Part 1 book English for nursing and health care the contents of presentation: Unit 1 - English the hospital and the people, unit 2 - The patient and the ward. Invite you to refer to the disclosures.
Robin A Bradley English for Nursing ana Health Care A course in general and professional English C a o D an g Y te Phu TI iq - T lur v i?n KM.006463 E N G L ISH FO R N U R S IN G A N D H EA LTH C A R E A course in general and professional English TRUONG IC A P DANG Y Tfc PHU ' H i; T hu Vi- ! si: 6$6bfctOM ENGLISH FOR NURSING AND HEALTH CARE A course in general and professional English Robin A Bradley C artoon Illustrations by Claudio Be: A udio C D Included Me Graw Hill Singapore • Boston • Burr Ridge, IL • Dubuque IA • Madison Wl • New York • San Francisco St Louis • Bangkok • Kuala Lumpur • Lisbon • London • Madrid • Mexico City Milan • Montreal • New Delhi • Seoul • Sydney • Taipei • Toronto The McGraw-Hill Companies E n g lish fo r N u rs in g a n d H e a lth C a r e : A C o u rs e in G e n e r a l a n d P ro fe ss io n a l E n g lish I n te r n a tio n a l E d itio n 2008 Me Graw Hill McGraw-Hill ELT E xclusive rights by M cG raw -H ill ELT, for m anufacture and export This book can n o t be re-ex p o rted from the country to w hich it is sold by M cG raw -H ill T he International Edition is not available in N orth A m erica P ublished by The M cG raw -H ill C om panies, S.r.l Publishing G roup Italia, V ia R ipam onti, -2 M ilano t 2004 A ll rights reserved N o part o f this publication m ay be reproduced or d istrib u ted in an y form o r by any m eans, o r stored in a d atabase or retrieval system , w ithout the prior w ritten consent o f the p ublisher, in clu d in g , b ut not lim ited to in any netw ork or other electronic storage or transm ission, o r broadcast for distan ce learning C o v er im ages © iS tockphoto.com 10 09 08 07 06 05 20 15 14 13 12 11 10 W hen o rd e rin g this title, use ISBN 978-007-126603-1 o r M H ID 007-126603-8 Printed in Singapore CO NTENTS FO R EW O R D XI ABO UT THE A U TH O R XIII UNIT ENGLISH, THE HOSPITAL AND THE PEOPLE -A - W HY IS E N G L ISH IN C L U D ED IN T H E N U R S IN G SY LL A B U S’ Expression and word list -B - IN T R O D U C IN G YOURSELF A N D H O SPIT A L STAFF P ro n u n ciatio n and phonetics -C - -D - -E - 1A A ccepted abbreviations (1) D ifferent countries, nationalities and languages English for work and play 11 H O SPIT A L PE R SO N N E L - HEALTH C A R E W O R K E R S 12 In tro d u ctio n to m edical term inology (1) 14 W A R D S A N D D E PA R TM EN TS IN A H O SPIT A L 15 M edical term inology (2) 16 G R A M M A R N O T E S - P repositions (1) 16 E xpression and word list 20 1B/C/D TH E PR E SEN T SIM PLE TEN SE ( ) 22 T H E PR E SEN T C O N T IN U O U S TEN SE 26 T h e new trainee 28 G R A M M A R N O T E S - T alking ab o u t th e future 28 Contents -F - T H E A N A T O M IC A L P O S IT IO N A N D BODY PARTS 31 A djectives and their opposites -G - -H - -I- -I- -K - -M - \ 34 T O IL ET R IES 35 C lo th es and accessories 36 M A C H IN E S, IN S T R U M E N T S A N D O T H E R G A IX '.E T S Instrum ents and o th er things used for physical exam inations 41 42 Expression and word li't 43 1G/H DAYS OF T H E WEEK M O N T H S A N D SE A SO N S 45 M onths of the year 45 Seasons 45 O rdinal num bers 46 Dates 46 G R A M M A R N O T E S - P repositions (2) 46 SH IFT W ORK ERS, TIM E A N D N U M BERS 48 G e ttin g to work (or doing a procedure) - How long does it take? 49 Verbalising num bers 49 DAILY R O U T IN E S - H A B ITS IPRESEN T SIMPLE TEN SE (2)1 52 Example of the routine m orning shift in a surgical ward 54 56 A C T IV IT IE S O F DAILY LIV IN G (AD Ls) 58 Revision o f verbs C O N D IT IO N A L S f l F ' S E N T E N C E D 60 T A K IN G RISKS It’s b e tte r to be safe th a n sorry! 