Download 2 - Xtec

AF_SAN01_Sanitat. Atenció al pacient a l’hospital.
Unit 1
AF-SAN01-Anglès Tècnic
en Sanitat.
Patient attention at
hospital
1.-Arrival at hospital
2.-Characteristics of
the patient's room
3.-The diary TCAI
activities in hospital
UNIT 1
CONTINGUT:
Unit 1.-Arrival at hospital:
1.1.-Introduction
1.1.1.-Health and illness
1.1.2.-Parts of the body
1.1.3.-Functions of the body
1.2.-Hospitals
1.2.1.-Introduction to a hospital
1.3.-Patient admission
AF_SAN01_Sanitat. Atenció al pacient a l’hospital./ Unit 1
1
DAY
1
ACTIVITIES
INTRODUCTION:
1.1.1.-Health and illness:
1. Asking about health (15 min)
MATERIAL
2. Introducing medical words oneself orally and completing table
exercises (10 min.)
3. Learning words of different parts of the body to describe
patients’ problems and pains. Listening about parts of the body
(15 min.)

See patterns
and exercises.

List of words
about health,
sickness.

.
Videos
4. Writing and reading about parts of the body and anatomical
names. (20 min.)
2
1.1.2.-Parts of the body
1. Speaking. Review.(10 min.): :
In pairs, practice using these patterns:
“I’m having trouble with my …
“Do you get any pain in the/your Chest/stomach/back?



2. Learn the most important organs and human systems. (25 min)
Watching video and exercises to check
Human
body
maqueta.
Text
about
abdomen
Information
about functions
or the body.
3. Mark the main organs of the body that doctors use and place
them to a human system using a human body maketa. (10min.)
4. Text about examination of the abdomen with filling gaps. (15
min.)
3
1.1.3.-Functions of the body
1. Teacher’s introduction of functions of the body (15min.)
Table that matches function verb and noun
Naming and writing symptoms using medical knowledge.


Videos
Table written
2. Watching a video or other related so students can understand
human diseases (10 minutes)
Exercise to practice
3. Writing o oral questions: (10 min)
You think a patient may have diabetes. Think of five questions
you can ask the patient to investigate further. Try to use the
questions types presented in the classroom.)
4. Writing: Think of a disease and look for information: (15 minutes).
5. Speaking: (10 min.)
Stick the writing disease on the blackboard, students
comment on their disease
AF_SAN01_Sanitat. Atenció al pacient a l’hospital./ Unit 1
2
4
1.2.-Hospitals
1.2.1.-Introduction to a hospital
1. Introduction to a hospital: (10 minutes)
Listening



2. Reading comprehension exercises(25 minutes)
Hospital Web
Listening and
reading
exercises
Additional
information
3. Look up this hospital addresses and find out the list of all
treatments and specialities. (10 minutes)
4. Writing: (15 minutes)
How do patients can make appointments in a hospital?
How do hospitals in your country organize admissions? How
would you explain the procedure to a colleague from another
5
1.3.-Patient admission




2.-In pairs, look at those pictures and discuss the following questions 
(15 minutes)
1.-Read this information about health facilities from the web above
given and make a list of health care centres in your country (5 m.)
Text about
health facilities.
Dictionaries.
Listening
Additional forms
Fill-in-the-gaps
exercises.
3.-Listening to patients’ admission: (10 minutes)
4.-Role-play: In pairs, Prepare nurse-patient interviews(15 minutes)
5.-Reading about Cameron’s health secrets.(15 min.)
AF_SAN01_Sanitat. Atenció al pacient a l’hospital./ Unit 1
3
ACTIVITIES:
11.1.-Introduction:
1.1.1.-Health and illness:
1.-Asking about health (15 min)
Health is the state of the body:
Doctors say:
What is your general health like? Or how’s your health, generally?
Nouns you can use if you are in good health, you are not ill:
:

Healthy

Fit

In good health

Well, very well

Fit and well
Nouns you use if you are ill:

Unhealthy

Unfit

Unwell

Poorly

In poor health

Not very well, not well
Talking about sickness:
Sickness has a similar meaning to illness. Possible meanings:

To be ill

To feel unwell

To vomit

To feel the need to vomit

To be nauseous
Talking about recovery:
When patients return to normal health after illness, they have recovered.
Recovery has possible meanings:

To make a full, good or complete recovery

To get over an illness

To get better (to improve)

