Perr srt ey Cee cr cad 6 | Medication — ° exianthe side effects of medication Seer eR ecto Pa Cee TCR Medication routes and forms ‘Speaking 1 Look at these notes and match the ‘five rights’ (1-5) to illustrations AE, 1 right patient 3. right medication 5 right route 2 right time 4 right dose 2 Work in small groups. Answer these questions, 1 Why is it important to remember the ‘five rights’ of medication? 2 Lookat illustration C in 1, What other routes do you know? Make a list. muscle Vocabulary 3 Match words 1-10 to illustrations A-J. 1 capsules 6 ointment 2 drops 7 spray 3. inhaler 8 suppository 4 Injection 9 syrup 5 drip 10 tablets: ‘:Wweinvavenous 4 tablet = pil Listening 5 Speaking 9 Work in pairs, Match the forms of medication in 3 to these routes, You can use some words more than once. 1 Ginto the) ear (into the) eye (into the) rectum 2 (on the) skin _ 3 (by) mouth, (under the) skin 4. (into the) muscle (under the) tongue 5 (into the) nose ___ 10 (into a) vein (ZEZH Listen to four nurses talking about medication and tick ¥ the medical problem for each patient. £ i 2 1 Katy: [Jheart problems [Jearinfection EJnausea []skin rash 2 Ted: CJheart problems [Jear infection FJnausea [skin rash 3. Mrs Fox: [Jheart problems [Jearinfection EJnausea [skin rash 4 Ale Dhheart problems FJear infection [nausea [skin rash Listen again and complete this table. Medication form ‘Work in pairs. Listen again. Are these sentences rue (T) or false (F)? Correct the false sentences. 1 Katy feels cold. (T/ F) 2. The nurse is going to administer Ted's medication. ('/ F) 3. Mrs Fox is confused about her medication. (T / F) 4. Student nurses can administer medication, (T/ F) Complete these explanations from the conversations in track 32 with the words in the box. Then listen again and check your answers, alotbetter gotobed lunchtime right three two water 25mg 22.00 1 Please take ____ tablets now. You can swallow them with 2. That's drops into his _ ear now, Mrs Mathews, and then again just before he goes to bed. 3. You take ___now with a glass of water. The second one at then again at around 7 p.m. And the last one when you 4 His next injection will be in the evening, at —___ 5- His skin rash is ___ isn’t it? Work in pairs. Look at the audio script for track 32 on pages 76-77 and practise the conversations.Dosages and frequency Vocabulary 1 What do the symbols in the box mean? Match them to terms 1-5 ee 1 minus/subtracted from 4 equal 2. plus/added to 5. divide(d) by — 3. multiplied by/times — Listening 2 [NZEEM Work in pairs. Listen to three conversations and complete these calculations, Then practise saying them to your partner. 1 60mg — 20mg 3 tablets 2 250ml 2 hours 125 ml per hour 3 28kg— 15m Vocabulary 3. Write these calucations in words. Then practise saying them aloud. 1100 mg +150 mg = 250 mg 2 3 4 Language Expressions of frequency ‘We can talk about frequency like this: Take these tablets once a day at 8.00. ake my iron tablets twice a day at 8.00 and 22.0. ‘Ho uses a suppository every second daylevery other day, on Monday, Wednesday and Friday. The nurse administers medication three times a day, at 8.00, 13.00 and 19.00. We give him a morphine injection every four hours, at 8.00, 12.00, 16.00, 20.00, et. 4 Match expressions 1-5 to patients a-e. 1 three times a day twice aday once a day — every four hours 3. every second day — a) Ms Ford 08.004 12004 16.007 20.007 00.00v b) MsSandhu 08,007 13,00¥ 22.007 ¢) Ms O'Riley 08.007 12.00 16.00 20.00 22.00 <) Ms Meleki 08.00 13.007 16.00 20.00 22.00 ©) Ms Andrews MonY Tues © Wed¥ Thurs Fri’ Reading 5 Read the wiki entry on page 47 and answer these questions 1 What was the language of medicine in Europe in ancient times? 2. When do medical professionals use Latin today? 3. Why did the Australian Commission on Safety and Quality in Healthcare produce new list of medical abbreviations?Vocabulary 6 Wiki-nurse Australia ‘Medical terms and abbreviations for prescriptions ‘After the fal ofthe Reman Empire in the ft ‘contury 10 Latin continued to be the language cf communication in Western Europe, and also ‘of medicine, Today the language of medicine is Englch but medical professionals sil use Latin abbreviations, especial to write prescriptions. For ‘example, po means ‘by Mout, pc means lore ‘meals, ac means after meals! and his means‘at ‘bedtime’ However, unless you have stucled medicine, sy 10 understand. It Is also dificult to read abbreviations when they handurition, and people often make mistakes. Al his ‘can cause serious patient saety issues. 