English for nursing 1 CONTENTS No NAME OF THE LESSON PAGE INTRODUCTION 2 UNIT 1 STRESS 4 UNIT 2 DRUG INSTRUCTIONS 13 REVISION UNIT 1 & UNIT 2 21 UNIT 3 CANCER 24 STOP AND CHECK 1 32 UNIT 4 HEALTH PROBLEMS 38 UNIT 5 MEDICINES 46 UNIT 6 STAYING HEALTHY 53 STOP AND CHECK 2 62 GLOSSARY 66 REFERENCES 82 INTRODUCTION Contrary to popular belief, pharmacy is not limited to counting and dispensing pills. Pharmacy is a rewarding profession in the health care system that involves working closely with doctors and patients. No matter what health field you step into, there will always be a need for pharmacists. They provide their expertise on the composition, use, and manufacturing of a drug, as well as its physiological and chemical interactions. Pharmacy offers flexible work schedules, a broad spectrum of opportunities, direct patient contact, and top salaries right out of college! Pharmacists not only educate consumers on medication use, but also monitor their patient's health to ensure that the patient is getting the full benefits of the drug. Pharmacists also advise doctors and other health care professionals on making wise medication decisions. In fact, pharmacists are consistently ranked as one of the most trusted professions for the services they render. Due to the rapid growth of the health care system, the increasing elderly population, and the burgeoning pharmaceutical and biotech industry, there is unprecedented demand for pharmacists today. Although most of us are familiar with our neighborhood retail pharmacy chains such as Walgreens, Long's, or RiteAid, many are unaware of the other exciting opportunities in the pharmacy field such as: • Hospital Pharmacy - Staff Pharmacist, Clinical Pharmacist, Pharmacy Adminstrator • Pharmacy Consultant - Home Health Care, Long-Term Care Facilities, Internet Consultant • Pharmaceutical Industry - Research and Development, Manufacturing, Pharmacogenomics • Government Agencies - Hospice and Home Care, Public Health Services, FDA inspector • College and Universities - Professor/Lecturer • Medical and Scientific Publishing - Editor-in-Chief, Science Writer • Nuclear Pharmacy - Chemotherapy pharmacist • Law - Retail Pharmacy/Pharmaceutical Company Attorney As you can see, the pharmacy profession is not as dull or limited as most think. It is this latitude that makes pharmacy so appealing; when you're bored with one field, you can enter a different aspect of pharmacy with ease! In fact, most pharmacy students go on to earn an MBA degree, a RPH degree, and even a JD to become a pharmacy attorney! For more information on what you can do with a Pharm.D. degree, check out this site at Pfizer. The degree you receive from pharmacy school is a doctors degree (Pharm.D.), which requires four years of schooling like other professional schools. However, the pharmacy program can be a 2+4 year program! You can apply to pharmacy school as soon as you finish all the prerequisities, meaning that you do not need a college degree to enter. In addition to wide variety of pharmacy professions you can choose from, there are some other perks in pharmacy. Due to the high demand for pharmacists, the starting salary for a retail pharmacist is $86,000 a year, with benefits! For those of you who are concerned about raising a family, the pharmacy profession is quite flexible with time. Most pharmacy professions allow the pharmacist to set their own schedules and vacation dates, giving them time to spend with their family and friends. Thus, pharmacy is more than just counting pills. Its an important and trustworthy occupation that reaches into almost all aspects of medicine and healthcare. From direct patient care and guidance to the 2 forefront of pharmaceutical research, pharmacy caters to many fields. Most importantly, the pharmacist's role in society is to promote the well-being of their patients. UNIT 1: STRESS SECTION 1: READING COMPREHENSION Maria is a single mother who often feels stressed. She is a computer programmer with a thirteen-year-old son. At work, she sits in front of a computer for most of the day. While sitting at work, her lower back often hurts and her eyes get tired from looking at the computer for long periods. During her lunch break, she enjoys taking a walk with a couple of friends. She enjoys the fresh air and talking with her friends. For lunch, she usually eats something light like a salad and fruit. At work, she drinks water instead of coffee or soda. She worries about her son since she cannot be there when he arrives home from school. She also worries about not having enough money to pay the bills. Maria suffers from migraine headaches. When this happens, she feels severe pain on both