66 66 G R A M M A R N O T E S - Verb p attern s 67 W hy take the risk? You know the dam age and disease th a t sm oking causes 6S G R A M M A R N O T E S - 'sh o u ld ' or 'sh o u ld n ’t' 69 63 “ ■> HEALTH A N D DISEASE i V “I I_ Shapes T h e physiology of physical h e a lth 74 76 To be or n o t to be? - H ealthy, th a t is! OBSERV ATION VI 33 C olloquial language using parts o f the body Expression and word li'-t 1E/F Profile of a nurse -L - 29 Signs and sym ptoms G R A M M A R N O T E S - 'h a v e ' or 'h av e got' - V or teel' -P - -Q - M ED ICA L T ER M IN O L O G Y (3) 81 M edical term inology - Putting the building blocks together M edical term inology (4) W h a t’s w rong w ith me? 82 84 A C H E S A N D PA IN S 85 W h a t is pain? 85 A djectives th a t are used to describe pain 87 A ches 87 Revision exercise 88 Expression and word list -R - I-Q T H E PRESEN T PERFECT TEN SE ( ) 89 93 UNIT THE PATIENT AND THE WARD -A - -B - -C - -D - -E - -F - G T1 IE PA TIEN T A S A N IN D IV ID U A L 98 A D M ISS IO N A N D PA TIEN T A SSE SSM E N T 100 A ccepted abbreviations (2) 100 T aking ‘obs’ 101 G R A M M A R N O T E S - w ill’ an d ‘w on’t ’ 102 A dm ission to hospital 103 S tandard adm ission procedure 103 U N D E R S T A N D IN G C H A R T S 104 PRESSURE A R E A S A N D PRESSU RE SO RES 106 T h e N o rto n Scale of A ssessm ent 106 T H E BED A N D BED LINEN 108 M aking th e bed of an unconscious or bedfast patien t T H E PR E SEN T PERFECT (2) A N D O T H E R PERFECT T EN SE S 109 110 THE W ARD A N D THE ROO M S 112 G R A M M A R N O T E S - C o n ju n c tio n s 11 W h a t is it and w h at’s it for? 114 TH E PASSIVE TEN SE 115 D IR E C T A N D REPO RTED SPEECH 117 PI \N N N G FOR D IS C H A R G E 120 Expression and word list 122 UNIT THE HUMAN BODY Inside and Out -A - LEVELS O F O R G A N IS A T IO N 24 -B - T H E ST R U C T U R E A N D F U N C T IO N O F BODY SYSTEM S 126 Structure 126 G R A M M A R NOTES - Talking about structure 129 Function no D IR E C T IO N A L TERM S 132 Planes of division 132 D irectional term s Body cavities 34 C linical divisions of th e abdom en 135 T H E SKELETAL SYSTEM 136 T h e structure of a long bone 137 JO IN T S 139 FR A C TU R ES 140 Cause and effect 141 -F - M O V E M E N T PO ST U R E A N D LIFTIN G 142 -G - DISEASE Predisposing factors in the occurrence of disease 144 T h e body’s lines of defence 46 S terilisation, disinfection and antisepsis 148 A ltern ativ e m edicine 14 Expression and word list 149 Playing w ith words - M ore idioms using th e nam es of body parts 151 Crossword 152 -C - -IV -E - 133 46 UNIT DIET AND NUTRITION -A - -B - F O O D A N D FO O D G R O U P S 154 Meals 155 T h e healthy diet pyramid 156 W H A T T O EAT A N D H O W M l'C H 157 G uidelines tor a h e a lth ie r daily diet 15S 15 ^ How n u tritio n affects your h e alth UNI T Past Perfect C ontinuous (Used for an activity in an earlier past up to a specific past time.) 2E Form : had ( ’d) (h a d n ’t) + been + th e p re sen t participle = Past Perfect C ontinuous T he past perfect continuous describes an activity th a t started a t a tim e earlier to the past tim e referred to e.g M rs Dooley was admitted for elective surgery yesterday She had been waiting for a bed for months T est y o u rself by com pleting th e follow ing sentences usin g the p re se n t perfect, the p re sen t perfect contin u o u s, th e p re se n t p erfect passive, th e past perfect or the pa st perfect continuous tense U se th e