12008 the Australian Commission on Safety and ‘Quality in Healthcare compiled a list of terms end ‘abbreviations that were clearer and easier o ead. Here are some ofthe abbreviations that regularly ‘cause problems: I eaning isan or. Use twice a day [hid three times a day) bd very day “aid (ourtimes a day) — | daly “ovary ctherday | qd (every day) or aid |every second day every six nours hc times a day ‘hry three times a cay bd 18 frequency (a-d). 1 4hrly 2 bd 3. daily 4 tds Writing 7 these meanings. 1 after meals 2. atbedtime. 3. before meals, 4° capsules a) once a day/every day ») every four hours ©) twice a day 4) three times a day Look at prescriptions 1-3 and find abbreviations or symbols that match. milligrams number tablets twice a day ‘Work in pairs, Match the terms and abbreviations (1-4) to the expressions of evr Cid pt Pt: Sally Taylor Zocor 10 mg gue po daily hs Dispense #90 GCH ) Dispense #90 GCH cont cael et Pes Rana cuthbert Diovan 40 mg (tabs) ees Sete 7a} inert Coe Hepa Pt: Masoud Khan Lbd x 7 daye Dispense #14 8 Read the prescriptions in 7 and write them out in words. 1 You need to give Sally Taylor ten milligrams of Zocor once a day by mouth, at bedtime for 90 days. 2. Diovan is for your blood pressure, Edna. for 3. For your cholesterol, your doctor has prescribed Fluvastatin, Mr Khan, You need to take Fluvastatin 20 mg (caps)Speaking Listening Language | May, might Side effects; assisting patients with medication 1) Workin pairs. Discuss these questions. Then compare your Ideas withthe rest of the class 1 What are side effects of medication? 2 Make alist of five common sde effects 2 MEZEIM Listen to Les, a nursing lecturer, talking about side effects to a group of student nurses and tick ¥ the side effects he mentions. Daizziness (skin rash Otremors Didiarmhoea (stomachache eonstipation (headaches Ci swelting Odrowsiness nausea Fivomiting Gloss of appetite 3 Put the words in 1-5 in the correct order to make sentences. Then listen again and check your answers. 1 some patients / suffer / as you know, / side effects / and others don’t 2. might feel nauseous / may suffer dizziness / some people / and others 3. even headaches / to have diarrhoea, it's also possible / vomiting, 4 may cause swelling at the injection site / for some patients / injecting drugs intravenously 5 Valium / drowsiness / patients who take / may experience ‘now or inthe future, We use mayimight + infintive to tak | You may feel some nausea. Itis possible but not 100 percent sure.) ‘about actions or events that are possible | He might suffer some sweling from the injection. It may take several months to heal up completely. We might carry out moro tests after we take off the bandages. 4. Use these prompts to write sentences with may o might Put the verbs in brackets inthe correct place, you / alittle dizy alter you take your medication (let) Some patients / abdominal pains or sweating (experience) your husband / some side effects but most patients don't sulle) you / some side effects to this drug (get) we'll monitor him as we / to reduce his dosage (need) ‘it / a few weeks for the wound to heal completely (take) Vocabulary 5 Look at the audio script for track 34 on page 77. Find words for side effects that match these definitions. Underline the words as you read. a te i _ a a Ae @ aniiness where | condition when the patient nolongerhaving shaking the patient where the feels sleepy adesire for food movements in frequently | patient cannot your body that passes solid pass solid waste ‘you cannot waste, often ina | from the body control liquid formSpeaking 6 Sometimes patients forget to take thelr medication. Workin pais, What techniques can they use to help them to remember? Discuss take the medication at the same tie of day Reading 7 Read this patient brochure and answer the questions. Snr Per Ask questions about your medicines. Your doctor, pharmacist and nurse can hhelp you learn about your medications and why they are important, 2 Check labels. Be sure you are taking the correct medication and have the correct dosage. 3 Avoid mistakes ~ don't take medication in the dark! 4 Tell your doctor if you take over-the-counter remedies such as vitamin tablets, herbal medicines and aspirin. These sometimes react with other medications 5 Report any new side effects.You may need to take a different dosage or your doctor may decide to try a different medication. 6 Always carry a list of your medications. This is helpful to a health team in an ‘emergency. 