10 Unit2 Scrub up Work with a partner. Look at these pieces of equipment. Do you know, or can you guess,what they arefor? EXAMPLE A I think this one isfor measuring a patient's heart rate. B Or maybe it'sfor monitoring brain activity. f "' r, • • Vocabulary Hospital departments 1 Which of the departments shown opposite 1 dispenses medicines? _e_ 2 treats kidney diseases? d__ 3 specializes in pregnancy andbirth? k 4 studies illnesses and analyses samples? a 5 treats diseases of the skin? _i_ 6 performs operations on patients} _l_ 7 designs special exercises for patients? c 8 studiesblood disorders? j 9 treatsbones? f 10 specializes in the heart? b 11 dealswith sickchildren? h 12 treats disorders of the nervous system? g 2 Match each department to one of the pieces of equipment in Scrub up. Tl 80 Unitll 11 Hygiene Scrub up Test your knowledge ofhygiene by doing this quiz. 6 Where do 8 How long should you staphylococcus bacteria wash your hands in hot live? water to be sure they 1 What is MRSA? a a virus b a bacterium c an antibiotic 4 In an operating theatre, which of these things breaks hygiene rules? a wearing your rnask over your nose b wearing your hair loose c wearing make-up 2 How do you catch MRSA? a by eating frorn dirty plates b from poor hospital hygiene c by drinking bad water 5 Which of these things is most important in stopping the spread of MRSA? 3 Which of these things has nothing to do with bacteria? a hospital staff should wash their hands between patients b cleaners should disinfect door handles c visitors should wear a wine making b yoghurt c the common cold d bad smells Nightingale, founder of modern nursing, worked in a hospital during the Crimean war (1854--1856), the death rate dropped from 60% to 2.2%. Why? a She made nurses wash their hands b She gave her patients fruit and vegetables to eat c The ventilation was improved f\ � Hygiene equipment 1 Match each of these items ofhyg1ene equipment to a picture. 1 7 When Florence masks Vocabulary � \ 1: - �1... bucket __ detergent __ �. doth __ disposable gloves __ � mop __ paper towels __ sinl< __ soap dispenser __ bin __ areclean? a fifteen seconds b h�lf :i minut<'> c one minute a in noses b in soil c. in toilM� dinical waste disposal bag __ r r ' � Biological traurd If 7 L!.J � L I_Q_l Unit 11 82 Hungarian lgnaz Semmelwels {1818-65), A survey was done in 2004 to find the cleanest country In the world. can you guess wh1ch countryit was? • Language spot Talking about obligation 1 Match these examples with the rules. a Sorry, I have to go. J'm on duty in ten minutes. b You mustn't forget to put gloves on. c We need to clean thefloors more often. d You don't have to wash Mrs Shah's face. Shecan do it herself. e Two beds need changing. f All visitors must wash their hands. must We use must in rules, and to say when things are necessary. We must follow procedures more carefully NOTE: It can sound very strong to say You must ... haveto We use have to to talk about things that other people oblige us to do. 2 mustn't • We use mustn 't to say it is necessary that you do N OT do something. 3 don 't have to ł We use don 't have to to say something is not necessary. 4 NOTE: Use must + verb NOT fflU5tt=eI verłl the father of hand hygiene, died from an infection that spread from a s mall cut on his finger. 2 Complete the sentences with need to, must, need(s). don't have to, mustn't, has to. Use the verbs below. use cutting cut order complete change emptying � 1 You'll need to mo12- the floor- there's been a spillage. 2 You _ _ _ _ _ __ gloves after contact with each patient. 3 Thebins -they're all full 4 You Mr Mills's nails -I've just done them. your mobile phone s You inside the building. 6 The Ward Sister ahygiene report every month. 7 My hair -1 can't keep it all under my hat. 8 I some more paper towels - they've nearly all gone. Speaking Student A. working in pairs with another Student A. go to p.110. Student B, working in pairs with another Student B, go to p.114. Writing Notice Work in pairs. Following the hygiene inspection, the Ward Sister has asked you to make a notice reminding nurses about good hygiene practice. Write a list of rules and instructions for the nurses. needto We use need to to say it is necessary to do something HVGIENE REMINDER! 5 » need+ing 1 You must report all spillages immediately. , We use need + ing to say what jobs it is necessary to do 6 Go to Grammarreference p.121 2 All visitors should ... 86 Unit 12 12 Mental health nursing Scrub up 1 Which of these people do you thi nk may have a mental illness? Discuss each one with your partner. 2 With your partner, try to explain what 'mentally ill' means. Finish this sentence in your own words. A person is mentally iii ifhe I she ... { Stephen Gough has walked naked across Britain. 