verbs in b rackets His blood p re ssu re (take) It was 116/76 Mrs Roberts vom ited all night, s h e (feel) nauseated all day yesterday Mr A n d re w s (adm it) for surgery later this week Mr Bum s (th e s u rg e o n ) (see) him yet? Mr A n d rew s (take) any m ed icatio n at home? H e (ta k e ) v ita m in s regularly but n o t any prescription m edicines .h e (lose) any w eight recently? his valuables (p u t) in th e locked cupboard? W h at happened? Mr T h o r n to n (take) back to the operating theatre 10 He was gettin g m uch b e tte r and he (eat) normally 11 W h a t .you (do)? You look exhausted (go)? (w ait) for ages 13 w a n ted to visit my sister a n d h e r new baby, but she (teed) the baby a n d left a message and said would call back this evening 14 M iss O ’D o n o v a n is in c o n tin e n t o f b o th urine and faeces S he .(have) problem s for quite a long tim e 111 2F UNI T M TH E WARD A N D TH E ROOMS T h e wards and th e p a tie n ts’ room s are designed [da'ziindl so that patients can be as com fortable [lumftabl] as possible and h ave th e ir ow n privacy [praiVasi) Medical staff need to h ave easy access [aek'sesl to th e p a tie n t a n d th ere needs to be enough space around th e p a tie n t to carry out necessary procedures [pratidjazl A ll th e room s are cleaned thoroughly (0AreUl (very well) a n d staff have to wash their hands thoroughly before atten d in g to each p a tie n t because th ere is always a risk of cross-infection (th e transferring of infection from one p a tie n t to a n o th e r) M ost room s have a separate bathroom w ith a shower, w ashbasin, to ile t and bidet but th ere is usually a large com m unal [kamjunwi] bathroom for pa tie n ts who h ave bathroom privileges [privladjazl and so th e staff can b ath e [beta] or show er p a tie n ts if necessary ' 112 A ll these things c an be found in the w ard N u m b er the item s in the box u n d e r th e pictures đ â â (Z f3) O (| © 20 *' T f fi lt M S L 22 Q dangerous drugs cupboard ch air sw itch [dein'c^aras drAgz] |k.\bad] Itjea] Isw it/I magazine toilet dru g trolley bidet [ma?ga'zi:nl [bi'lat] [dr.vg troll] Ibidei] sofa/couch show er locker w heelchair Isauta/kautJ] [Jauwa] [lnka] Iw ial'tjea] bedpan & urinal desk w ashbasin [bed‘pa?n & ju.ranal] TV in vi [desk] I'A P I b e i^ n ] telep h o n e(p h o n e) linen trollev (h isto ry ) c h a rt trolley bed Itela'iaun] Ilinan troll] [histri] ]tja:t troll] Ibtfd] table h e ater bath ste rilise r [teibl] ]hi:ta] [ba:6] [steralaizal | • In a storeroom GRAMMAR NOTES C onjunctions (L inking w ords): and, but, because, so/so that N otice how and, bu t, because, so and so th at are used to join sentences • ‘an d ’ joins sim ilar ideas: Patients can he comfortable and have privacy • In the corridor • In the Office or N urses’ Station • ‘b u t’ joins different ideas: Most rooms have a bathroom but • In a bathroom • ‘because’, ‘so’ a n d ‘so th a t’ give a reason: Rooms are designed so th a t staff have easy access to patients • In the day room or sitting room (lounge room ) 2F • In the patient's room • In the Pan Room or W orkroom UNIT W h ere can you fin d the things p ic tu re d ? there is also a communal bathroom Use a linking w ord to m a k e sentences using your choice o f objects in th e p ictures i f Use a linking w ord to com plete the follow ing sentences, m a tc h in g part A w ith pa rt B (not in order) B A Day Room is provided dirty linen is put im m ediately in to a bag Most room s have bathroom s patients need to be able to c o n ta ct their family T he doorways are wider th an normal T h e beds are arranged Furniture and fittings are