stomachache in a few hours

Adults: two tablets each timeChildren from 6 to 12 years old: one tablet eachtime

Chew the tablets and swallow them with water

Do this for 12 hours after your stomachachehas disappeared This prevents yourstomachache from returning If yourstomachache does not improve, see yourdoctor

Important: Used on the skin only Rub gently

on the skin two or three times daily for up to

three days Keep out of the reach of the

children

If there is no improvement within three days,

see your doctor

Do not take more than the dose Keep the

tablets in a safe place because they can be dangerous to young children

1 Take two Paratecil tablets every four hours for up to three days .

2 Wash your mouth out with Purityl Mouthwash once in two days

3 Use Anti – Sting for mosquito bites .

4 If you have bad breath, take two Diotum tablets .

5 Put two Diotum tablets in water and swallow them .

6 Don’t take Paracetil tablets longer than three days .

7 You can swallow Anti – Sting to help to prevent pain .

8 If you use Purityl, your teeth may change color a little .

9 All the labels advise us to put the medicines where children can reach them

10 See a doctor for help if Paratecil tablets do not cure your symptoms

REVISION UNIT 1 & UNIT 2 I/Choose “my, your, his, her, its, our, or their” to complete the following sentences:

1 Ask me to lower……… arm

2 You have a rash on ………… shoulders

3 He’s got a scar on……… left forearm

4 Would you straighten……….left leg, please?

5 The baby has a pain in……….stomach

6 John has a cut on ……… thigh

7 She has a pain in head

8 Ask him to raise hand

9 Peter and Mary are students .parents are dentists

10 Would you lift right foot, please?

II/Complete the sentences using one of the words in the parentheses:

1 (that/ those) What is……… over there?

2 (That/ Those) ……… computer is broken

3 (that/ those) Where are………keys?

4 (This/ These) ………shoes are too tight

5 (That/ Those) ……….house is big

III/Choose have, has, do, does, go or goes to complete the sentences:

1 She……… a new dress

2 What………the doctor say?

3 I……… a cold

4 When……….we eat?

5 Doris and Jim……… a new baby

6 My mother……….to school at night

7 You shift work

8 He usually a late shift

9 They on duty at 2 p.m

10 The nurse her best to help the sick

IV/Choose at, in or on to complete the sentences:

1 I have an appointment…………one o’clock

2 My sister takes a nap……….the afternoon

3 School starts……… September 7th

4 Steven does his homework……… the evening

5 I was born ……… 1948.

V/Choose a, an, some to complete the sentences:

1 The girls are eating………bananas for a snack

2 She has ………….twelve year old son

3 Sandra eats……….apple for lunch

4 The children found………….matches on the table

5 Maria is…………single mother

VI/ Use each verb once to fill in the blank:

flies runs sleeps buys fixes hospital

1 Jose……….the smoke detector

2 Nancy………a helicopter

3 Maria……… eight hours every night

4 Alex……….vegetables to make a salad

5 Susan………one mile three times a week

6 Tom needs to go to the………

VII/ Use the Simple present or the Present Continuous of the verbs in brackets and put the adverbs in the correct position:

Hanh and Ngoc (be)… in the doctor’s waiting room The doctor (have).… a patient inhis consulting room and there (be)…… two or three people before Hanh and Ngoc

Ngoc: I (be)…… tired of waiting I (have)……… so many things to do

Hanh: You (have to)………… patient The doctor (examine)……… another patient He( not /be able to) ……….do everything at once

Ngoc: How you (feel)…… …… now?

Hanh: Not at all well I (think) …… … my temperature (rise)…………

Ngoc: (always / you / cough)……… so much in the morning?

Hanh: I (suffer)……… from bronchitis every winter and this year it (give) memore trouble than usual

Ngoc: What (usually / the doctor / prescribe) ……… for the cough?

