nursing - milgaruphone · are advised to undergo laboratory tests such as urinalysis, fecalysis, or...

NURSING

NURSING

TO THE STUDENT

This compilation is designed to help you learn vocabulary words that you will find useful in the course you have chosen. These words are used in a sentence or in a conversation for you to be familiar with how such words are used and in which contexts. In addition, we have prepared a lot of speaking, listening, reading and writing activities to help improve your English skills. While studying, you will also find articles that would make you become more familiar with the American and British culture. As we all know, learning a language is learning the culture. You will not only find the lessons useful but also interesting. The exercises that are included in each lesson should be done together with your teacher. Your teacher will also serve as your guide in maximizing the use of this compilation.

HAVE FUN LEARNING ENGLISH!

NURSING TABLE OF CONTENTS

NursingWRITING TOPIC: Why do patients need to undergo a series of tests to diagnose their illness? Support your answer.

Physical Assessment: IntroductionWRITING TOPIC: Why is it important to undergo physical assessment?

Physical Assessment: Eyes, Nose, and Throat AssessmentWRITING TOPIC: How do you keep your eyes, nose and throat healthy?

Physical Assessment: Thoracic and Abdominal AssessmentWRITING TOPIC: Do you have asthma or do you know someone who has asthma? What should you do if you or someone has an asthma attack?

UNIT 1

UNIT 2

UNIT 3

UNIT 4

Patient Rights at the HospitalWRITING TOPIC: Why do you think it’s important to know your rights as a patient?

The Hospital TeamWRITING TOPIC: What is the importance of having a daily care plan? Justify your answer.

Diagnostic TestsWRITING TOPIC: What do you think is the most important diagnostic test? Why?

Hospital AdmissionWRITING TOPIC: Why do we need to obtain a complete assessment of the patient’s health history?

Perioperative Nursing InterventionsWRITING TOPIC: Why is perioperative nursing important?

Hospital DischargeWRITING TOPIC: Why are May Go Home instructions important?

UNIT 5

UNIT 6

UNIT 7

UNIT 8

UNIT 9

UNIT 10

UNIT 1

NURSING

NURSING

Nursing 3UNIT 1

READING

WORD CHECK

Nursing is one of the several health care professions that mainly deals with caring for patients and working with doctors and other medical staff. However, a nurse’s job doesn’t start nor end with taking care of a patient. From the time a patient seeks medical advice on the onset of symptoms to the time he or she receives diagnosis and prescriptions, nurses are there to assist. When patients are advised to undergo laboratory tests such as urinalysis, fecalysis, or blood tests, nurses still communicate with the doctor, the patient and other healthcare professionals. When a person needs in-patient services, the nursing staff takes care of him and his needs. Simply put, nurses play a big role in helping patients deal with matters concerning their health.

symptom (n)diagnosis (n)

prescription (n)urinalysis (n)

fecalysis (n)blood test (n)

NURSING

UNIT 1 Nursing4

DIALOGUE

Dr. Kim:

Mr. Smith:

Dr. Kim:

Good morning, Mr. Smith. Aside from stomach pain, do you feel other symptoms like nausea, headache, or frequent visits to the bathroom?

No, I don’t have headaches at all. I started to feel stomach pain after I ate some seafood. But it disappears after several minutes. For the last 3 days, I think it occurred seven times already.

Well then, Mr. Smith, I want you to undergo a series of tests for me to give an accurate diagnosis about your illness. I will give you a laboratory request and the nurse will accompany you to the laboratory department of our hospital. For the meantime, I will give a prescription to help you alleviate the stomach pain. Let Nurse Anna take you to the laboratory department. She will assist you until you finish all the necessary tests.

NURSING

Nursing 5UNIT 1

Anna:

James:

Mr. Smith:

Good morning, James. Dr. Kim sent a patient here for some laboratory tests. Here is the physician request form. It says here that he needs to undergo urinalysis, fecalysis and blood test. Mr. Smith, James here will take care of you now. Please drop by the nurse station after the tests.

Good morning, Mr. Smith. Did Nurse Anna explain how this is done? Anyway, don’t worry, I’ll guide you through the procedure.

Thank you, James.

WORD CHECK

stomach (n)frequent (adj)

accurate (adj)alleviate (v)

undergo (v)drop by (v)

NURSING

NURSING

UNIT 1 Nursing6

MATCH AND WRITE

prescription

medical staff

medical laboratory

1.

2.

3.

After consultation, the doctor gives a ______________ to treat the patient.

The _______________ includes doctors, nurses, and medical technologists.

Specimen are delivered and tested in a _____________________.

NURSING

Nursing 7UNIT 1

LET’S TALK

A. ABOUT THE STORY

B. ABOUT YOU

Answer the following questions:

1. When did you last visit a doctor?

2. Do you self-medicate? Sample Answers:

1. I went to the doctor about one week ago because I have been feeling dizzy. The doctor said it was vertigo attack.

2. I only self-medicate when I have headache because there are over- the-counter medicines. Besides, I always keep some aspirin at home.

Your Answers:

1. I went to the doctor _______________________________________ _________________________________________________________.

2. I only self-medicate when ___________________________________ _________________________________________________________.

1.

2.

3.

4.

5.

What happened to Mr. Smith?

How has Mr. Smith been feeling for the last three days?

What series of tests does Mr. Smith need to undergo?

Who assisted Mr. Smith?

Who is James and what does he do?

NURSING

NURSING

UNIT 1 Nursing8

GRAMMAR POINT

Questions using “do” “does” and “did”

Verbs – other than the verb “to be” – form questions in the present tense using “do” (for plural subjects) or “does” (for singular subjects). On the other hand, questions in the simple past use “did”. These follow the sentence pattern: Do/Did + subject + verb…?

Examples:

Do you feel other symptoms like nausea, headache, or frequent visits to the bathroom?