1 Why's it important to read the label of a medication? 2 Why is it important not to take medication in the dark? 3. Give two examples of over-the-counter medication, 4. Why is it important to tell the doctor about new side effects? 5 Why's it a good idea to carry alist of medications? Listening 8 [EZEEB Listen to a conversation between a nurse and Doris, a patient, and complete 1-6 in Doris’ medication record. Then compare your answers with Sey [Pees net anareimaonehedei_ERL ttm [omar [fom roe [SE Yaeaceee | Sas. Tamnify 6) Sn pelea DET ay Speaking 9 Student A, look at Doris’ medication record in 8, Student B, look at the information on page 71. Ask each other questions to complete the medication record, Why is Doris taking ..? What form of the medication is she taking?Communicating with relatives by phone Listening 1 Look at this list of things nurses say and do on the telephone, Which two are not recommended? Discuss, Say the name of the ward/department. Say your name. Offer to help. Correct the caller's English Ask the caller to repeat something Pat the caller on hole. Apologise if there Isa lot of noise in the background. Talk to another person at the same time. ooo0no0o000- oo0000000»* 2. FEZEGM Listen to two telephone conversations and tick 7 the actions in 1 for each nurse. Speaking 3 Workin small groups. Why is conversation 1 in 2a bad example of how to communicate with people on the phone? Why is conversation 2 a good ‘ample? Make two lists In conversation I, the nurse issressed In conversation 2, the nurse is polite. Language ‘We use will ~ infinitive to talk about the future, | (ust check he is awake. Will he be out of surgery at eleven? Yes, he will./No, he won't 4 Complete this conversation with will and the verbs in the box. arrive be check notcome take transfer walt Nurse: Caller: Nurse: Caller: Nurse: Caller: Patients’ Ward 2, Nurse Willard speaking. How may [help you? Yes, hello, 'd like to speak to my husband in room 255, please. | want to tell him that (1) — at the hospital very soon. But 1(@) ______ by car today. I (8) _____ the bus, so I (4) probably. late, Sorry about the noise here. Could you repeat the room number? Room 255. Room 255. No prablem.1 (8) jnst he's awake and then | (@ —__you. The medication we're giving him makes him a bit tired. Can I just put you on hold? Sure, 1)Listening 5. Speaking 6 7 Pronunciation 8 9 (ZEA Listen to the first part of a telephone conversation between a nurse and a patient's relative and answer these questions, Write the answer or choose the correct words in italics. 1 What is the name of the hospital? a or 2 Which ward does the man call? Emergency Room | Orthopaedics Ward 3. Why is the man’s sister in the hospital? She is giving birth. / She had an accident. 4) What is the patient's surname? West. Fen tie socoril pan loetnetamversationlin Gln the correct ordentinen listen and check your answers. Nurse: [_]Do you have something to write with? Caller: E) Thanks very much. | appreciate it. Bye. Nurse: [JIt's too early to tell. You'll need to speak to her doctor. Caller: E) Thanks, I'l be there as soon as I can, Caller: [2}Oh my goodness! Do you know if she's OK? Nurse: [-)Right. I'll inform your sister's doctor that you're coming, Caller: (J Yes, go ahead. Nurse: [I'm afraid { can't give you any more information. You'll need to speak to her doctor when she's out of surgery. Would you like to come and wait at the hospital? Caller: D)Are you sure? I really need to know if she's OK. Nurse: |Ah, I see now. Your sister arrived at the ER this morning. She's in surgery at the moment. Nurse: [t's 22 Kennedy Road. There's a visitors’ car park. Caller: []Yes, I think I'll do that. What's the address? Nurse: []Goodbye. Read the conversation in 6 and underline examples of will Read this information, Then draw the links between the words in the sentences. In English we often link words together when we are talking, consonant -+ vowel: Could } speak to ..? consonant > word beginning with /h:1'lltell her doctor, How can Ihelp you? How can_{ help you? 1 [sce you're worried about her 2 She's in surgery at the moment. 3. Tilhelp her when she's out of surgery. 4 will inform her doctor that you're here. ‘Work in pairs, Take turns to read the conversation in 6, Link the words as ‘you speak. Speaking 10 Work in pairs. Practise a conversation between a nurse and someone asking about a relative in hospital, Include all the recommended elements in 1. Then swap roles and repeat the activity.