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Lesson1. reading: The Admission. medical vocabulary: Parts of the Body. grammar: Questions. role play: Patient Admission Chart. homework.

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reading: The Admission Lesson1 medical vocabulary: Parts of the Body grammar: Questions role play: Patient Admission Chart homework answers reading The Admission a. Listen to your teacher read the text,
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reading: The Admission Lesson1 medical vocabulary: Parts of the Body grammar: Questions role play: Patient Admission Chart homework answers reading The Admission a. Listen to your teacher read the text, then answer the following questions: 1) Why has Tommy been admitted to the surgical ward? 2) Does Tommy live far from the hospital? 3) Has Tommy had an operation before this admission? b. Listen again while following the text below. The words that are followed by an asterisk are translated on the next page. Thomas Jordan was admitted to* the Surgical Ward* of a large London hospital for a routine operation*. He was suffering from* a right inguinal hernia* and his operation would take place the following day. Nurse Waite was in charge of admissions to the ward that day, so she showed Mr. Jordan to the room he would be sharing* with Mr. Phillips and started the admissions procedure*. Mr. Jordan, I m Nurse Waite and I m in charge of* admissions today. This will be your bed and bedside table*. You can put your clothes and personal belongings* in the cupboard. The bathroom is through the door on the right. You can put your wash things* in the bathroom cupboard on the left. Mr. Phillips has the one on the right. Mr. Phillips is a very interesting man. He is in X-ray* at the moment so I ll introduce you* when he gets back. Now, before you get undressed*, I d like to ask you a few questions. Is that alright?* Yes, of course, Nurse. What would you like to know? Oh, just routine admission questions for our records*. May I check your name and date of birth* on your identity bracelet*? Yes, certainly. I put it on my right wrist* because I keep my watch on the left one. Mr. Jordan, could you give me your full name*, please? Thomas Henry Jordan, but everyone calls me by my nickname*,tommy, of course. May I call you Tommy? We prefer calling people by their first names here because it s less formal. Yes, call me Tommy. I prefer it to Mr. Jordan. And what is your date of birth? I was born on the 30th June, 1960 which makes me 51 years old. Where do you live, Tommy? I live in Kilburn. Oh, that s not far from here, is it? No, it isn t. Just a few stops on the underground. Are you married, single* or divorced? I m divorced, but I have a partner. And is your partner your next of kin*? Yes, she is. Can you tell me why you are here today? 6 Yes. I am having an operation tomorrow. I ve had an inguinal hernia for about a year and I ve been waiting to come in and have the operation. What about your past medical history*? Have you had any serious illnesses* in the past? No, I haven t. I ve always been very healthy*. Any previous operations? No. Nothing at all. I m not allergic to anything either, as far as I know*. Well, that s great! I ll just do some observations*. I mean, I ll take your blood pressure*, temperature and pulse and record them on your TPR chart*. This evening, a nurse will come and start the pre-operative procedures. So, get undressed and relax. Watch a bit of TV if you like. If you need me, just press the bell by your bed. See you later, Tommy. vocabulary to be admitted to être admis à surgical ward service de chirurgie routine operation intervention prévue to suffer from souffrir de right inguinal hernia (RIH) hernie inguinale droite to share partager admission procedure procédure d admission in charge of responsable de bedside table table de chevet personal belongings affaires personelles wash things trousse de toilette X-ray radio I ll introduce you je vous présenterai to get undressed se déshabiller records dossiers date of birth (DOB) date de naissance identity bracelet bracelet d identité Is that alright? Ça va? wrist poignet full name nom complet nickname surnom single célibataire next of kin parent proche past medical history antécédents médicaux (PMH) serious illnesses maladies graves healthy sain as far as I know pour autant que je sache observations les constantes blood pressure (BP) tension artérielle TPR chart fi che de température, pouls et taux de respiration exercise 1 Without looking at the text, answer the following questions. 