Did Nurse Anna explain how this is done?

Exercises:

Complete the sentences by writing “do”, “did”, or “does”.

Why do patients need to undergo a series of tests to diagnose theirillness? Support your answer.

WRITING TOPIC

________ your baby always cry like this?

________ the doctor explain the laboratory results?

________ the nurse check your temperature when you arrived?

________ you feel better now?

________ he pick up the bag I left at the clinic?

1.

2.

3.

4.

5.

NURSING UNIT 2

PHYSICAL ASSESSMENT:INTRODUCTION

NURSING

integrated (adj)visual (adj)

palpation (n)percuss (v)

ausculation (n)yield (v)

READING

WORD CHECK

Physical examination is the process of evaluating objective anatomic findings through the use of observation and a series of other steps. It is a procedure done by nurses and doctors. The information obtained must be thoughtfully integrated with the patient’s history and pathophysiology. Moreover, it is a unique situation in which both patient and physician understand that the interaction is intended to be diagnostic and therapeutic. Generally, it follows the following procedure:

1. visual inspection 2. palpation 3. percussing 4. ausculation

The physical examination, thoughtfully performed, should yield 20% of the data necessary for patient diagnosis and management.

UNIT 2 Physical Assessment: Introduction10

NURSING

Physical Assessment: Introduction 11UNIT 2

DIALOGUE

Dr. Kim:

Mr. Smith:

Dr. Kim:

Mr. Smith, after reading your laboratory result, I have decided to conduct a thorough physical assessment on you. Here’s the patient’s waiver that you need to sign before we start. Let me also inform you that asking some personal questions about health and touching some parts of your body are parts of the procedure. I assure you that privacy and confidentiality will be observed. Let’s begin. Did you receive any special prescriptions before?

I was treated for my asthma last month and I was prescribed bronchodilators as part of the treatment.

How was your illness treated in the past?

NURSING

NURSING


WORD CHECK

physical assessment (n)patient’s waiver (n)

asthma (n)allergy (n)

lower extremity (v)bronchodilator (v)

Mr. Smith:

Dr. Kim:

Mr. Smith:

Dr. Kim:

Mr. Smith:

Dr. Kim:

I would usually see the doctor and some medications were given to treat my asthma.

What is being planned for your treatment now?

My doctor told me that I should continue taking my medicines and should avoid things that can trigger my allergies.

Do you have any difficulties with these medications?

Feeling tremors on my lower extremities is a side effect of the bronchodilators that I am taking.

Thank you for your cooperation, Mr. Smith.

NURSING


MATCH AND WRITE

anatomy

waiver

medication

CONSENT

1.

2.

3.

Nurses must have knowledge of the human ___________ to carry out properphysical assessment.

Patients are asked to sign a _______________ before undergoing certainprocedures.

The doctor prescribes __________________ based on findings or diagnosis.

NURSING

NURSING


LET’S TALK

A. ABOUT THE STORY

B. ABOUT YOU


1. Have you undergone physical assessment?

2. Do you feel nervous when you visit the doctor? Sample Answers:

1. I think I have. There was a time when I was sick for several weeks. When I finally visited the doctor, he let me undergo a complete physical assessment.

2. I was scared of doctors when I was young. But now that I’m older, I’ve gotten used to medical procedures and checkups.

Your Answers:

1. I think I have/ I haven’t. ___________________________________ _______________________________________________________.

2. I was __________________________________________________ _______________________________________________________.

1.

2.

3.

4.

5.

What is physical assessment?

What did Mr. Smith sign before the doctorstarted the PA?

What were Mr. Smith’s bronchodilators for?

What did the doctor prescribe for Mr. Smith’sasthma?

Have you undergone physical assessment? Whatdid the doctor do or check during the procedure?

NURSING


GRAMMAR POINT

Gerunds

A gerund is a verb that may function as a noun by adding –ing. For instance, thegerund form of the verb “eat” is “eating”. A gerund can be used as the subject, thecomplement, or the object of a sentence.

Examples:

Asking some personal questions about your health and touching some parts of your body are parts of the procedure.

Feeling tremors on my lower extremities is a side effect of the bronchodilators that I am taking.

Exercises:

Complete the sentences by adding an appropriate gerund.

_________ around the hospital is prohibited.

To recover faster, try ____________ fruits and vegetables.

_________ your medicine is something you should not forget.

_________ every day is a good way to keep fit.

_________ for patients is one of a nurse’s jobs.

1.

2.

3.

4.

5.

Why is it important to undergo physical assessment?

WRITING TOPIC

NURSING

NURSINGUNIT 3

PHYSICAL ASSESSMENT:EYES, NOSE, AND THROAT ASSESMENT

NURSING

Physical Assessment: Eyes, Nose, and Throat Assessment 17UNIT 3

READING

WORD CHECK

The HEENT, or Head, Eye, Ear, Nose and Throat Exam is usually the initial part ofa general physical exam, after the vital signs. Like other parts of the physicalexam, it begins with inspection, and then proceeds to palpation. It requiresthe use of several special instruments in order to inspect the eyes and specialtechniques to assess their special sensory function. The nose is examined forany obstruction in the airway and any problem with a person’s sense of smell.The throat is examined by looking at the oral cavity and checking for any sores,bleeding gums or lesions.

vital (adj)inspection (n)

instrument (n)sensory (adj)

cavity (n)lesion (n)

NURSING

NURSING

UNIT 3 Physical Assessment: Eyes, Nose, and Throat Assessment18

DIALOGUE

Dr. Kim:

Mr. Smith:

Dr. Kim:

Mr. Smith:

Dr. Kim:

Let’s now start with your neck and throat assessment. We need tocheck whether there are lumps or nodes present in your neck. Did you feel any pain in your throat and neck these past few days?

No, I didn’t, except that my throat felt very itchy when I had allergies.