designed Telephones are available on each floor and patients in w heelchairs can pass through, but Decause f so keeping valuables 10 C lean linen is stored in a cupboard or o n a trolley © there is also one tor dangerous or addictive drugs, N urses’ S ta tio n w hich is used tor U rinals are som etim es called bottles bedpans are som etim es called pots or potties staff can see the patients from the doorway, Visiting hours are usually restricted T here is a locked cupboard in the patients like to have som ewhere to relax, so th a t close family m em bers are som etim es allowed to com e in at o th er tim es, a lot ot p atients wash independently, they can be cleaned easily C om pare possible answ ers w ith a partner, th en check w ith your teacher 113 2F WHAT IS IT AND WHAT'S IT FOR? UNI T H ere are 12 (tw elve) different objects fo u n d in a w ard o f a hospital F irst, identify th e pictures using the w ords in th e box T h e n u sin g th e w ords or expressions u n d e r th e p ic tu re s, describe Remember w h a t each th in g is used for T h e ‘ing’ form of a verb is used after a preposition e.g A towel is used for drying (hands or bodies!) w heelchair A dressing gown razor urinom eter A towel A (dresig gaun] A bra [bra:] toothbrush ltu:6 brAj] c ru tch [k r.\tj] o r walking stick Iwnkiq stikl Scissors [sizaz) A A bedpan Forceps [b :w p s] [juTan'omata] [taual] [bed pa;n] support breasts (a nursing mother needs a maternity one) shave (clear an area of hair) 114 A A Iwial t/eal collect faeces transport patients who are unable to walk u ear over pyjamas cut various materials help Lime [leiml or unstable patients eky htmd:i or kniics to walk clean your teeth A [re iza l A urinal [)u:randl] test the specific gravity (SG ) of urine pick things up using a no-touch' technique pass urine ( micturate/urvruue) m bed - males only! U N IT TH E PASSIVE TENSE 2F General - ALL FORMS Form D iffe re n t P assive tenses are form ed by using the different tenses o f ‘BE’ (is, was, is being, have been, etc.) + the PA ST PARTICIPLE T h e rules for choosing tenses in the passive are the same as in the active T h a t is, to talk about som ething in progress now, we use th e present continuous e.g The road is being repaired at the moment Passive T ense S tru c tu re Exam ple Present simple am /are/is + past participle Medications Present continuous am /are/is + being + past participle His urine Past simple was/were + past participle He Past continuous was/were + being + past participle D ie t cards They Past perfect Everyone Active or P assive Compare these active and passive sentences w aiting ro o m |every evening I) on yesterday w e r e b e in g g iv e n h a v e b e e n fille d o u t had been to il ou t correctly how to them W e o ften use th e passive w hen we n o t know who or w hat does som ething M y mobile phone was stolen last nigfit (I n o t know w ho stole th e p hone.) II) W e also use th e passive w h e n we are n o t interested in who or w hat does som ething Passive This hospital was built in 1981 T h e w aiting room is cleaned every evening (by som eone) Tony has been invited to the party In th ese sen ten ces, we are in te re ste d in th e hospital and Tony, n o t w ho built the hospital A ctive Som eone has in v ited Q b n y to or w ho invited Tony Include note (IV ) here W e are in te rested in th e procedure, n o t th e person w ho does it the party Passive Tony has been invited to th e for glucose Use o f the Passive A ctive Som eone cleans the as directed is b e i n g t e s t e d w a s o p e te d Present perfect simple have/has + been + past participle had + been + past participle a r