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Week 10 Session 2 L17
Less referents like pronouns
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?
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.
(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
But don't submit it!
Prepare a script
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
Body:
Conclusion:
Get familiar with the content of your script
Rehearse before having the speech recorded
Check the pronunciation especially words you are not familiar with or sure.
can consult online dictionaries but make sure they are good ones.
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
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
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.
Observe the structure of your speech
The problem lies with Mitch.
Section 1: In-text citation
Surname + and
the Hong Kong Council on Smoking and Health (COSH)
No date: (n.d.) so
(b)
4.
'Ivy' is not a surname
So (a) & (c) not correct. How about (b) & (d)
The page number is missing in (d)
(b)
Patient's summary:
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
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?
Do you think the patient is able to understand what is happening?
This is the description in the textbook.
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.
medical terminology
1. Avoid _________________________ where possible and define them in ______________.
simple ways
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.
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.
One last rule: when talking about recovery
Use of modality to show different degrees of certainty.
P.19
Modality
Probably
Likely
Must,
Definitely
Have to
Could
May
Perhaps
Doesn't seem
A possibility
Definitely not
Must not
Exclude
Rule out
1. Use simple terms
2. conditional sentences for causes and
effects
3. Present tense for general truth
4. Modality for the degree of certainty
What would Mr Kevin Hall want to know about his health condition?
Try to identify the answers to these questions in the conversation between Rebecca and Mr Hall.
how the normal human body works
what is happening to Kevin
diagnosis
causes
Symptoms e.g. numbness, etc
treatment
The following parts thus have to be included.
Prognosis = an estimate of the future of someone or something especially whether a patient will recover from an illness or not
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.
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.
The following are the verbs we use to describe information related to diagnosis
causes
signs & symptoms
diagnosis & treament
prognosis
1. Use simple terms
2. conditional sentences for causes and
effects
3. Present tense for general truth
4. Modality for the degree of certainty
What is diagnosis description for?
Technical terms are still used e.g.
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
Points to pay attention to when preparing diagnosis description
To prepare the diagnosis description for Mr Robert Scott, please refer to
Try to sort out the information according to 'what is it', 'causes', etc
Nursing intervention can include:
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).
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.
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.
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
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.
Another example:
It is believed that chocolate contains flavonoids that can reduce the risk of coronary artery disease.
Simplicity and clarity
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 ...
S = Specific
M = Measurable
A = Achievable
R = Result-oriented
T = Time-bound
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
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
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
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
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
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
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
Result-oriented: should provide good results for the patients
Time-bound: should set realistic deadlines for completion of suggestions if applicable.
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.
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
Preparation for nursing interventions:
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.