Alright. Well, the movements are smooth and there is a good control of range of motion movements.

What are the deviations from normal?

Asymmetrical head position, masses, scars and swelling are indications of cancer, or enlarged thyroid or inflamed lymph nodes.

NURSING


Mr. Smith:

Dr. Kim:

Dr. Kim:

Mr. Smith:

Dr. Kim:

Mr. Smith:

How about if the movement of my neck is rigid?

Rigidity, stiffness, and pain are manifestations of muscle spasms,inflammation, meningitis, and cervical arthritis.

Do you have recent changes in your vision like spots, halos, and rings?

No, I don’t, but I’m wearing contact lenses.

Okay. Let’s test your visual acuity. Normal findings show a 20/20 vision. Now, please sit still as I check your nose. Now, let’s proceed to your chest and lung assessment. I will palpate using my fingertips and palmar surfaces in an organized manner. There should be no vibrations or pulsations in your aortic, pulmonic, and tricuspid area. That’s it. Everything looks normal.

Whew, I’m so glad. Thank you, Dr. Kim.

WORD CHECK

lump (n)rigidity (n)

manifestation (n)muscle spasm (n)

meningitis (n)cervical arthritis (n)

NURSING

NURSING


MATCH AND WRITE

lungs

throat

scar

1.

2.

3.

The ______________ are vital to our breathing.

You need to open your mouth so the doctor can examine your ______________.

A wound often leaves a _____________ when it heals.

NURSING


LET’S TALK

A. ABOUT THE STORY

B. ABOUT YOU


1. Do you wear glasses?

2. Have you had sore throat? Sample Answers:

1. I don’t wear glasses but I actually envy people who do. I always look at glasses as something stylish so I’d love to wear them, too.

2. I’ve had sore throat several times before and what I do is I gargle antibacterial mouth wash or warm water with salt.

Your Answers:

1. I do/ I don’t wear _________________________________________ ________________________________________________________.

2. I have had/ I haven’t had ___________________________________ ________________________________________________________.

1.

2.

3.

4.

5.

What is physical assessment?

If a patient is manifesting rigidity, stiffness, andpain, what illness might he have?

What are the indications of cancer or inflamedlymph nodes?

What is 20/20 vision?

Why do people wear contact lenses?

NURSING

NURSING


GRAMMAR POINT

How do you keep your eyes, nose and throat healthy?

WRITING TOPIC

Adjective Suffixes

Some adjectives are formed from other word forms such as nouns or verbs. One way of doing this is by adding a suffix. A suffix is a part added at the end of a word. Look at the table below:

president __________________

talk __________________

music __________________

nation __________________

access __________________

1.

2.

3.

4.

5.

Original Word Suffix Adjective

beauty (noun)nutrition (noun)

read (verb)act (verb)

-ful-al

-able-ive

beautifulnutritionalreadable

active

Examples:

Asymmetrical head position, masses, scars and swelling are indications of cancer, or enlarged thyroid or inflamed lymph nodes.

Let’s test your visual acuity.

Exercises:

Form adjectives out of the nouns or verbs below.

NURSING UNIT 4

PHYSICAL ASSESSMENT:THORACIC AND ABDOMINAL ASSESSMENT

NURSING

READING

WORD CHECK

Both the examination of the thorax and the abdomen follow a certain procedure.When the physician examines the chest area, palpation, confirmed by percussion,assesses for tenderness and degree of chest expansion. Auscultation, a more sensitive process, confirms earlier findings and may help to identify specific pathologic processes not previously recognized. On the other hand, during an abdominal examination, auscultation of the abdomen is performed for detection of altered bowel sounds, rubs, or vascular bruits. Palpation is the examination for crepitus of the abdominal wall, for any abdominal tenderness, or for abdominal masses. Next, inspection consists of visual examination of the abdomen with note made of the shape of the abdomen, skin abnormalities, abdominal masses, and the movement of the abdominal wall with respiration.

UNIT 4 Physical Assessment: Thoracic and Abdominal Assessment24

thorax (n)tenderness (n)

abdomen (n)crepitus (n)

mass (n)respiration (n)

NURSING

Physical Assessment: Thoracic and Abdominal Assessment 25UNIT 4

DIALOGUE

Dr. Kim:

Mr. Smith:

Dr. Kim:

Dr. Kim:

Good morning. You are Mr. Smith, aren’t you? We’ll now start withyour lung assessment. I will palpate your thorax for sensation andvocal fremitus.

There was no pain or discomfort when you palpated my lungs.

That’s supposed to be the result of normal lung assessment. Painover thorax is only seen in patients with inflamed fibrous connectivetissues; pain over the intercostal area is seen with inflamed pleura.

Okay, we will now have your abdominal assessment. I will place my thumb below the right costal margin of your abdomen then you inhale deeply. Now, I want you to dorsiflex your wrist with your fingers extended. It feels relaxing, doesn’t it?

NURSING

NURSING


WORD CHECK

thorax (n)discomfort (n)

pleura (n)dorsiflex (v)

appendicitis (n)sharp (adj)

Mr. Smith:

Dr. Kim:

Yes, and I don’t feel any pain.

Pain is only present in peritoneal irritation. Right lower abdominalpain would mean appendicitis and increasing sharp pain wouldindicate cholecystitis. Finally, we are done with your physicalassessment and everything looks fine. I will record my findings then you’re good to go.

NURSING


MATCH AND WRITE

dorsiflex

thorax

abdomen

1.

2.

3.

One technique to prevent ankle sprains is to ______________ your feet.

The _______________ is the part of the body below the neck and above thewaist.

The belly is also called the _______________.

NURSING

NURSING


LET’S TALK

A. ABOUT THE STORY

B. ABOUT YOU


1. Have you experienced having chest pains?

2. Have you experienced having abdominal pains? Sample Answers:

1. There was a time when I had been coughing for a few weeks and I started to have chest pains. But when the coughing stopped, the pain also disappeared.