Hanh: He (generally / give)……… me antibiotics

Ngoc: It (be) ……… your turn The doctor (call)………… your name

VIII/ Read the text and answer the following questions:

Delcolgen R Syrup

Indications: DelcolgenR Syrup is specifically designed for the oral therapy of cold syndrome

It relieves headache, muscle and joint pains and general malaise as well as checks fever andchills which usually accompany upper respiratory infections It is most useful in controllingallergic manifestations such as sneezing, and runny nose, and nasopharyngeal inflammation

Recommended dosage (3 – 4 times a day)Infants: 2, 5 – 5ml (1/2 – 1 teaspoonful)

2 – 6 years: 5 – 10ml (1 – 2 teaspoonful)

7 to 12 years: 15ml (1 tablespoonful)Adults: 30ml (2 tablespoonfuls)

Or as prescribed by the physician

1 What is Delcolgen used for?

2 Can it be useful to release sneezing, runny nose and nasopharyngeal inflammation?

3 How many times should we use Delcolgen a day?

4 How much of Delcolgen should we give to a 2 – 6 child?

5 10ml is equivalent to:……….teaspoonfuls

UNIT 3: CANCER SECTION 1: READING COMPREHENSION

Kathy is on her way to the hospital She had a mammogram last week and the filmshowed some lumps in her breast that had not been there before A mammogram is not painful Amachine takes a picture of your breast Kathy’s doctor recommends that she have a mammogramevery two years

Kathy is 48 years old Her mother at the age of 56 died of breast cancer As with allcancers, early diagnosis and prompt treatment are very important Her mother never went todoctor Finally, when she was feeling so poorly she went to the hospital and they told her she hadbreast cancer By then it had spread to her bones and several months later, she died Today, theyare going to take more pictures of Kathy’s breast If the lumps are malignant (or cancerous), theywill need to be removed before the cancer spreads to other parts of her body

Kathy knows she is at high risk for breast cancer since her mother died of it Kathywatches her weight, eats a low fat diet, and exercises She does a monthly breast self –examination and knows that most lumps found in the breast are not cancerous but women need tosee their physicians to find out for sure

Cancer is caused by uncontrolled growth and spread of abnormal cells A cancerous cellgrows and divides endlessly, crowding out nearby healthy cells and eventually spreading to otherparts of the body A mass, or collection, of cancer cells is called a malignant tumor

More than 500,000 Americans die of cancer each year Of these deaths, almost 180,000could have been prevented with early diagnosis and prompt treatment It is estimated about 30percent of the population in the United States will eventually develop some types of cancer

QUESTIONS AND ANSWERS

Use the story on Cancer to answer the following question Answer in complete sentences:

1 What type of cancer did Kathy’s mother die of ?

1 Man: Anna, you look terrible What’s the matter?

Woman: I’ve got a splitting headache

Man: Oh, you poor thing! Why don’t you go and lie down for a while?

Woman: Yes, I think I will

2 Woman: What’s the matter, Lee? Are you OK?

Man: No, not really I‘ve got this awful toothache

Woman: Oh, that’s terrible! You know you really should go to the dentist if it’s that bad.

Man: Yeah, I suppose I should.

3 Woman: You look a bit pale Are you all right?

Man: No, not really I’ve got such a sore throat I can hardly talk.

Woman: Well, that’s no good Maybe you shouldn’t be at work Why don’t you go home?

Man: I’d love to but I can’t I’ve got too much to do.

4 Woman: That cough doesn’t sound very good, Carl.

Man: Yeah, I know I’ve had it for ages I just can’t get rid of it.

Woman:Well, I think you should stop smoking.

Man: Oh, I don’t think it’s that.

5 Woman: Silvia, hi Are you OK?

Silvia: No, I’ve still got this cold.

Woman:Oh, you poor thing You’ve had it for weeks now You should take some Vitamin C.

Silvia: Yes, lots of people have told me vitamin C is good.

Practice 1: Work in pairs

What sympathy do these people get from their friends? What advice do they get?

1 She has got a headache 4 He has got a cold

2 He has got a toothache 5 He has a sore throat

3 He has got a cough

A That cough doesn’t sound very good  F Lie down for a while 

B Oh, that’s terrible  G: Go to the dentist 

C Oh, you poor thing  H: Take Vitamin C 

D Well, that’s no good  I: stop smoking 

E Oh, you poor thing  J: Go home 

Practice 2: Match the cause “flu; passive smoking; allergy; stress; diabetes” to the following symptoms: Symptoms:  swelling in the face  skin rash  watering eyes  breathing problems Cause: Symptoms:  thirsty  frequent urinating  tired  problems with eyesight Cause: Symptoms:  sore throat  high temperature  aches and pains  headache  runny nose  no energy Cause: Symptoms:  sore throat  bloodshot  headache  asthma Cause:

Symptoms:

 irritable

 tired

 poor concentration

Cause: