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ENGL E101F

Week 10 Session 2 L17

Preparing your speech

Preparing a speech

Helping your listeners

Strategies to help the listeners

  • Clarity and organization
  • Signpost or provide markers
  • More repetition and less referents

Less referents

Strategies to help listeners

Less referents like pronouns

  • If too many pronouns have been used, listeners will feel confused

Strategies to help listeners

presenting old days in a slightly different way making them seem new and original

Task 1: Look at the example:

John and Sam were sitting in the kitchen. John really wanted to talk about what he'd done in the last ten years, but he seemed more interested in rehashing the days of their childhood. He was saddened by the fact that he couldn't share all of the successes of the past decade with him - but alas, Sam didn't seem to care.

Can you identify what each 'he' and the 'him' refer to?

Strategies to help listeners

John and Sam were sitting in the kitchen. John really wanted to talk about what he (1)'d done in the last ten years, but he (2) seemed more interested in rehashing the days of their childhood. He (3) was saddened by the fact that he (4) couldn't share all of the successes of the past decade with him (5) - but alas, Sam didn't seem to care.

Strategies to help listeners

(1) John

(2) Sam

John and Sam were sitting in the kitchen. John really wanted to talk about what he (1)'d done in the last ten years, but he (2) seemed more interested in rehashing the days of their childhood. He (3) was saddened by the fact that he (4) couldn't share all of the successes of the past decade with him (5) - but alas, Sam didn't seem to care.

(3) John

(4) John

(5) Sam

Steps to prepare your speech

Steps to prepare your speech

  • Planning your speech
  • Writing your speech
  • Practising your speech
  • Recording your speech
  • Submitting your speech

Planning your speech

  • Think about what you are going to include in your speech
  • How you are going to organise the information
  • How you are going to make it easy for your listeners to follow e.g
  • Provide an outline
  • Open & close each section with a clear transition

Writing your speech

But don't submit it!

Prepare a script

  • Make use of the information you have collected
  • from the two videos
  • from your research
  • Be selective as you only have 4 to 5 minutes
  • relevant materials, interesting materials

Writing your speech

Organisation: Introduction, body and conclusion

Introduction:

Have a proper opening e.g. Good morning/ Good afternoon, I am so and so. I am going to talk about ... and the title of my speech is ...

Address the audience + Introduce yourself + purpose of the speech + outline of sections

Writing your speech

Body:

  • Naming of the two streets: background & anecdotes
  • Your views regarding naming streets maybe in Hong Kong or maybe in other places / all over the world

Conclusion:

  • conclusion + a Proper closing e.g. That's all. Thank you very much./ Thank you very much for listening./ Thank you.

Practising your speech

Get familiar with the content of your script

Rehearse before having the speech recorded

  • time your speech
  • use cue cards instead of the script during the rehearsal

Check the pronunciation especially words you are not familiar with or sure.

can consult online dictionaries but make sure they are good ones.

Recording your speech

Have the speech recorded in a quiet environment.

Do not read from the script. Use cue cards.

Sound really like making a speech.

After recording, listen to it at least once and check

Recording your speech

i.e. whether you speak clearly, have you enunciated the words clearly e.g. bet/ bent

Clarity

Speed

Volume

neither too fast nor too slow; don't talk non-stop; insert tiny pauses

at least audible

If you are not satisfied, you can

  • have it recorded again
  • edit it with skills

Submitting your speech

Submit it via submission at OLE.

Save your speech with mp3 or mp4 formats.

Name your speech with your student number.

Make sure that you have completed all the steps.

Marking Criteria

Final reminder

Observe the structure of your speech

  • introduction + body + conclusion
  • With proper opening and closing
  • Guide your listeners by providing
  • an outline of sections
  • signposting language
  • more repetition and less referents

Citation and Referencing

Citation and Referencing

In-text citation practice

Unit 5 Activity 7

The problem lies with Mitch.

Section 1: In-text citation

Surname + and

Unit 5 Activity 7

the Hong Kong Council on Smoking and Health (COSH)

No date: (n.d.) so

(b)

Unit 5 Activity 7 P.83

4.

Unit 5 Activity 7 P.84

'Ivy' is not a surname

So (a) & (c) not correct. How about (b) & (d)

The page number is missing in (d)

(b)

Patient Case Report

Patient's summary:

  • Patient's background
  • Symptoms

Diagnosis description

Patient Case Report

Language Use in describing diagnosis

Diagnosis Description

Patients usually worry about their illness and want to know what has happened. Nurses then need to explain the diagnosis to them.

Therefore, we need to pay attention to the language used.

P. 16, 17, 18 & 19

Diagnosis Description

From the doctor's examination and the MRI result, Mr Hall was diagnosed to have a prolapsed intervertebral disc on lumbar spine.

prolapsed: moved down from its normal position

What is a prolapsed intervertebral disc on lumbar spine?

Diagnosis: Language rules

Do you think the patient is able to understand what is happening?

This is the description in the textbook.

Diagnosis Description

Now listen to the conversation between Rebecca (the nurse) and Mr Kevin Hall. Complete the script to find out what happened to Mr Hall.

Also, how Rebecca explained it to him.

Diagnosis Description

Diagnosis Description

Diagnosis Description

Diagnosis: Language rules

medical terminology

1. Avoid _________________________ where possible and define them in ______________.

simple ways

Diagnosis: Language rules

effects

causes

conditional

2. Explanations often involve describing ________ and ________. Use _____________ sentences to link the two parts.

If we straighten our knee, the nerve goes taut and it becomes painful again.

Diagnosis: Language rules

present

3. Both cause and effect are in _______ tense because we are describing something which __________________.

is generally true

The disc is a little pad of gristle which lies between the bones in your spine.

Diagnosis: Language rules

One last rule: when talking about recovery

Use of modality to show different degrees of certainty.

Diagnosis: Language rules

P.19

Modality

Probably

Likely

Must,

Definitely

Have to

Could

May

Perhaps

Doesn't seem

A possibility

Definitely not

Must not

Exclude

Rule out

Diagnosis Description: Language rules

1. Use simple terms

2. conditional sentences for causes and

effects

3. Present tense for general truth

4. Modality for the degree of certainty

Diagnosis Description

Diagnosis Description

What would Mr Kevin Hall want to know about his health condition?

Diagnosis Description

Try to identify the answers to these questions in the conversation between Rebecca and Mr Hall.

Diagnosis Description

how the normal human body works

what is happening to Kevin

diagnosis

causes

Symptoms e.g. numbness, etc

treatment

Diagnosis Description

The following parts thus have to be included.

  • Nature of the disease (What is it)
  • Causes
  • Signs & symptoms
  • Diagnosis
  • Treatment
  • Prognosis

Prognosis = an estimate of the future of someone or something especially whether a patient will recover from an illness or not

Diagnosis Description: P.19

Herniated Intervertebral Disc (HIVD) is a common cause of combined back pain and sciatica usually occurs between bones in the spine. It is usually caused by part of the gelatinous nucleus pulposus protruding through a rent in the annulus fibrosus at its weakest part, the posterior-lateral area. And it is more likely to occur when people carry heavy loads in the wrong way for a long time. Intervetebral disc is characterized by sciatic pain and severe canal stenosis, as well as numbness, weakness or pain in the legs. Diagnosis is made based on the MRI scan and the examination by Dr Walters in PWH. Mr. Kevin Hall, with the confirmation of interverebral disc, is treated with a maximum of 24 hours' bed rest and with strong painkillers. Some physiotherapy will also be given that can effectively resolve his leg and back pain. Intervertebral disc can usually be treated after physiotherapy treatments. If not, Mr. Hall will be considered for a further operation.

Diagnosis Description

Diagnosis Description

Diagnosis Description

Diagnosis Description

Verb phrases commonly used in diagnosis description (passive voice)

Herniated Intervertebral Disc (HIVD) is a common cause of combined back pain and sciatica usually occurs between bones in the spine. It is usually caused by part of the gelatinous nucleus pulposus protruding through a rent in the annulus fibrosus at its weakest part, the posterior-lateral area. And it is more likely to occur when people carry heavy loads in the wrong way for a long time. Intervetebral disc is characterized by sciatic pain and severe canal stenosis, as well as numbness, weakness or pain in the legs. Diagnosis is made based on the MRI scan and the examination by Dr Walters in PWH. Mr. Kevin Hall, with the confirmation of interverebral disc, is treated with a maximum of 24 hours' bed rest and with strong painkillers. Some physiotherapy will also be given that can effectively resolve his leg and back pain. Intervertebral disc can usually be treated after physiotherapy treatments. If not, Mr. Hall will be considered for a further operation.

Diagnosis Description

The following are the verbs we use to describe information related to diagnosis

causes

signs & symptoms

  • cause of / caused by
  • likely to
  • characterized by
  • based on
  • treated with
  • effectively resolve
  • considered for

diagnosis & treament

prognosis

Diagnosis Description

1. Use simple terms

2. conditional sentences for causes and

effects

3. Present tense for general truth

4. Modality for the degree of certainty

Diagnosis Description

What is diagnosis description for?

  • For co-workers to exchange information
  • Report medical incidents via AIRS (Advanced Incidents Reporting System
  • For case representation

Technical terms are still used e.g.

Diagnosis Description

Herniated Intervertebral Disc (HIVD) is a common cause of combined back pain and sciatica usually occurs between bones in the spine. It is usually caused by part of the gelatinous nucleus pulposus protruding through a rent in the annulus fibrosus at its weakest part, the posterior-lateral area. And it is more likely to occur when people carry heavy loads in the wrong way for a long time. Intervetebral disc is characterized by sciatic pain and severe canal stenosis, as well as numbness, weakness or pain in the legs. Diagnosis is made based on the MRI scan and the examination by Dr Walters in PWH. Mr. Kevin Hall, with the confirmation of interverebral disc, is treated with a maximum of 24 hours' bed rest and with strong painkillers. Some physiotherapy will also be given that can effectively resolve his leg and back pain. Intervertebral disc can usually be treated after physiotherapy treatments. If not, Mr. Hall will be considered for a further operation.

When talking about the nature of the disease e.g. its nature, causes, and signs and symptoms

Diagnosis Description

Points to pay attention to when preparing diagnosis description

  • When providing general information for 'What is it', 'Causes', 'Signs & symptoms',
  • more technical terms will be used.
  • When describing 'Diagnosis', ' Treatment' & 'Prognosis',
  • focus on the patient's case and
  • more general terms will be used.

Diagnosis Description

To prepare the diagnosis description for Mr Robert Scott, please refer to

  • Data File 1 (P.24 & 25): fact sheet on pneumonia
  • Data File 2 (P.26): Conversation between Dr Chapman and the nurse

Try to sort out the information according to 'what is it', 'causes', etc

Nursing Interventions

Nursing Inerventions

What is it?

Nursing Interventions and Recommendations

  • To identify a health problem and perform intervention for the patients.

  • To provide recommendations/suggestions to promote the health and comfort of the patient.

Nursing Interventions and Recommendations

Nursing intervention can include:

  • counseling
  • recommendations/ suggestions
  • referrals

Language

Passive Voice

Passive Voice

Task 4.1 (P. 20, 21)

1. Dr Rowlings referred the patients for further tests.

The patients were referred (by Dr Rowlings) for further tests (by Dr Rowlings).

Passive Voice

2. We have removed the stitches on his last visit.

The stitches have been removed on his last visit.

3. Dr Marshall will examine the patient.

The patient will be examined.

Passive Voice

4. We ran a routine test.

A routine test was run.

5. Stroke patients usually require extensive postoperative care

Extensive postoperative care is usually required by stroke patients.

Passive Voice

Verb pattern

Active: referred

Passive: was/were referred

Tense & the verb form

Present: is/am/are + past participle

Past: was/were + past participle

Perfect: has/have/had + been + past participle

With modal verbs: can/could/will/would/may/might be + past participle

Modality

Use of modality

Passive Voice is often used with modality to make recommendations and suggestions.

Example:

It is recommended that children with the problem of allergy should be kept far away from pets as fur is one of the common allergens.

Use of modality

Another example:

It is believed that chocolate contains flavonoids that can reduce the risk of coronary artery disease.

Rules

Rules

Rules

Rules

Simplicity and clarity

  • reader friendly
  • facts and details
  • support with sound reason(s)
  • avoid generalizing terms e.g. 'basically', 'actually' or 'overall', etc

Rules

Use words like

'recommend', 'propose', 'suggest', 'believe', etc

Example:

It is recommended that ...

It is proposed that ...

It is suggested that ...

It is believed that ...

SMART

SMART

S = Specific

M = Measurable

A = Achievable

R = Result-oriented

T = Time-bound

SMART: Task 4.2 (P.21)

How?

Example:

The patient should take care of himself.

Appropriate treatment should be given to encourage bowel movements.

Any problems?

Appropriate treatment: vague

What kind of treatment is appropriate?

Too general, not specific enough

SMART

The patient should try to do more exercise and eat more vegetables.

Laxative should be given to encourage bowel movements.

Laxative (n): a medicine or agent for relieving constipation

S = Specific

SMART

How much is 'too much'?

Example:

The patient should not eat too much sugar.

The patient should avoid taking more than 10 grams of sugar (5 cubes of sugar) every day.

M = measurable

SMART

All patients? Are you sure?

Tamiflu should be given to all patients who are having flu.

Tamiflu should be given to all patients who are confirmed as having H5N1.

A = achievable

SMART

Asking the chronic patients to leave does not help

We should ask the chronic patients to leave hospital if there is no more treatment for them.

We can transfer the chronic patients to other rehabilitation centres if there is no more treatment for them in hospital.

R = result-oriented

SMART

For the rest of the patient's life? Until when?

Milk should not be given to the patient.

Milk should not be given to the patient until three hours after he has finished the prescribed medicines.

T = Time-bound

SMART

Specific: suggest something that can be implemented

Measurable: will be more persuasive

Achievable: should be doable; not involve too little time, or too much money, labour, facilities or risk

SMART

Result-oriented: should provide good results for the patients

Time-bound: should set realistic deadlines for completion of suggestions if applicable.

Points to remember

Points to remember

Recommendations should be based on the illness(es) the patient has recovered from.

Purpose: to prevent the illness(es) from recurring.

Recommendations should include details and reasons.

Points to remember

It would be better that suggestions are from different scopes e.g. food, exercise, actions to avoid, etc

Justification and supporting details are always necessary.

Always bear in mind: SMART

Points to remember

Preparation for nursing interventions:

  • Read the guidelines on prevention of pneumonia (P.25) and 5 Tips for Beating Depression (P.27).
  • Select relevant advice for Mr Scott.
  • Generally begin with measures to prevent reinfection of the illness.
  • Then suggest ways to enhance health.

Points to remember

You can begin the interventions with

Mr Scott has recovered from pneumonia. To prevent him from having reinfected it, the following recommendations are provided.

After discharging from hospital, Mr Scott is recommended to ...

Don't forget to provide the reason for each suggestion.

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