2. I always experience abdominal pain when I drink milk at night. This is probably due to stomach acid.

Your Answers:

1. There was a time/ There was never a time ______________________ ____________________________________________________________.

2. I always feel/ I’ve never felt __________________________________ ____________________________________________________________.

1.

2.

3.

4.

5.

How is the examination of the lungs carried out?

What indicates normal lungs?

What is done during an abdominal assessment?

What does to “dorsiflex” mean?

What are indications that something is wrongwith the stomach?

NURSING


GRAMMAR POINT

Tag Questions. (Do you?, Isn’t it? etc.)

The tags “isn’t it?” and “do you?” turn a statement into a question. In questiontags, we use an auxiliary verb (have, was, will, etc). When the statement is positive,the tag question is negative. When the statement is negative, the tag question is positive.

Examples:

It feels relaxing, doesn’t it?

That’s good news, isn’t it?

Exercises:

Complete the sentences by writing the applicable tag question.

She gave you the report, ________________?

The doctor is in, _________________?

Your grandma was sick, ________________?

You are the nurse, ________________?

He always takes his medicine, _______________?

1.

2.

3.

4.

5.

Do you have asthma or do you know someone who has asthma?What should you do if you or someone has an asthma attack?

WRITING TOPIC

NURSING

NURSING

A D M I S S I O NS E C T I O N

UNIT 5

HOSPITAL ADMISSION

NURSING

Hospital Admission 31UNIT 5

READING

WORD CHECK

life-threatening (adj)triage area (n)

admission (n)HMO (n)

emergency room (n)nurse-in-charge (n)

There are three types of admission. The first one is planned admission which refers to scheduled in-hospital stay. Second is direct admission which means patients are sent to the hospital directly by their physician or primary care provider when their health condition requires it. Lastly, emergency admission which occurs when life-threatening illness or injury requires an immediate hospital care.

The Admission Process

1.

2.

3.

Patients for admission must proceed to the Triage Area for evaluation, assessment and registration, or to the treatment area for emergency management.

The patient’s significant other should claim the Patient Data Registration Form from the triage nurse before proceeding to the Admitting Section for the processing of the admission (choosing of room, signing of Patient’s Data Sheet, filling up of HMO Agreement Form or making a partial payment, getting the Admission kit, etc.).

Go back to the Emergency Room and give the patient’s chart to the Nurse-in-Charge.

NURSING

NURSING

UNIT 5 Hospital Admission32

DIALOGUE

Dr. Kim:

Mr. Smith:

Dr. Kim:

Nurse Anna:

Mr. Smith, I’m sorry but your blood tested positive for dengue fever. You need to be admitted so we can monitor you regularly.

I understand. I had suspected it was dengue based on thesymptoms.

It’s good that your wife brought you here immediately. Anyway, Nurse Anna will assist you from here.

Mr. Smith, I’m Anna, the triage nurse. Please wait here as Mrs.Smith takes this registration form to the Admitting Section. Youradmission will be arranged there. I’m sure they’ll try to hasten the process.

A D M I S S I O NS E C T I O N

NURSING


Mr. Smith:

Nurse Anna:

Mr. Smith:

It’s alright. I’m just worried that my wife might contract thedisease, too.

I understand, Mr. Smith. It is bothering, but please try not to think too much about it. After this, we’ll have you transferred to your room immediately.

Yes, please. I can feel my muscles aching. Thank you for assistingus, Nurse Anna.

WORD CHECK

positive (adj)immediately (adv)

hasten (v)contract (v)

transfer (v)ache (v)

NURSING

NURSING


MATCH AND WRITE

patient dataregistration form

admission kit

emergency room

EMERGENCY ROOM

1.

2.

3.

The ____________________________ must be completely filled out beforeadmission.

During admission at a hospital, an _____________________ is given to thepatient.

Patients needing immediate care are taken to the _____________________.

NURSING


LET’S TALK

A. ABOUT THE STORY

B. ABOUT YOU


1. Have you been taken to the emergency room before?

2. What was the worst experience you’ve had related to your health? Sample Answers:

1. I was food poisoned before and I started vomiting unceasingly that my family decided to take me to the emergency room.

2. It was when I had trouble breathing. I was at a bus stop and I didn’t know anyone. Fortunately, there was a doctor who took me to the hospital.

Your Answers:

1. I was ___________________________________________________ ________________________________________________________.

2. It was when _____________________________________________ ________________________________________________________.

1.

2.

3.

4.

5.

What do patients do in the triage area?

What do they need to claim before proceedingto the admitting section?

What is planned admission? Briefly discuss.

What do you call the type of admission wherepatients are sent to the hospital directly by theirphysician?

What is emergency admission? Briefly discuss.

NURSING

NURSING


GRAMMAR POINT

Expressing Opinions or Emotions

Adjectives are words that are used to modify a noun or a pronoun. Whenexpressing opinions or emotions, adjectives that end in -ing are used todescribe or express one’s opinion about things and situations. Meanwhile,adjectives that end in -ed are used to describe how people feel.

Examples:

I’m just worried that my wife might contract the disease, too.

It is bothering, but please try not to think too much about it.

Other Examples:

Why do we need to obtain a complete assessment of the patient’shealth history?

WRITING TOPIC

Exercises:

Complete the sentences using the correct adjective.

She was ___________ when she saw the bridge collapse. (shock)

I fell off my chair this morning. That was really __________. (embarrass)

The students are all __________ for the camp. (excite)

Bob was _________ at his birthday party. (surprise)

Our class was ________ so I fell asleep. (bore)

1.

2.

3.

4.

5.

boringexcitingamazing

boredexcitedamazed

surprisingembarrassing

shocking

surprisedembarrassed

shocked

NURSING UNIT 6

PATIENT RIGHTS AT THE HOSPITAL

NURSING

READING

WORD CHECK

UNIT 6 Patient Rights at the Hospital38

caregiver (n)mental impairment (n)

courtesy (n)spouse (n)

complain (v)advocate (n)

Patients enjoy the following rights at hospitals:

1.

2.

3.

4.

5.

6.

Right to Know. This means knowing all the information pertaining to your care, being part of the decision-making process, receiving truly informed consent, and knowing the names of your caregivers. If you have vision, speech, hearing or mental impairments, information must be presented in a way that meets your needs.

Right to Respect. Patients have the right to be treated with courtesy and respect, hold religious services, privacy, and have their pain addressed.

Right to Choose Advocates and Visitors. In most hospitals, patients have the right to choose their visitors, and you’re allowed to name a person of your choice, including a spouse, relative or friend, to make medical decisions on your behalf.

Right to High-Quality Care. If you’re in the hospital for surgery, you should know who will be performing it, and get in touch with your surgeon.

Right to Emergency Care. Patients have the right to emergency care. Law in some countries state that you’re entitled to have access to emergency services, regardless of your ability to pay.

Right to Complain. If you disagree with aspects of your treatment or feel like your rights are being violated, you may seek out the hospital’s ombudsman or patient advocate.

NURSING

Patient Rights at the Hospital 39UNIT 6

DIALOGUE

Mr. Smith:

Nurse Anna:

Mr. Smith:

Nurse Anna:

Excuse me, may I know who my wife’s neurosurgeon will be?

Definitely, Mr. Smith. Let me check… it’s Dr. Madison.

No offense to Dr. Madison, but is it possible to talk to him first?This is a very delicate procedure and I just want to understanda few things before it’s done.

I understand. Dr. Madison will be here later. We will inform him of your concern.

NURSING

NURSING


WORD CHECK

neurosurgeon (n)offense (n)

delicate (adj)concern (n)

terminology (n)decision (n)

Mr. Smith:

Nurse Anna:

Mr. Smith:

Thank you very much. May we also request our daughter to bepresent when he comes? My daughter understands these medicalterminologies better and I’m sure she can help us in makingdecisions about the treatment.

I think so. She is probably allowed to stay here since it’s thepatient’s request. I’ll check on it and inform you when I get back.

Thank you very much.

NURSING


MATCH AND WRITE

spouse

religious service

surgeon

1.

2.

3.

A husband or a wife is called a ________________.

Patients have the right to hold a __________________ regardless of theirreligion.

A ___________________ is a type of doctor who performs surgical operations.

NURSING

NURSING


LET’S TALK

A. ABOUT THE STORY

B. ABOUT YOU


1. Have you been turned down at a hospital before?

2. How can people show respect to patients? Sample Answers:

1. I have not been turned down or violated at a hospital before. I think it is good that almost all hospitals follow their policies strictly and they accommodate everyone.

2. I think one way to show respect to a patient is by not asking questions about their condition, when they want to keep it private. Unless they talk about it first.

Your Answers:

1. I have/ I have not been _____________________________________ _________________________________________________________.

2. I think one way to _________________________________________ _________________________________________________________.

1.

2.

3.

4.

5.

Who was the patient?

What type of doctor will be doing the procedure?

Why did Mr. Smith want to talk to the doctor?

What patient’s rights were illustrated in the story?

Why did Mr. Smith request their daughter to bepresent?

NURSING


GRAMMAR POINT

Adverbs of Certainty

Adverbs of certainty express how certain we feel about an action or event.Adverbs of certainty go before the main verb unless the main verb is ‘to be’, inwhich case the adverb of certainty goes after. Some adverbs of certainty are:certainly, definitely, probably, undoubtedly, surely.

Examples:

Definitely, Mr. Smith.

She is probably allowed to stay here since it’s the patient’s request.

Exercises:

Complete the sentences using the correct adverb of certainty.

It was _______________ around 7 in the morning when she started tovomit.

We will ______________ visit him at the hospital.

Being a nurse is _______________ one of the most fulfilling jobs in theworld.

_____________, Mrs. Lynn. The doctor will see you later.

Dr. Kim is ______________ at the operating room.

1.

2.

3.

4.

5.

Why do you think it’s important to know your rights as a patient?

WRITING TOPIC

NURSING

NURSINGUNIT 7

THE HOSPITAL TEAM

NURSING

The Hospital Team 45UNIT 7

READING

WORD CHECK

unique (adj)surgeon (n)

coordinated (adj)care plan (n)

medication (n)transition (n)

Each person on your hospital team has a unique role. The main members of your team will usually include:

•

•

•

•

•

Doctors. One doctor may lead the hospital team. Often this is a doctor who specializes in hospital care, called a hospitalist. If you’ve had surgery, your surgeon will lead your team.

Nurses. You’ll have a team of nurses taking care of you around the clock. They keep your care coordinated among the different hospital team members. They also keep you informed of your daily care plan.

Pharmacists. Working with your doctors and nurses, the pharmacist pays careful attention to your medication needs, as well as providing you the prescriptions you’ll need when you leave the hospital.

Care managers. The care manager arranges for smooth transitions, including any equipment or at-home services you may need after you leave the hospital.

You and your family members. As the patient, you are the most important member of your team. Be sure to ask questions and share your concerns about any part of your care.

NURSING

NURSING

UNIT 7 The Hospital Team46

DIALOGUE

Nurse Anna:

Mr. Smith:

Nurse Anna:

Mr. Smith:

Good morning, Mr. Smith. My name is Anna and I’m your nurseon duty until tonight. Dr. Kim, your pulmonologist, has requestedseveral tests for you. A medical technologist will come here andextract a blood sample later, okay?

Alright. Did Dr. Kim prescribe any medicine?

Yes, sir. Dr. Kim requested some medications and the pharmacistwill prepare them. We’ll let you take them at the scheduled time.But for now, Dr. Kim advised that you get some rest. Will anyone be coming here to visit?

I’ve already contacted my daughter and she will be here in an hour.

NURSING


WORD CHECK

duty (n)blood sample (n)

pharmacist (n)scheduled (adj)

intercom (n)adjust (v)

Nurse Anna:

Mr. Smith:

I see. Well, if you need anything, you can press this button andspeak over the intercom. A nurse will come here to check on you.Before I go, do you have any requests, sir? Do you feel comfortable?

Yes. Can you please adjust the hospital bed? I can’t reach the crank. Just a little lower. Thank you.

NURSING

NURSING


MATCH AND WRITE

intercom

crank

blood sample

1.

2.

3.

Hospital rooms usually have an ___________ so patients can call on nurses.

Some hospital beds are adjusted manually using a ___________.

A ________________ needs to be extracted from the patient for blood testing.

NURSING


LET’S TALK

A. ABOUT THE STORY

B. ABOUT YOU


1. Are you scared of blood?

2. Which do you prefer: an electric or a manually adjusted hospital bed? Sample Answers:

1. I am actually not scared of blood. However, everytime I see the needle being injected into my skin, I feel nervous and uneasy.

2. I would personally prefer an electric hospital bed because it’s more convenient especially for the patient.

Your Answers:

1. I am/ I am not ____________________________________________ _________________________________________________________.

2. I would personally prefer ___________________________________ _________________________________________________________.

1.

2.

3.

4.

5.

Who is Dr. Kim?

What will the medical technologist do?

Who was Mr. Smith’s nurse?

Who prepares the medication for the patient?

As part of the team, what is the nurse’s role?

NURSING

NURSING


GRAMMAR POINT

Some and Any

“Some” and “any” are quantifiers that are used to show an indefinite quantity,amount, or number. Both can be used with countable or uncountable nouns.However, “some” is generally used with positive or affirmative sentences. On theother hand, “any” is used for questions and negative sentences. Look at the tablebelow.

What is the importance of having a daily care plan? Justify your answer.

WRITING TOPIC

Examples:

Did Dr. Kim prescribe any medicine?

Dr. Kim requested some medications and the pharmacist will prepare them.

Exercises:

Complete the sentences by adding “some” or “any”.

Do you have _________ requests?

There are ___________ patients waiting in the lobby.

Did Peter bring ____________ clothes for Tom?

We have _________ antibiotics here in case you need them.

I didn’t have ________ visitor this morning.

1.

2.

3.

4.

5.

Question Positive NegativeAre there any students? Yes, there are some. No, there aren’t any.

NURSING UNIT 8

DIAGNOSTIC TESTS

NURSING

READING

WORD CHECK

UNIT 8 Diagnostic Tests52

diagnostic (adj)revise (v)

symptomatic (adj)screen (v)

prognostic (adj)side effect (n)

Diagnostic tests help physicians revise disease probability for their patients. All tests should be ordered by the physician to answer a specific question. The 5 main reasons for a diagnostic test are as follows:

•

•

•

•

•

Establish a diagnosis in symptomatic patients

Screen for disease in asymptomatic patients

Provide prognostic information in patients with established disease

Monitor therapy by either benefits or side effects

Confirm that a person is free from a disease

NURSING

Diagnostic Tests 53UNIT 8

DIALOGUE

Anna:

Mr. Smith:

Good morning, Mr Smith! We’re done with getting your vital signs, and changing the IV fluid. Now, I’m here to help you collect thespecimens for your lab test. Since you can move freely, I would liketo ask you if you can do perineal care? It is a procedure whereinyou need to clean the part of your body where we can obtain cleanurine and stool sample.

I think I know what you mean. All right, I’m ready. I just need to goto the bathroom.

NURSING

NURSING


WORD CHECK

vital sign (n)specimen (n)

perineal care (n)defecate (v)

med-tech (n)nursing intervention (n)

Anna:

Mr. Smith:

Anna:

Mr. Smith:

You should collect 30-60 ml of your urine in this specimen cup. ifyou feel the urge to defecate, please collect a thumb size quantityof feces. That’s the reason why I asked you to do the perineal care so that we can avoid any contamination to the specimen.Later, the med-tech will come and take a blood sample from you,and that will be for your blood test.

Okay. By the way, where is Nurse Nancy?

Oh, she’s at the conference hall attending a lecture on nursinginterventions for different kinds of diagnostic procedure. She willbe here this afternoon.

Alright. Thank you.

NURSING


MATCH AND WRITE

conference hall

specimen cup

IV fluid

1.

2.

3.

Lectures or symposiums are usually held at the ______________.

A ____________ may be used to store collected stool or urine samples.

Changing the ____________ may be tedious for some nurses.

NURSING

NURSING


LET’S TALK

A. ABOUT THE STORY

B. ABOUT YOU


1. What diagnostic tests did you undergo in school?

2. What conferences or lectures have you attended? Sample Answers:

1. As I remember, the most basic tests that our school required are urinalysis, fecalysis, and x-ray.

2. I once attended a lecture on how to choose the career that best suits me. It was held at the auditorium in our school.

Your Answers:

1. As I remember, ___________________________________________ _________________________________________________________.

2. I attended a lecture on _____________________________________ _________________________________________________________.

1.

2.

3.

4.

5.

What is perineal care?

What’s the quantity of urine that Mr. Smithshould collect?

What’s the quantity of feces that Mr. Smithshould collect?

How did the nurse assist the patient?

What was the activity that Nurse Nancyattended?

NURSING


GRAMMAR POINT

Modal Verbs

Modal verbs are used to express certainty, probability, or possibility. These mayalso be used when talking about ability, asking permission or making requests.Using a modal verb in a sentence follows this pattern: subject + modal verb +base form of the verb (without “to”).Here are the modal verbs in English:

What do you think is the most important diagnostic test? Why?

WRITING TOPIC

canmayshallwill

couldmightshouldwould

Examples:

I would like to ask you if you can do perineal care?

You should collect 30-60 ml of your urine in this specimen cup.

Exercises:

Complete the sentences by adding the correct modal verb.

Mrs. Adams, you _________ see Dr. Kim now.

Her family ________ wait outside during the operation.

We __________ like to invite you to attend the symposium.

If I leave the hospital early, I _________ be able to have dinner with you.

The diagnosis _________ be wrong. I want a second opinion.

1.

2.

3.

4.

5.

NURSING

NURSINGUNIT 9

PERIOPERATIVE NURSINGINTERVENTIONS

NURSING

Perioperative Nursing Interventions 59UNIT 9

READING

WORD CHECK

carry out (v)ambulatory (adj)

sterile (adj)circulate (v)

suture (v)anesthesia (n)

Perioperative nurses help plan, carry out, and assess treatment for patients undergoing surgery. Working in hospital surgical departments, ambulatory surgery units, clinics, or physicians’ offices, these RNs are involved in the care of patients before, during, and after surgery.

Types of perioperative nurses include the following:

•

•

•

•

A scrub nurse is sterile and is responsible for choosing and handling instruments and supplies used during surgery.

A circulating nurse includes developing a patient plan of care, reviewing preoperative assessments with patients, and managing activities in the operating room.

The RN first assistant (RNFA) assists during the operation by helping with surgical activities such as keeping bleeding under control, exposing wounds, and suturing, all under the direction of the surgeon.

A PACU (Post Anesthesia Care Unit) RN cares for patients immediately after surgical procedures and anesthesia.

NURSING

NURSING

UNIT 9 Perioperative Nursing Interventions60

DIALOGUE

Julia:

Anna:

Julia:

Anna:

Hi, Nurse Anna. I want to know what the word pre-op procedure means.

Pre-op stands for your pre-operating procedure. This is done before thepatient goes to the operating room. The preoperative stage is more onpreparing the patient for surgery, doing laboratory tests for clearance,and preoperative fasting.

Aha! I can now remember that our clinical instructor had a small lecture about perioperative care. Are perioperative and preoperative the same?

No, they aren’t. Perioperative is the care that you give before, during, and after the surgery.

NURSING


Julia:

Anna:

Julia:

How about if the patient is for STAT surgery due to an accident and they could not identify him? I wonder who will sign the consent.

That’s the time the surgeon is allowed to sign the consent and do thesurgery. Then, he carries out the laboratory orders like X-ray, fastingblood sugar, and ECG. The intraoperative stage, which begins uponentering the operating room, and ends at the Post Anaesthetic Room.Postoperative period begins when the patient is being transferred tohis room and ends when the patient is being discharged.

Oh, thanks again. I’m learning a lot as a student nurse on duty.

WORD CHECK

preoperative (adj)clinical instructor (n)

STAT surgery (n)perioperative (adj)

intraoperative (adj)postoperative (adj)

NURSING

NURSING


MATCH AND WRITE

bleeding

suture

ECG

1.

2.

3.

An RNFA helps control the _____________ to prevent loss of blood.

One of a nurse’s role is to ___________ a wound.

An _________ is a tool used to check the electrical activities of the heart.

NURSING


LET’S TALK

A. ABOUT THE STORY

B. ABOUT YOU


1. Have you had a wound sutured?

2. What is scary about helping with surgical operations? Sample Answers:

1. Yes. I have a wound on my forehead which was caused by a bad fall. The doctors had to stitch it which explains the keloid that I have here.

2. I think one thing I still need to get used to is seeing so much blood. I guess that’s my biggest setback. I still feel uneasy everytime I see blood.

Your Answers:

1. Yes, I have/ No, I have not. ____________________________________ __________________________________________________________.

2. I think ____________________________________________________ __________________________________________________________.

1.

2.

3.

4.

5.

What are the three stages of perioperative period?

What is pre-op procedure?

What are some things that a nurse needs to do inpreparing the patient for his/her surgery?

What is perioperative procedure?

What happens in the postoperative stage?

NURSING

NURSING


GRAMMAR POINT

Embedded Questions

An embedded question is a question asked indirectly. The indirect question iscontained inside a larger direct question. It is more polite to ask like this thandirectly. The direct question has the usual question format - the subject-verb areinverted. In the embedded question, there is no inversion of subject and verb.Embedded questions usually begin with:

Why is perioperative nursing important?

WRITING TOPIC

• • • •

• • •

Do you know…? I wanted to know…Could you tell me…?I wonder…

The question is…Who knows…?Can you remember…?

Embedded Question Direct QuestionDo you know who my surgeon is? Who is my surgeon?I wanted to know what time the doctor arrives in his clinic.

What time does the doctor arrive in his clinic?

Examples:

I want to know what the word pre-op procedure means.

I wonder who will sign the consent.

Exercises:

Write an embedded question for the direct questions.

What time does the procedure start? _____________________________

What did the doctor say? _____________________________

How will I drink this syrup? _____________________________

What were the nurse’s instructions? _____________________________

Why do you feel dizzy? _____________________________

1.

2.

3.

4.

5.

NURSING UNIT 10

HOSPITAL DISCHARGE

NURSING

READING

WORD CHECK

When you leave a hospital after treatment, you go through a process called hospital discharge. A hospital will discharge you when you no longer need to receive inpatient care and can go home. Or, a hospital will discharge you to send you to another type of facility.

Many hospitals have a discharge planner. This person helps coordinate the information and care you’ll need after you leave. You’ll need to understand your injury or illness. You’ll need to know the next steps to take. This may include taking medicine and caring for a bandage. Make sure you know who to contact if you have a question or a problem. The discharge planner and your healthcare provider will answer your questions.