'Nakedness is natural.' he says every time he is arrested By the time Salma Perrin goes to bed, she will have washed her hands over a hundred times. She says, 'I know they're dean, but I can't stop myself.' David Leary is seventeen. He sleeps all day, and at night he sits in his room playing his guitar. He says, 'Life sucksl' Barbara Scott believes she is i n danger, and never leaves her house. She talks to the people on the television and says, 'They're my real friends.' Andy Park has celebrated Christmas every day for the last twelve years. He lives alone and says, 'Every day I give presents to myself'. Every time Diego Ferri gets into a car, he becomes a monster. 'Other drivers are mad,' he says. Mental health nursing 89 common than cancer, diabetes. heart disease, or arthritis. One person in tluee suffers some sort of mental illness at some time in their lives. Reading 1 Read this article about schizophrenia and decide if these sentences are true (T) or false (F). I There are 1.5 million sufferers of schizophrenia. 2 A psychotic episode is a symptom of schizophrenia. 3 People with schizophrenia are usually not violent and dangerous. 4 Suicide is not connected with schizophrenia. 5 We understand what causes schizophrenia. 2 Join these word combinations without looking at the text, then look at the text to check your answers. Choose some of the combinations to learn. I changes 2 facial 3 the onset of 4 think 5 commit 6 reduce the 7 havebad 8 lead a 9 recover 10 long-term a relatively normal life b completely C side effects d suicide e expressions f treatment g the i llness h in behaviour logically symptoms 108 Unit 15 Bodybits Mind and bodytherapies Read the descriptions of altemative treatments and complete them using the words below. scalp scent mental habits beneficial hair herbs wrinkles pressme fmgers operation contact concentrate properties adjustments pressme practitioner postme Aromatherapy The mind and body are influenced by the _____ i of aromatic plants and oils. People are invigorated or cal med by the treatment. hel ping them either to sleep or lo ____ 2 better. Ayurvedic medicine The tongue Is 'read'. and problems with rlifferent organs of the body are identified. Unes and ____ 3 on the face are also used in the dlagnosis. Biofeedback Electrodes are placed on the ____ 4 Perspiration, temperature,and blood ____ s are monitored, and the information is fed back to patients, who learn how to control their own body .--:::!Io.:.. functions. Hypnotherapy Hypnosis is used to change the subconscious mind. Behaviour and ____ 9 are changed through hypnotherapy. resulting in better ____ ,o and physical health. Indian head massage The _____ n is squeezed, rubbed,tapped,and prodded. The _____ 12 is then combed. Pressure points are worked on, and the ears are gently pulled and pressed. Chlropractice ____ u are made to the spine.Through massage and stretching,the _ ___14 of the joints and muscles is normalized,and pain relleved. Sunsoup A soup made of a mixture of ____ is and vegetables with anticancer ____ 1b is given to patients with cancer. Reflexology Points on the feet ( reflex zones) are stimulated, which has a ____ 6 effect on other parts of the body. Alexander technique Light hand ____ 7 is made by the'teacher', and harmful tension removed by lmproving ____ 8. 'Students' are shown how to change ways of thinking and using their bodies. Shiatsu Clients remain fully clothed while ____ 17is applied to certain parts of the body by the ____ 18 uslng thumbs, pa lms.and fingers. Alternative treatments 109 Checklist Assess your progress in this unit. Tick (v') the statements which are true. I can describe alternative treatments I can give reasons in different ways I can understand an article about zoopharmocognosy Speaking I can express an opinion for or aga inst something Keywords Adjedlves holistic medicinal sceptical 1 You are going to debate whether conventional medicine or homeopathy is better for a particular patient. First, prepare your ideas in groups. Copy the table below and note down your ideas. Group A You are in favour of conventional medicine, and against homeopathy. Group B You are in favour ofhomeopathy, and against conventional medicine. Group A GroupB infavour of against conventional homeopathy medicine infavourof homeopathy Arethe practitioners qualified? Howdoes itwork? Aretreatments tested? - 2 A patient has a number of problems. Her symptoms include diarrhoea, pains in the joints, and loss of hair. Should she see a doctor or a homeopath? Each student from group A now talks with a partner from group B. Discuss the patient, and try to persuade the other person about your point of view. against conventional medicine Nouns consultation conventional medicine eczema fee healer herbalist practitioner root sore superstition supplement worms Look back through this unit. Find five more words or expressions that you think are useful.