1. Why was Mr. Jordan admitted to the surgical ward? Because he was having: a) a right inguinal hernia b) an operation c) a serious illness 2. Where was Mr. Phillips? He was in the: a) surgical ward b) bathroom c) X-ray department 3. What was Nurse Waite in charge of that day? She was in charge of the: a) surgical ward b) admissions c) operations 4. What observations does Nurse Waite do? She takes: a) the blood pressure b) the TPR c) BP and TPR 7 5. When she has taken the observations, what does she do? She: a) records them b) asks questions c) introduces Mr. Phillips on the chart 6. I you a few questions. a) ask b) d like to ask c) want ask 7. If you me, just press the bell. a) needed b) needs c) need 8. Tommy was suffering a right inguinal hernia. a) of b) from c) for 9. Who is his next of kin? a) his partner b) Nurse Waite c) his ex-wife 10. I have no past medical or surgical history. I ve always been very. a) single b) healthy c) allergic The nurse asks the patient some of the following questions on admission to the ward. Translate them! 1. What is your name? What is your full name? Are you married? What is your maiden name*? Do you have children? How many (children) do you have? Where do you live? What is your address? What is your date of birth? How old are you? Who is your next of kin? What is your telephone number? Why are you in hospital? Can you tell me why you are here today? When is your operation? Do you have any allergies to medication? Do you have any allergies to food? Do you take medication? Are you in pain*? Where is your pain? What is your past medical history? What is your past surgical history*?... r Extra Vocabulary maiden name nom de jeune fi lle past surgical history antécédents chirurgicaux to be in pain ressentir de la douleur 8 medical vocabulary Parts of the Body ear cheek jaw (mandible) mouth lips (upper and lower) neck shoulder armpit (axilla) throat upper arm elbow loin small of back forearm hand thumb fi nger back buttock (bottom) wrist thigh calf leg foot toe hair oreille joue mâchoire bouche lèvres (supérieure et inférieure) cou épaule aisselle la gorge le haut du bras coude les reins avant-bras main pouce doigt dos fesse poignet cuisse mollet jambe pied orteil cheveux Parts of the Body hairs forehead nose chin Adam s apple (laryngeal prominence) chest (thorax) nipple breast stomach, tummy, belly, abdomen navel, belly button (umbilicus) hip palm genitals groin (inguinal region) knee kneecap (patella) shin ankle sole heel eye eyelash eyebrow eyelid poils front nez menton pomme d Adam poitrine mamelon sein estomac nombril hanche paume organes génitaux l aine genou rotule tibia cheville plante du pied talon œil cil sourcil paupière abbreviations Abbreviations are common in hospitals. Here are some of the most frequently used. BP blood pressure tension artérielle P pulse pouls qds four times a day 4 fois par jour MI myocardial infarction crise cardiaque GTN glyceryl trinitrate Trinitrine SHO Senior House Offi cer Interne c/o complain of se plaindre de sl sublingual sous la langue O² oxygen oxygène ECG /EKG electrocardiogram électrocardiogramme ADL s activities of daily living activités journalières Pt patient patient(e) obs. observations constantes 9 DOB date of birth date de naissance PMH past medical history antécédents médicaux PSH past surgical history antécédents chirurgicaux The Observations = Les constantes The position of the pulses on the human body: The temporal pulse is on the forehead. The carotid pulse is on the neck. The brachial pulse is in the elbow. The radial pulse is at the wrist. The femoral pulse is in the groin. The popliteal pulse is behind the knee. The tibial pulse is on the ankle. The pedal pulse is on the foot. A nurse usually takes the radial pulse and assesses* it for rate, rhythm and strength. The normal pulse rate is approximately beats per minute (bpm). Tachycardia is a rapid resting pulse rate usually over 100 bpm and bradycardia is the name given to slow pulse rate usually below 60 bpm. A pulse can be bounding* or weak and thready*. It can be regular or irregular. Blood pressure readings* are different in France and in Anglo-Saxon countries. In France, they are measured in Kilopascals and in Anglo-Saxon countries they are measured in MmHg = millimeters of mercury. For example, in France a patient is told he has a blood pressure reading of 12. In an Anglo-Saxon country, this would be approximately 