After you leave the hospital, you will need to make sure to take care of yourself as instructed. This will help ensure you don’t need to go back into the hospital.

UNIT 10 Hospital Discharge66

discharge (n)inpatient (n)

injury (n)bandage (n)

healthcare provider (n)instruct (v)

NURSING

Hospital Discharge 67UNIT 10

DIALOGUE

Nurse Anna:

Mr. Smith:

Nurse Anna:

Hello, Mr. Smith. I’m here to give you the May Go Home Instructions. These are very important because these guide the patient on how he or she is going to take medications at the proper time. Let’s start with the medications. Your medications are as follows: Tramadol forte for pain, Lipitor for your cholesterol levels and your Clarithromycin for your antibiotics.

How am I going to take them in one sitting?

Tramadol forte is taken round the clock which is good for every four hours, good for seven days. Lipitor is taken twice a day, and Clarithromycin thrice a day. Please take your medicines on the dot. You are not yet allowed to perform strenuous activities for two months. Proper wound dressing is advised.

NURSING

NURSING


WORD CHECK

proper (adj)cholesterol (n)

round the clock (idiom)strenuous (adj)

health teaching (n)transport technician (n)

Mr. Smith:

Nurse Anna:

Mr. Smith:

It’s as easy as pie. My wife can perform it based on your instructions.

Yes, please be guided accordingly. You can also take a video on my health teaching. Anyway, your surgeon will discuss your biopsy results when you come back after a week. Just follow the instructions and you should be back on your feet. By the way, the transport technician is now here, sir.

Thank you very much.

NURSING


MATCH AND WRITE

instructions

dressing

bandage

1.

2.

3.

Patients need to listen to ______________ to make sure they know whatto do.

Proper __________________ must be applied so the wound wouldn’t getinfected.

Another way to protect an injury is using a __________.

NURSING

NURSING


LET’S TALK

A. ABOUT THE STORY

B. ABOUT YOU


1. What strenuous activities do you do?

2. What activity have you tried doing round the clock? Sample Answers:

1. I go mountain climbing on weekends and I think that’s my weekly dose of strenuous activity. I usually hike with my friends when we have time.

2. I used to love playing computer games and I could go on for hours without eating or sleeping. It’s hard when you get addicted to these games.

Your Answers:

1. I go/do __________________________________________________ _________________________________________________________.

2. I used to/ I love ___________________________________________ _________________________________________________________.

1.

2.

3.

4.

5.

What are some examples of May Go HomeInstructions?

What medications were mentioned when NurseAnna gave Mr. Smith his May Go Home Instructions?What are they for?

Why is Mr. Smith not allowed to do any strenuousactivities?

After the health teaching, what were the lastinstructions given to Mr. Smith?

What other May Go Home Instructions can you add?

NURSING


GRAMMAR POINT

Why are May Go Home instructions important?

WRITING TOPIC

Idioms

An idiom is a phrase, a group of words, or an expression that has a meaning that is different from the meaning of the individual words. Idioms have to be taken figuratively. Some idioms relevant to this field are:

Examples:

Tramadol forte is taken round the clock which is good for every four hours.

Just follow the instructions and you should be back on your feet.

Exercises:

Guess what these idioms mean.

go under the knife ________________________________

in good shape/condition ________________________________

under the weather ________________________________

splitting headache ________________________________

kick a habit ________________________________

1.

2.

3.

4.

5.

• • • •

alive and kicking – be well and healthyback on one’s feet – physically healthy againbundle of nerves – a very nervous personin the pink – in very good health

NURSING

NURSING

72

Reference

The Physical Examination, https://www.ncbi.nlm.nih.gov/books/NBK361/. Accessed September 2017.

Assessment of the Lungs and Thorax, https://www.nurseslearning.com/courses/nrp/NRP-1616/Section2/index.htm. Accessed September 2017.

Head, Eye, Ear, Nose, and Throat Examination, https://www.med-ed.virginia.edu/Courses/ pom1/ pexams/HEENT/. Accessed September 2017.

Inspection, Auscultation, Palpation, and Percussion of the Abdomen, https://www.ncbi. nlm.nih.gov/books/NBK420/. Accessed September 2017.

Chest Examination, https://www.ncbi.nlm.nih.gov/books/NBK368/. Accessed September 2017.

Inspection, Auscultation, Palpation, and Percussion of the Abdomen, https://www.ncbi. nlm.nih.gov/books/NBK420/. Accessed September 2017.

The Admission Process, http://www.atlanticare.org/index.php/about-your-stay-with-us/the- admission-process. Accessed November 2016.

Admission Procedure, www.chonghua.com.ph/index.php/info/admission_discharge_ procedure. chh. Accessed November 2016.

Esposito, Lisa. Your Rights as a Hospital Patient, 12 June 2014, http://health.usnews.com/health-news/patient-advice/articles/2014/06/12/ your-rights-as-a-hospital-patient. Accessed November 2016.

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Hospital Teams, https://www.thedacare.org/Medical-Team/Hospital-Care-Teams.aspx. Accessed November 2016.

Screening and Diagnostic, http://emedicine.medscape.com/article/773832-overview. Accessed September 2017.

How to Become a Perioperative Nurse, http://www.graduatenursingedu.org/perioperative/. Accessed September 2017.

Hospital Discharge, http://www.hopkinsmedicine.org/healthlibrary/test_procedures/ other/hospital _discharge_135,339. Accessed September 2017.

Medical and Health Idioms, http://www.idiomconnection.com/medical.html. Accessed September 2017.

How to Become a Perioperative Nurse, http://www.graduatenursingedu.org/perioperative/. Accessed September 2017.

Hospital Discharge, http://www.hopkinsmedicine.org/healthlibrary/test_procedures/ other/hospital _discharge_135,339. Accessed September 2017.

Medical and Health Idioms, http://www.idiomconnection.com/medical.html. Accessed September 2017.

NURSING

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