sides of her head, loses her appetite, feels nauseous, and sometimes even vomits. She can feel this way of three or four days. Maria has high blood pressure. High blood pressure is when the heart works harder to pump blood through the arteries. Maria watches her weight and takes medicine for this disease. She realizes she must be concerned about her high blood pressure otherwise, she could have a heart attack, stroke, or suffer from kidney disorders. Maria realizes that she needs to manage her stress. Therefore, she walks with her friends during the week. On weekends, she often goes riding with her son. She knows she needs to eat a sensible diet to maintain the energy needed to cope with her stress. She sets her priorities to avoid unnecessary time pressures. In the evenings, she does stretching exercises. Then she relaxes in a warm bath before going to bed. Maria tries to get eight hours of sleep a night. Questions and Answers: Use the story on Stress to answer the following questions: 1. What does Maria drink at work? ……………………………………………………………………………… 2. Name two reasons why Maria feels stressed. ……………………………………………………………………………… 3. How does Maria feel when she has a migraine headache? ……………………………………………………………………………… 4. What is high blood pressure? ……………………………………………………………………………… 5. List three health problems that high blood pressure can cause ……………………………………………………………………………… 6. List three things that Maria does to manage her stress ……………………………………………………………………………… 7. What are couple of things you do to manage your stress? ……………………………………………………………………………… SECTION 2: GRAMMAR: Review: + Demonstrative adjectives. + Possessive adjectives. + Present simple tense. SECTION 3: SPEAKING A. Work in pairs: Discuss what we should do and shouldn’t do to avoid stress in everyday life: Things we should do Things we shouldn’t do 3 B. Polite requests: Positive: Verb, please! Will/Would + S + V 0 , please? Would you mind + V-ing, please? Ex: Command: Come in Polite request: Come in, please! Will you come in, please? Would you come in, please? Would you mind standing up, please? Negative: Don’t + V 0 Ex: Don’t sit down! Patients in hospital are usually anxious and fearful. It is important that staff put them at their ease, by being polite and pleasant. The following drills teach you polite forms in English. Drill : Change these commands to polite requests. Be careful to make your voice rise and fall correctly: Command: Sit down/Turn over/Bend down/Turn round/Lie down. Move your head/Lift your leg/Put out your tongue Arch your back/ Bend your knees/Wriggle your fingers Take your shirt off /Keep your mouth open/Keep your eyes shut C. Our bodies give us signs to show us that we are sick. These signs are called symptoms. Here are some common symptoms Class discussion: I have got I get + a/an + noun I can’t + verb I feel + adjective Ex: I get chest pains after running. I’ve got a sore throat. I feel nauseous. I can’t breathe properly. Practice: How can you say when you get sick? allergy backache sneeze red eyes cough dizzy sore throat runny nose earache flu stiff neck diarrhea headache indigestion stomachache toothache laryngitis nauseous cold fever SECTION 4: PRACTICE I/ Choose “my, your, his, her, its, our, or their” to complete the sentences: 1. Ann has three children. ………….children like to read books. 2. I have a sister. ………….sister is younger than I am. 3. The children have new toys. ………… toys are nearby. 4. You have five fish………….fish is pretty. 5. We have a dog………… dog is big. 6. Dick has five cousins…………….cousins live in Mexico. 7. Tell Miss Smith to raise……………right arm. 8. I have had a new blouse. ……… color is white. 9. I have a new telephone. number is (055) 677078. 4 10. You have long hair is pretty. II/ Choose am, is, are to complete the sentences: 1. Susan…………….infected with the virus. 2. There…………… no cure for AIDS. 3. A hospice………….a special home. 4. There………….several doctors in the clinic. 5. I…………….very tired. 6. Mary and Brown………………… dentists. 7. My brother ……………………walking to the store. 8. They …………….eating a healthy snack. 9. My parents……… riding their bicycles. 10. Henry and I …………….going to the movies. III/ Complete the sentences using one of the words in the parentheses: 1. (That/ Those)……………………………… children are happy. 2. (This/ These) …………………………………fence is tall. 3. (This/ These)……………………………………gate is locked. 