To remain in complete remission.
Exercises to practice these words:
1.-Complete the conversation using these patterns:
Doctor: How are you feeling today?
Patient:----------------------------------------Doctor: How long have you been feeling…………..?
Patient:------------------------------------------2.-Complete the table: The first one has been done for you:
HEALTH
ILLNESS
Fit
To be ill
AF_SAN01_Sanitat. Atenció al pacient a l’hospital./ Unit 1
4
2.-Introducing medical words oneself orally (10 min.)
 When patients speak about their problem they often refer to a part of the body:
parts of the body
 Using this anatomical view, complete this table:
ANATOMICAL TERM
COMMOM WORD
Abdomen
Axilla
Carpus
Cubitus
Mamma
Nates
patella
coxa
 Speaking: Using this pattern orally in pairs:
I’m having trouble with my hip/shoulder/knee
Do you get any pain in the chest/stomach/back?
3.-Parts of the body: Learning words of different parts of the body to describe
patients’ problems and pains. (15 min.)
parts of the body
4. - Writing and reading about parts of the body and anatomical names. (20 min.)
Writings about:
 What advice do you give people for keeping fit and well?
 Make a list of words that doctors normally use when talking to each other.
AF_SAN01_Sanitat. Atenció al pacient a l’hospital./ Unit 1
5
21.1.2.-Parts of the body
1.-Review: Speaking: (10 minutes)
In pairs, practise using these patterns:
“I’m having trouble with my ………………
“Do you get any pain in the/your Chest/stomach/back?
Student A: you are the doctor: Mr Soy;
Student B: you are the patient speaking about problems related to a part of the body
2.-Learn the most important organs and human systems: (25 min.)
Trunk or Abdomen
chest or thorax pelvis
upper limb lower limb
brain or head.
Look it up in this web:
human anatomy :healthy-lifestyle.most-effective-solution.com

Students can watch this video to learn more about the abdomen and can
continue watching some other videos to learn about the most important
organs:
abdomen
3.-Exercices: To check what they have learnt students can practice
Label the diagram using words from the box:
Diaphragm
lobes windpipe
bronchioles
airways
AF_SAN01_Sanitat. Atenció al pacient a l’hospital./ Unit 1
lung
6
4.-Mark the main organs of the body that doctors use and place them to a human
system using a human body maketa. (10min.)
5. - Text about the abdomen with filling gaps. (15 min.)
Fill the gaps with the words in this table:
Abdomen
diaphragm
rib
bony
pelvis
mammary
The Abdomen
The --------------is the largest cavity in the body. It is of an oval shape, the extremities of
the oval being directed upward and downward. The upper extremity is formed by the --------- which extends as a dome over the -------------, so that the cavity extends high into
the ------ thorax, reaching on the right side, in the ------------------- line, to the upper
border of the fifth--------; on the left side it falls below this level by about 2.5 cm. The
lower extremity is formed by the structures which clothe the inner surface of the--------------, principally the Levator ani and Coccygeus on either side. These muscles are
sometimes termed the diaphragm of the pelvis. The cavity is wider above than below,
and measures more in the vertical than in the transverse diameter. In order to facilitate
description, it is artificially divided into two parts: an upper and larger part, the --------------------proper; and a lower and smaller part, the -------. These two cavities are not
separated from each other, but the limit between them is marked by the superior
aperture of the lesser -------------.
The ----------------- proper differs from the other great cavities of the body in being
bounded for the most part by muscles and fasciæ, so that it can vary in capacity and
shape according to the condition of the viscera which it contains; but, in addition to this,
the ----------varies in form and extent with age and sex. In the adult male, with moderate
distension of the viscera, it is oval in shape, but at the same time flattened from before
backward. In the adult female, with a fully developed ----------, it is ovoid with the
narrower pole upward, and in young children it is also ovoid but with the narrower pole
downward.
AF_SAN01_Sanitat. Atenció al pacient a l’hospital./ Unit 1
7
31.1.3.-Functions of the body
1.-Teacher’s introduction of functions of the body: (10min.)
the five senses, functions of speaking, walking, breathing, urinations, defecations,
menstruation, sweat, shake, crying,…;
Students have to make notes and match these functions with organs
Table that matches function verb and noun:
Function
Verb
Noun
1.-Speaking
Speak
Speech
2.-walking
Walk
Gait
3.-breathing
Inhale/breathe in / take a breath in
Breath
respiration
Exhale/breathe out
4.-Urination
Urinate
Urine
micturition
Micturate
Pass urine/pass water
5.-defecation
Defecate
Faeces
Pass faeces/pass stools
stools
6.-menstruation
Menstruate
(menstrual)period
Have a period
(monthly) period
Then the students have to write or speak sentences like this:
When auscultating a patient’s lungs, the doctor tells the patient:
“Take a deep breath in, hold your breath, then breathe out completely”
symptoms
Naming and writing symptoms using medical knowledge. (5 min.)
The first is done for you:
Symptoms
Difficulties
Dysuria
Pain when you pass water
Dysphagia
Diplopia
Dysphasia
Dyspnoea
2. - Watching this video or other related so students can understand human diseases
For example: (10 minutes)
the cholecystitis
Exercise to practice:
 Match the conditions with organs affected, using the medical knowledge(5
minutes)
1.-Hepatitis
a.-Bladder
2.-pnumonia
b.-Gall bladder
3.-nephritis
c.-Heart
4.-gastric ulcer
d.-Kidney
5.-cystitis
e.-Liver
6.-angina pectoris
f.-Stomach
7.-cholecystitis
g.-Large bowel
8.-ulcerative colitis
h.-lung
AF_SAN01_Sanitat. Atenció al pacient a l’hospital./ Unit 1
8
3.-Writing or oral questions: (10 min)
You think a patient may have diabetes. Think of five questions you can ask the patient
to investigate further. Try to use the questions types presented in the classroom:
Do you have any
trouble
difficulty
problems
Pain
Do you
sweat
shake
walking?
breathing?
passing urine?
with your speech?
when you breathe in?
more than usual?
Diabetes information
This text from this web can also help students to know more about diabetes:
Diabetes is a disease in which your blood glucose, or sugar, levels are too high.
Glucose comes from the foods you eat. Insulin is a hormone that helps the glucose get
into your cells to give them energy. With type 1 diabetes, your body does not make
insulin. With type 2 diabetes, the more common type, your body does not make or use
insulin well. Without enough insulin, the glucose stays in your blood.
Over time, having too much glucose in your blood can cause serious problems. It can
damage your eyes, kidneys, and nerves. Diabetes can also cause heart disease,
stroke and even the need to remove a limb. Pregnant women can also get diabetes,
called gestational diabetes.
A blood test can show if you have diabetes. Exercise, weight control and sticking to
your meal plan can help control your diabetes. You should also monitor your glucose
level and take medicine if prescribed.
4.-Writing: (15 minutes)
Think of a disease and look for information:
Symptoms, parts of the body that affects, effects
Diseases information
5.-Speaking: (10min.)
 Stick the writing disease on the blackboard, students comment on their
disease
AF_SAN01_Sanitat. Atenció al pacient a l’hospital./ Unit 1
9
41.2.-Hospitals
1.2.1.-Introduction to a hospital
1.-Introduction to a hospital: (10 minutes)
Listening to words:
Hospital and health words
Now listen to the conversation: Seeing a doctor in an emergency
Hospital
And then read the text and look up for the words related to hospitals and health
problems (underlined):
A: I need a doctor's appointment right away!
B: Is this an emergency?
A: I am having trouble breathing.
B: Have you had a cold lately?
A: It has been going on for a few days now.
B: You should hang up and dial 911.
A: I don't think that this is that bad, but I need to see a doctor right away.
B: Is there someone who can drive you to our Urgent Care facility on Sunset Blvd.?
A: Yes, I can get a ride to Urgent Care.
B: Good. When you get there, a doctor will be able to see you right away.
2.-Reading comprehension exercises (25 minutes)
Read these three conversations and then answer questions:
A: The Royal Infirmary is the name of the university hospital for
Edinburgh University. It is a general hospital, dealing with all types of
patients and illnesses, except paediatrics. We have a specialist hospital
for that in another part of Edinburgh, the Hospital for Sick Children. You
can see some of the departments in our hospital on the sign. Of course,
there are many others, for example the Intensive Care Unit (ICU), and
the Surgical High Dependency Unit (HDU).
B: What does “outpatient” mean?
A: Outpatients are the people who come to hospital to attend a clinic or
to have tests or treatment and then return home on the same day.
Inpatients stay in the hospital for one or more days.
The rooms where they stay are called wards. If a patient’s treatment
requires only one day, such as a simple operation, they can be admitted
to the day surgery unit.
AF_SAN01_Sanitat. Atenció al pacient a l’hospital./ Unit 1
10
WELCOME TO THE ROYAL INFIRMARY
South entrance
Car parks C&D (visitors $staff)
The Simpson Centre
For Reproductive Health
1. -Gynecology (Emergency)
2. -Maternity (Emergency)
3. -Neonatology(Emergency)
Outpatient Departments
All Wards
Day Surgery Unit&Endoscopy
 X-ray Department
 Combined Assessment
OUTPATIENTS:
A: The Accident and Emergency Department (A&E), also called Casualty, is where
patients who are acutely ill- with a sudden, serious condition- come for assessment
and treatment. Outpatients who have an appointment to see a specialist go to a clinic
in one of the Outpatient Departments (OPDs). They have usually been referred to the
hospital by their GP, who writes a referral letter to the consultant explaining the
patient’s problem.
INPATIENTS
A: The inpatients in a hospital are admitted in one of three main ways. They may be
seen in one of the outpatient clinics and admitted from there or, if there is a lot of
demand for the treatment they need, as in the case of a hip replacement, they are put
on a waiting list for admission. Alternatively, their GP may arrange the admission by
telephone because they are acutely ill, for example with suspected myocardial
infarction. Or they are seen in the A&E Department, where the doctor on duty-working
at hat time- arranges the admission. This would happen in the case of a patient with a
fractured neck or femur, for example. Larger hospitals may have an assessment unit
where patients can be admitted temporarily while their condition is assessed.
B: Assessed?
A: Yes-decisions are made about their condition, and what needs to be done to help
them. After treatment is completed, the patient is discharged back to the GP’s care.

Exercises:
AF_SAN01_Sanitat. Atenció al pacient a l’hospital./ Unit 1
11
Which hospital departments would be the most appropriate for the following patients?
1. A woman in diabetic coma
2. A patient who has just had a radical prostatectomy
3. A patient who is to have a skin lesion removed
4. A man with a foreign body in his eye
5. A woman with a threatened abortion
Looking at the conversations above make word combinations using a word from each
box:
Acutely
unit
Assessment
letter
On
list
Referral
duty
Waiting
ill
Look up the words you don’t understand at the dictionary and make a list of them.
3.-Look up this hospital address and find out the list of all treatments and specialties.
(10 minutes)
Hospital
4.-Writing: (15 minutes)
How do patients can make appointments in a hospital?
Hospital
How do hospitals in your country organize admissions? How would you explain the
procedure to a colleague from another country?
Hospital
AF_SAN01_Sanitat. Atenció al pacient a l’hospital./ Unit 1
12
51.3.-Patient admission
Patient admission
1.-Read this information about health facilities from the web above given and make a
list of health care centres in your country:(5 minutes)
Health facilities are places that provide health care. They include hospitals, clinics,
outpatient care centers and specialized care centers, such as birthing centers and
psychiatric care centers.
When you choose a health facility, you might want to consider




How close it is
Whether your health insurance will pay for services there
Whether your health care provider can treat you there
The quality of the facility
Quality is important. Some facilities do a better job than others. One way to learn about
the quality of a facility is to look at report cards developed by state and consumer
groups.
2.-In pairs, look at those pictures and discuss the following questions :( 15 minutes)
1.
2.
3.
4.
What do you think the nurses in those pictures are doing?
What information do they need to collect in those situations?
Why might this information be important?
What strategies have you found useful when greeting a patient for the first time?
Now listen to this conversation between a doctor and a patient and answer the
following questions:
1.
2.
3.
4.
What does the patient want?
Which is the best day to the patient?
What seems to be the problem?
Does she have fever?
AF_SAN01_Sanitat. Atenció al pacient a l’hospital./ Unit 1
13
5. Listen again and put the following sentences in the correct order:
Fine, I am putting you down for 9:00 on that day. Would you like to see
Dr. Smith or Dr. Jones?
No, it just itches a lot.
What seems to be the problem?
I need to make an appointment to see the doctor.
I have a rash that I need a doctor to look at.
Do you have a fever with that rash?
I would like to see Dr. Jones.
I have openings on Tuesday or Wednesday. Which would be best for you?
I need an appointment on Tuesday.
I can schedule you with him with no problem. We look forward to seeing you.
Patient admission
3.-Listening to patients’ admission: (10 minuts)
Patient admission
In pairs, practise taking patient details. Student A, you are the patient and Student B
you are the doctor. Remember to use active listening strategies. Swap roles and
practice again.
4.-Role-play. In pairs, Prepare nurse-patient interviews(15 minutes)
Student A, your are the nurse; look at the Patient Admission Form and think about the
questions you will ask to complete it.
Student B, you are the patient; read the patient details below:
Full name
DOB
Reason for admission
Past medical history
Past surgical history
Medication
Allergies
Next of kin
Margaret Vilanova
16 May 1954Octu
Review of a venous ulcer
Insulin-dependent diabetes mellitus
HTA/IAM four months ago
Femoral-popliteal bypass four months ago
Insulin, half an aspirin and Symptron
Penicillin and codeine
Judy Angeloti
Swap roles using other patient details
AF_SAN01_Sanitat. Atenció al pacient a l’hospital./ Unit 1
14
St Jaume Hospital
(Patient identification Label)
PATIENT ADMISSION FORM:
Patient details
Full name
DOB
Reason for admission
Past medical history
Past surgical history
Medication
Allergies
Next of kin
5.-Reading about Cameron’s health secrets.(15 min.)
Patient admission
AF_SAN01_Sanitat. Atenció al pacient a l’hospital./ Unit 1
15