120. (Just add* a zero). Also a French doctor only says the top* measurement = systolic. In Anglo- Saxon countries, the doctor gives the patient the systolic and the diastolic (the lower number) so, a reading of 12/6 in France is read in English as 120 over 60. A patient is hypotensive (low blood pressure) or hypertensive (high blood pressure). It is measured with a Sphygmomanometer*. The temperature is measured with a thermometer. Temperature readings are recorded* in Centigrade or Fahrenheit. Temperature readings are measured orally (in the mouth), in the ear, in the axilla, on the forehead or rectally* and the reading varies* according to* the part of the body that is measured. A normal oral body temperature is 36.8 C or 98.2 F. The respiratory rate* (RR) is measured by placing* the hand on the chest* of the patient and counting the number of breaths* for 60 seconds. The respiratory rate varies from 12 to 20 breaths per minute. r Extra Vocabulary assesses (to assess) évaluer bounding bondissant thready fi lant blood pressure readings lectures de la tension artérielle add (to add) ajoute (ajouter) top supérieur / en haut syphgmomanometer appareil de tension (sphyg) artérielle infl atable cuff brassard de tensiomètre recorded (to record) enregistrer / tracer / mesurer rectally varies (to vary) according to respiratory rate placing (to place) chest breath(s) breathlessness to be breathless rectal varier selon, d après, en fonction de taux (fréquence) respiratoire en plaçant / placer thorax respiration(s) essouffl ement être essouffl é (à bout de souffl e) 10 grammar How to Make Questions Questions with the verb to be. To make questions with the verb to be, inverse the subject and the verb. Ex.: He is English. = Is he English? All the other verbs use the auxiliary DO, DOES, DID. Ex.: Do they take blood pressures in the morning? DOES he HAVE a temperature? Questions in the past use the auxiliary DID. Ex.: Did she work on Pasteur ward last year? All verbs, except the verb to be, use the formula: Auxiliary Subject Infinitive (ASI) which is easy to remember. Modal verbs follow the same rule. Ex.: May I drink after midnight? CAN he EXAMINE you now? exercise 2 Make questions from the following affirmative sentences. 1. Mr. Jordan was admitted to hospital last week....? 2. He was suffering from an RIH....? 3. He had a partner....? 4. He waited a year for his operation....? 5. The nurse took his BP....? 6. He shared a room with Mr. Phillips....? grammar QUESTION WORDS Which? = objet = que? Where? = lieu = où? Why? = raison = pourquoi? Who? = personne = qui? When? = temps = quand? What? = information ; opinion = quoi, quel? How? = manière = comment? How much? = quantité = combien? How many? = pluriel = combien? How long? = durée = combien de temps? How often? = fréquence = combien de fois? To make a question using a question word, use the following formula: QW.A.S.I. = Question word + auxiliary + subject + infinitive. 11 With the verb to be : the question word is immediately followed by the verb to be. Ex.: When does the doctor operate? QW.A.S.I. but Where is the nurse? Modal verbs can replace DO, DOES, DID. Read the following examples: To be Which is the best? Where is the ward? Why are the nurses tired? Who is the patient? When is my operation? What is your name? How are you? How much is it? How many are in the room? How long is the operation? Who can he ask? When may I eat? All other verbs Which do you like best? Where do you live? Why does she have a temperature? Who does he think he is? When does the doctor visit? What did you want? How do they know? How much do you charge? How many did you want? How long did it take? exercise 3 Make questions with the following affirmative sentences using the question word in brackets. 1. My appointment was at 10 o clock. (WHEN)...? 2. His operation is tomorrow. (WHEN)...? 3. He liked the room. (WHAT)...? 4. Janet was in the bathroom. (WHERE) The nurse asked questions. (WHAT)...? 6. The patient is tired because he didn t sleep. (WHY)...? 7. He waited a year. (HOW LONG)...? grammar Look carefully: When a question word = WHO, WHAT, WHICH, etc., replaces the subject of the sentence, DO NOT USE the auxiliaries DO / DOES / DID. Ex.: Nurse Waite takes the temperature. = Who takes the temperature? (subject) When a question word replaces the object of the question, use the auxiliaries. Ex.: Nurse Waite takes the temperature. = What does Nurse Waite take? (object) 12
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