c g ii'e n III) W e also use th e passive w hen we n o t w ant to say w ho or w hat does som ething! C om pare: party (by som eone) A ctive: The surgeon made a mistake Passive: A mistake was made! * N o te th a t th e o b jec t o f a n active verb (e.g th e w aiting room , T ony) becom es th e subject o f a passive verb IV ) A lso to describe: a process, a p ro c ed u re , a n experim ent or an o peration - it is im p o rtan t to know h o w th e procedure is d one, n o t w h o does it 115 2F UNIT O n the floor p lan of a w ard p ictu re d on th e rig h t, label th e corridor, th e p a tie n ts ’ rooms, th e office, the stairs a n d th e lifts © W o r k w ith your partner Student A: Look at diagram A below Decide which rooms you have, th en ask your partner which rooms he/she has in diagram B Tell your partner what things could be found in those rooms S tudent B: Look at diagram B Tell your partner w hich room s in th e ward you h ave in your picture, th e n write or draw all th e things your p a rtn e r describes W h e n you have a com plete list, ask your p a rtn e r w hich room s h e/sh e has and th en tell him /her all the things you would find in those rooms Now it is your p a rtn e r’s turn to write or draw DIAGRAM A D IAGRAM B I ^ R O L E PLAY _ S T U D E N T A Im agine th a t there are p a tie n ts’ rooms in a You are o f th e p a tie n ts arriv in g at the n e w ly re n o v a te d w a rd o f a sm a ll p riv a te hospital hospital w here you a re w orking E a ch room is D ecide w hich room you w ould like and the ta stefu lly decorated in a d ifferent colour: reasons for your choice one is red, one is white, one is bright green, one E xplain to th e a d m ittin g officer what your is bright yellow, one is light blue and one is pink problem s are a n d w hy you w ould like that F our p a tie n ts are being a d m itte d today: particular room • a fem ale psychiatric p a tie n t suffering from STU D EN TB severe depression • a young lady w h o is having her first baby You are th e a d m itting officer a t th e hospital • a m ale teenager convalescing a fter surgery C o n sid e r th e problem s o f th e p a tie n ts who for a ruptured appendix and peritonitis • an eld erly m a le su ffe r in g fro m te r m in a l cancer o f the prostate are arriving today and decide w hich rooms are best for each Discuss this p a tie n t’s choice and tell him/her w hich room you have ch o sen a n d why it is 116 W ork w ith a partner R ead your role card and decide w h a t you are going to say best DIRECT A N D REPORTED SPEECH Look at th e sentences “I spend m ost o f my free tim e reading,” he said H e said th a t he spent m ost of his free tim e reading W hich sen ten ce is in direct speech a n d w h ich is in reported sp eech ? W h at happens to the tense of the verb ‘sp e n d ’ in reported sp e e ch ? W h a t other differences are there b etw een the se n te n c e s1 Reported Statements D irect statem en t Reported statem ent “I’m a police officer.” H e said/told me (th a t) h e was a police officer “I live in Sydney.” H e said/told me (th a t) h e lived in Sydney Reported Questions D irect q uestion R eported question “W h e n c a n we m eet?” I asked w hen we could m eet “A re you frightened?” She asked the girl if she was frightened Focus R e p o rte d speech is o ften in tro d u c ed by say and tell + T ell is alw ays follow ed by a nam e o r an object p ro n o u n : H e told m e h e w as a police officer ♦ W h e n th e re p o rtin g verb is in the presen t tense, th e re is n o change in th e ten se: “ I d o n ’t w a n t to c o m e ” H e says he d oesn’t w a n t to com e T h a t is alw ays o p tio n a l a fte r verbs of speaking I n re p o rte d q u e stio n s th e w ord o rd e r of th e original q u e stio n is changed: “W h a t’s your n a m e ? ” S he asked th e p a tie n t w h at h e r n a m e w as 2F I M ove th e tea se s u se d in d ire c t speech b ack one step in to th e pa st to com plete the ,v; U N IT sentences usin g reported speech D IR E C T S P E E C H R EPO RTED SPEECH P re se n t Sim ple Sim ple P ast He said th a t h e quite a lot of people there P re se n t C o n tin u o u s P ast H e said th a t J o h n C o n tin u o u s m uch better I enjoyed my holiday Simple Past P ast P erfect H e said th at h e his holiday in A ustralia I know quite a lot of people here John is feeling m uch better in Australia H e said th a t R o s a n n a R osanna wasn't feeling well P ast C o n tin u o u s P a st P erfect C o n tin u o u s T h ey ’ve been in the new cable car P re se n t P erfect P ast P erfect H e said th a t t h e y in the new cable car feeling well I’ve been waiting for P re se n t P erfect P ast P erfect ages C o n tin u o u s C o n tin u o u s She said th a t s h e for ages I had been w anting P ast P erfect C o n tin u o u s P ast Perfect She said th a t s h e to come to see you C o n tin u o u s to come to see me w ill, can, may, O th e r C hanges shall, m ust th is, today, tom orrow , here O th e r C hanges REPORTED SPEECH R ew rite the following text using reported speech T h e b eginning has been done for you “My nam e’s Vera, and I’m from Russia I cam e to Italy about years ago and I’ve been living in Verona since then W h en I lived in Moscow, I was a journalist, but now I’m working at a hospital here and I quite enjoy it I'm n o t sure it I will go back to Russia now but I may go back for a holiday I h a v en ’t seen my family tor a long tim e and I know they w ant me to visit th em ” I met a very interesting u'onwn the other day She said that her name was Vera and th at DIRECT SPEECH ' R ew rite the follow ing exam ple o f reported sp eech u sin g th e w ords th a t th e speaker a ctu ally said Mr Jo h n H epburn, the cleaner w ho won a record S4 m illion w ith one lottery ticket, said th a t he had been amazed to w in so m uch m oney but th a t he w ouldn’t let it change his life H e w anted to c o n tin u e working in the same job, w hich he enjoyed, but he said he would buy a new van as the old one had broken dow n He said th a t he was going to S c o tla n d to visit relatives, w hich was som ething he had been planning to for a long tim e H e said th a t w hen he got back, he would go straight to work again 118 / u ’as amazed to win so much money ty N ow w rite the follow ing sta tem en ts in reported speech W atch for changes other than tense changes “John will ring tomorrow," he said to the group e.g He told the group (that) John would ring the next day “I can help you,” she said to me “W e may go to M unich,” they said to her “W h at shall we do?” they asked me “She must leave early today,” said the m other to the teacher “T his is a good video,” he said to his friend “I w ant to study today,” she said to her boyfriend “It's Jackie's birthday tom orrow ,” my m other rem inded me “I’ll m eet you here,” she said 10 “H e’s bought a new car,” she said 11 “H e’s going to w atch TV,” his parents said 12 “My a ppointm ent is at 8.30 tom orrow m orning,” she told her husband 13 “We moved to the country a couple of years ago,” they said 14 “I may sell my com puter," she said 15 “I can ’t th in k of anyth in g to write about,” the boy said to the teacher © T h i n k o f th e d iffe re n t w a y s you c a n offer som eone a c u p o f coffee in E n g lish U sing the verbs o f reporting listed below, m a ke as m any sentences as you can Verbs of Reporting A p a rt from say, tell a n d ask, there are m any o th e r verbs w hich report speech H ere are som e o f th em w ith th e structures w hich follow them ♦ verb + object + fu ll in finitive: advise • rem in d • ask • tell • p ersuade • w arn T hey advised m e to leave at once H e w arned m e n o t to stay ♦ verb + th a t + clause: say • explain ♦ verb + objects: in tro d u c e • offer I explained th a t I w asn’t feeling well, She introduced her husband to me H e offered m e a cup of coffee ♦ v erb + fu ll infin itiv e: agree • refuse • prom ise T hey agreed to come ♦ v e rb + -ing form : suggest T hey suggested m eeting a t th e pizzeria ♦ verb + preposition + -ing form : apologise H e apologised for being rude ♦ v e rb + object: accept • refuse T hey accepted th e invitation 2G U N IT PLANNING FOR DISCHARGE ww^i A n exam ple of th e Core S tandard Procedure for p a tie n t discharge P A T IE N T D IS C H A R G E : S T A N D A R D ST A T E M E N T : R E S P O N S IB IL IT Y : A ll patients will receive a fully planned discharge from hospital com m encing from the tim e of admission W ard C harge Nurse P L A N N IN G PR O C ESS DESIRED O U T C O M E P atient and involved person Patients are fully involved (family m em ber or other) w ith all discharge plans P atien t is w ell-intorm ed and involved in discharge ^ l ) Qualified Nurse C o-ordinates p atient A ppropriate m em bers of the discharge w ith all m em bers m ulti-disciplinarv team will be involved w ith planning C O N SID E R A T IO N S ST R U C T U R E of the m ulti-disciplinary team , the p a tie n t and carers Discharge Assessm ent the discharge P lanning is com m enced and P a tie n t’s and relatives’ wishes all appropriate have been considered (2) d o cum entation is used Discharge C hecklist A ll m em bers of th e m u lti disciplinary team , the C h ecklist or Discharge A ssessm ent form has been patient, relatives/involved people are notified com pleted, dated and timed M ulti-disciplinary team - T h e p a tie n t is advised and P atien t education educated appropriately to P atien t will have received all appropriate inform ation booklets/pam phlets m eet h is/her needs a nd/or booklets or pam phlets specific to h is/her condition (3) Property & G eneral Office T h e p a tie n t’s bed space is C heck checked and all property and valuables are returned to the patien t W rite ‘yes/n o ’ questions to ask the p a tie n t about the 120 details n u m b ered aboi'e T h e p a tie n t returns hom e or to his/her com m unity with all personal property 2G (N /A stands for ‘no t applicable’ In differen t circum stances, it can m ean ‘no t available’.) N am e (if nurse p la n n in g d isch a rg e |N /A | N am e o f C are M anager P a tie n t in v o lv ed in d isch arge p la n n in g R elativ e /C a re r in v o lv ed in discharge p la n n in g Y es/N o Y es/N o Transport: T ran sp o rt a rra n g e d Y es/N o D ate b o o k e d T ran sp o rt b y T ype Ref N o T ran sp o rt b o oked for (day a n d d a te ) (tim e a m /p m ) 4- Preparation: |N /A | G e n era] O ffice notified - V aluables re tu rn e d to p a t i e n t (tim e an d d a te ) D ate o f h o m e v i s i t D ate aids to be d e liv e re d L e tte r w ritte n /s e n t to C o m m u n ity N urse/L ocal D o c to r D ate h o m e c are co m m en ces H av e p a tie n t/re la tiv e o r carer been ta u g h t th e necessary skills? Lifting a n d h a n d lin g Y es/N o O th e r (p lease specify, e.g use o f e q u ip m e n t) D ischarge address: Preparation o f home Food p arcel arranged