4. (That/ Those)…………………………………… boy runs fast. 5. (This/ These)……………………………………accidents need to stop! IV/ A. Sylvia has a cold. What symptoms could she have? Tick them 1. She has got a sore throat  2. She has got a toothache  3. She has got a runny nose  4. She’s got a cough  5. She feels nauseous  6. She has got a rash  B. Peter’s doctor says he has food poisoning. What could his symptoms be? Tick them 1. He has got a sore throat  2. He feels nauseous  3. He has diarrhea  4. He cannot breathe properly  5. He has itchy skin  6. He has a pain in his stomach  C. Match the names of the diseases with their symptoms: 1. A fever a. You have a pain in your head. 2. Stomachache b. You sneeze frequently, have a sore throat and cough. 3. Nausea c. The body temperature is higher than normal. 4. Toothache . You feel like vomiting. 5. A cold e. You have a pain in or near your stomach. 6. Headache f. You have a pain in your teeth or one tooth. V/ Write the plural form for each noun: 1.baby 11.child 2.tomato 12.man 3.dish 13.woman 4.box 14.tooth 5.knife 15.foot 6.body 16. mouse 7.key 17.goose 8.radio 18. fish 9.match 19. sheep 5 10. hobby 20. deer VI/ Put the verbs in brackets into the simple present tense: 1. She (not/work) in the X – ray department. 2. He usually (study) hard. 3. you (finish) at 12 o’clock? 4. Miss Thanh always (help) the other nurses. 5. The bus (stop) outside the main gate. 6. Your eyes (hurt) ? 7. Your head (hurt) ? 8. I (want) to attend lectures. 9. she (study) hard? 10. The late shift (not/finish) at 10 p.m. VII/ Write sentences with the following frequency adverbs: Always 1……………………………………………………………… Usually 2……………………………………………………………… Often 3……………………………………………………………… Sometimes 4.……………………………………………………………… Seldom 5……………………………………………………………… Rarely 6.…………………………………………………………… Never 7……………………………………………………………… VIII/ Use each verb once to fill in the blank: cries pushes kisses teaches worries pays eats studies drinks watches 1. Maria………………………………………………… a lot of water. 2. Susan………………………………………………………… the bills. 3. Jose……………………………………. his children about fire safety. 4. Jim……………………………about his mother who is in the hospital. 5. She………………………………her math everyday. 6. The baby……………………………… when he is hungry. 7. Silvia …………………………………………fruit for a snack. 8. Armando……………………………………his weight. 9. Marta ………………………… her grandmother in the wheelchair. 10. Jack…………………………his children before they go to school. IX/ Choose have, has, do, does, go or goes to complete the sentences: 1. Mark…………………………………….high blood pressure. 2. Nancy………………………………… to work at eight o’clock. 3. Tom…………………………………… his homework in the evening. 4. She…………………………………… to the grocery store on Mondays. 5. Jay and Kim……………………………their exercises in the morning. 6. Luis and I…………………………to high school. 7. I……………a pain in my chest. X/ Choose at, in or on to complete the sentences: 1. I was born…………….1948. 6 2. I live ………….Quang Trung street. 3 ……………… Wednesday I go to the dentist. 4. She was born……………August 7, 1952. 5. The baby sleeps……………night. 6. My class begins………….9.30 a.m. 7. We live ……… 21 Hung Vuong street. 8. They live ………….Quang Ngai city. XI/ Put in the correct word from this list: off, to, back, in, on, down, by, up, round, from, with, in, to, of: 1. Ask the patient to come……………… and sit……………… 2. Ask the patient to stand……………….and turn…………… 3. Will you lie……………… on the couch, please? 4. Would you roll………………your sleeve? 5. Ask Mr. Smith to take……………… his coat. 6. Bend…………… and touch your toes, please? 7. Take………………… your trousers, please? 8. Will you put………….your clothes, please? 9. Come………… next week, please. 10. She was taken…………….hospital. 11. He suffered…………………bad headaches. 12. I have a pain……….my back. 13. What’s wrong……………you? 14. He died……………….cancer. XII/ Choose a, an, some to complete the sentences: 1. Here are……………… oranges. 2. They left…………….hour ago. 3 ………………….of her friends have high blood pressure. 4. During her lunch break she takes………… walk with her friends. 5. There are……………children still at school. 7 UNIT 2: DRUG INSTRUCTIONS SECTION 1: READING COMPREHENSION Read the passage about Jane and answer the questions: Jane works as a nurse in a surgical ward in a London hospital. She does shift work, so she does not go to work at the same time every day. But now she is a student nurse at Saint Peter’s Hospital. She is still training. She is learning to nurse patients suffering from diseases such as cardiac infraction, cerebral hemorrhage, cerebral thrombosis and pneumonia. Now, she is helping a staff nurse to give injections. The staff nurse is explaining to her the doses, action and side effects of the drugs they are administering. The other nurses in the ward are carrying out various nursing duties. Some are doing bed- baths, one is helping a patient to get out of bed, and another is taking a patient’s temperature. A doctor is doing a ward round and a physiotherapist is helping a pneumonia-patient to do deep- breathing exercises. Questions: 1. What does Jane do? 2. Where does she work? 3. Does she go to work at the same time every day? 4. Where is she training? 5. Whom is she learning to nurse? 6. What is she doing at the moment? 7. What are the other nurses doing? 8. Is there a doctor in the ward? 9. What is a pneumonia-patient doing? SECTION 2: GRAMMAR: Review: + Genitive cases. + The present continuous tense. A. Find examples of the present simple and present continuous tenses in the passage. B. Which tense describes: . something that happens regularly or every day? . something that is happening now or at the moment? C. Can you make -ING forms of verbs? Column A Column B THI ITING WA TTING CLE ATING TAL NKING SI ANING E SHING CO KING WA OKING 8 DRY ING SIN GING D. Choose the correct form: 1. I go/ am going to work now. Goodbye! 2. I read/ am reading a book about astrology. 3. I read/ am reading many books every year. 4. We go/ are going to a party every Saturday. 5. Nurses look/ are looking after people in hospital. 6. Annie comes/ is coming from Ireland. 7. She comes/ is coming for dinner this evening. 8. I speak/ am speaking four languages. 9. Do you want / Are you wanting to go out tonight? 10. It often rains/ is raining a lot in winter. E. Complete this conversation with the sentences given below: Yes, he is. He loves it  No, I’m not. I am living in Honolulu now  Yes, we are. We really love San Francisco  Yes, I do. I like it a lot.  No, they aren’t. They’re living in New York these days.  Chris: Are you still living in San Francisco, Philip? Philip: (1)…………………………………………………………………… Chris: Wow! Do you like it? Philip: (2)……………………………………………………………………… Chris: And is your brother still working in Hong Kong? Philip: (3)…………………………………………………………………… Chris: And how about your parents? Are they still living in Florida? Philip: (4)………………………………………………………………… How about you and your family, Chris? Are you still living here? Chris: (5)………………………………………………………………… SECTION 3: SPEAKING: 1. Number the instructions in order from 1 to 5: A. Follow the instructions. B. Check that you’re taking the right dosage. C. Take three times daily. D. Keep out of reach of children. E. Remember to shake the bottle first. 2. Read the leaflet on taking medicine and circle the instruction words: IMPORTANT THINGS TO REMEMBER WHEN TAKING MEDICINE Medicine improves the lives of thousands of Australians every day, but they can be harmful if not used as intended. To avoid this, talk to your doctor and pharmacist about your health and about your medicine will work. A. Make sure you understand how to take your medicine. B. Ask your doctor or pharmacist about possible – effects. C. Check, whether there are any precautions, you should take when using medicine, such as not drinking alcohol. D. Tell your doctor or pharmacist about any problems you have had with taking the medicine, and any adverse effects it has caused. SECTION 4: PRACTICE: I/ Write the correct possessive word in the blank: 9 Article Possessor +‘s Thing possessed The doctor’s room The thing possessed may be omitted if it refers to a house, shop, church,… Ex: I am going to the doctor’s 1. (Sue’s, Mark’s )…………………………dress is in the suitcase. 2. My (mother’s, father’s)………………name is Bill. 3. The students have books. The (student’s, students’)……books are new. 4. (Silvia’s, Alan’s)………….stroke left her paralyzed on one side. 5. My friend has an apartment. My (friend’s, friends’) apartment is big. 6. My ( parent’s, parents’) ………… name are Maria and Tim. II/ Make changes to produce correct sentences in Present Continuous: 1. She / write / letter / her / friend / now …………………………………………………………………………… 2. We / find / key / open / the / door. ……………………………………………………………………………… 3. What / they/ do / my / garden? ………………………………………………………………………………. 4. Please / keep silent / president / talk. ………………………………………………………………………………… 5. The boys / play / football / stadium …………………………………………………………………………… 6. My mother / cook / dinner / while / father / cut / grass. ………………………………………………………………………………… 7. John / wait / for / bus / go / to / school ………………………………………………………………………………… 8. You / talk / about / my sister? ………………………………………………………………………………… 9. The children / sleep / well / upstairs. ………………………………………………………………………………… 10. They / prepare / for / the party. ………………………………………………………………………………… III/ Put the verb in the brackets into Simple Present or Present Continuous: 1. Mr. Green always (go) to work by bus. ……………………………………………………………………… 2. It (not/ rain) in the dry season. ………………………………………………………………………… 3. They (have) lunch in the cafeteria now. ………………………………………………………………………. 4. My little sister (drink) milk every day. …………………………………………………………………………. 5. The doctor sometimes (return) home late. …………………………………………………………………………. 