H e atin g tu rn e d o n Key a v ailab le - arranged E q u ip m en t/A id s arranged Y es/N o Y es/N o Y es/N o Y es/N o N /A N /A N /A Y es/N o MR N /A ns a t h o m e ? Medications: U se o f a p re -p rep a re d pill box Specific problems (tick if applicable): O p e n in g b o ttle tops □ R ea d in g labels □ M an a g in g b liste r packs □ U n d e rsta n d in g w h a t th ey are for □ U n d e rsta n d in g special in stru c tio n s o r e q u ip m e n t U n d e rsta n d in g tim es a n d /o r dosages □ Y es/N o T ak e-h o m e m e d ic atio n s w ritte n up and ordered Y es/N o M ed icatio n s e x p la in e d to p a tie n t/c a re r P ouring liquids In stillin g eye drops U sing inhalers/spacers G e ttin g m ore supplies N one of the above □ □ □ □ □ □ [N/A) (N/A) S p ecialist m e d ic atio n s (e.g syringe driv er) available Y es/N o m Transfer letter w ritten Y es/N o [N/A] O PD appointm ent m ade/referral letter sent Y es/N o [N/A] G eneral Inform ation: (specify in fo rm a tio n sheets, b o o k le ts or o th e r) Additional Inform ation: © UNI T © Qj W ith your partner, look a t the exam ple page (below) of a P la n n in g for Discharge and D ischarge C h ecklist form a n d m a ke questions to ask the n urse organising this p a tie n t's discharge P la n M ark Andrew s discharge from hospital using the inform ation you have about him UNI T 2G EXPRESSION and WORD LIST to build tr u s t, com panionship, confidence, etc a w ave o f bressure travels along th e arterial system there are a couple of relief teachers available to change into your ow n pyjamas to cause redness and damage to the skin a bedfast batient (or a bedridden p atien t) a th in patien t is a t risk of developing pressure sores to have an abrasion over a bony surface to brevent bedsores 10 11 to w h e el alone a hospital bed to roll the soiled sheet up lengthways along the p a tie n t’s back 12 there is a risk of cross-infection 13 14 to help lam e or unstable patients (m easurem ents) are considered w ith in norm al lim its 15 16 to provide a day room d irty linen has to be put in to a bag F irst translate th e un d erlin ed words into your ow n language, th e n w rite a sentence in > E nglish using the words w ritte n in italics P ro n u n c ia tio n M inim al P airs Look at the words in each line and decide w h ic h one is pronounced differently T h e vowel sounds used are w ritte n in p honetics P u t a circle around the w ord w ith d ifferent p ronunciation (a) day die wide [ai] (b) walk short work [d:] [3:] (c) sit seat sheet [i] [i:l (d) halve have part [a:] (e) look lock drop [u] [« ] [d ] (0 cleans please pins (g) good book food [i] [u] or [ei] [i:] [u:l W h en you listen to the recording, circle th e w ord(s) you hear She can walk / work w hen she goes hom e Sit I seat his relatives in the day room H e can have / halve his m edications Look at I lock the drug cupboard T h e title of the essay is Today - In Peace / To Die - In Peace 122 L istening 16 - E xercise L isten to the recording to ch eck all your a n sw e rs ... S 10 9 11 0 THE W ARD A N D THE ROO M S 11 2 G R A M M A R N O T E S - C o n ju n c tio n s 11 W h a t is it and w h at’s it for? 11 4 TH E PASSIVE TEN SE 11 5 D IR E C T A N D REPO RTED SPEECH 11 7... broadcast for distan ce learning C o v er im ages © iS tockphoto.com 10 09 08 07 06 05 20 15 14 13 12 11 10 W hen o rd e rin g this title, use ISBN 978-007 -12 6603 -1 o r M H ID 007 -12 6603-8 Printed... n ciatio n and phonetics -C - -D - -E - 1A A ccepted abbreviations (1) D ifferent countries, nationalities and languages English for work and play 11 H O SPIT A L PE R SO N N E L - HEALTH C A