6. He (write) a long novel at present? ……………………………………………………………………………. 7. Look! The bus (come) ………………………………………………………………………………… 8. The earth (move) around the sun. …………………………………………………………………………………. 9. I (feel) hungry now. …………………………………………………………………………………. 10. They often (thank) me for what I do for them. 10 [...]... brain hair face upper body throat teeth jaw forehead eyes lips chin scalp Inside the head is the (1)……………, which is responsible for thinking The top of a person’s (2)………………is covered with (3)…………… Beneath the hairline at the front of the (4) …………….is the (5)………… Underneath the forehead are the (6)…………… .for seeing, the (7)………… for smelling, and the (8) ………… for eating On the outside of the mouth 19 are... go somewhere for a change F You should take some tranquilizers 2/ Rewrite the sentences by using another way to give advice: 1 For a bad cough, don’t smoke ………………………………………………………………………………… 2 For a toothache, see the dentist ………………………………………………………………………………… 3 For a burn, don’t put ice on it ………………………………………………………………………………… 4 For a cough, take some cough drops ………………………………………………………………………………… 5 For a fever,... (T) or False (F): Purity Mouthwash Diotum Directions for use For stomachache Put a teaspoonful of Purity Mouthwash into a Take the tablets every 4 hours They can cure small cup and wash out your mouth for one your stomachache in a few hours minute twice daily This mouthwash is Adults: two tablets each time especially useful for a sore throat or for a bad Children from 6 to 12 years old: one tablet... fever, don’t get out of bed ………………………………………………………………………………… 6 For stress, go to bed ………………………………………………………………………………… 7 For a sore throat, don’t talk too much ………………………………………………………………………………… 8 For a pain in your arm, use a heating pad ………………………………………………………………………………… 9 For insomnia, don’t drink coffee at night ………………………………………………………………………………… 10 For a sunburn, use some lotion …………………………………………………………………………………... becoming one of the most popular places for a short break I went to Henley Manor for a weekend It’s the largest health farm in the country but it isn’t the most expensive After two days of exercise and massage I felt ten times better But the best thing for me was the food It was all very healthy, of course, but it was excellent, too! WINTER BREAKS If you are looking for something a bit cheaper, try a winter... Kay: What is (convenient) … ………time for you to use the club? Member: The (good)……… time for me is about 5.15 after work Unfortunately a lot of other people come here after work, too so it’s (busy)……… time That’s why I think we need (large)……….changing rooms Kay: Thank you very much 3/ Complete the sentence with an opposite adjective in its comparative or superlative form: Example: Robert is the oldest... will need to be removed before the cancer spreads to other parts of her body Kathy knows she is at high risk for breast cancer since her mother died of it Kathy watches her weight, eats a low fat diet, and exercises She does a monthly breast self – examination and knows that most lumps found in the breast are not cancerous but women need to see their physicians to find out for sure Cancer is caused... clusters, or malignant tumors, can proceed to invade bodily tissue and cause damage to the body’s organs In many cases, the eventual outcome is death 2/Read the directions carefully before use Consult the physician for more information This drug is only used with the physician’s prescription 17 STOP AND CHECK 1 A/ VOCABULARY: 1/ Exercise on Body Parts – Whole Body: Can you name the parts of the human body?... please Could I have something for a cough? Pharmacist: Well, I suggest a box of these cough drops And you should get a bottle of vitamin C, too Customer: Thank you And what do you have for dry skin? Pharmacist: Try some of this new lotion It’s very good Customer: Ok Thanks a lot 2 - B: Customer: Excuse me Pharmacist: Yes? How can I help you? Customer: Um, What do you suggest for a backache? Pharmacist:... Customer: Thanks again Pharmacist: You’re welcome In which conversation is it: The customer requests something for a backache The customer requests something for a cough The pharmacist suggests a bottle of vitamin C The pharmacist suggests some aspirins and a heating pad The customer asks for something to treat dry skin The pharmacist suggests a new kind of lotion 3 Find examples of requests and suggestions . (4) …………….is the (5)………… Underneath the forehead are the (6)…………… .for seeing, the (7)………… for smelling, and the (8) ………… for eating. On the outside of the mouth. pharmacy. Due to the high demand for pharmacists, the starting salary for a retail pharmacist is $86,000 a year, with benefits! For those of you who are concerned