Unit2 Beg Lesson3

ESL Health Unit ESL Health Unit
Unit Two Unit Two

The Hospital The Hospital
Lesson Three Lesson Three
Taking Charge While You Are in the Taking Charge While You Are in the
Hospital Hospital

Reading and Writing Practice Reading and Writing Practice
Advanced Beginning Advanced Beginning

Goals for this lesson:
Below are some of the goals of this lesson. Which ones are your
goals too? Check () them.
Learn new vocabulary for talking about medical situations.
Practice reading closely for the main ideas and details of a
story.
Lesson Three: Taking Charge While You Are in the Hospital
Reading and Writing Practice
Before You Read!
In this lesson, you will read Franks descrition of his tri to the hosital.
Before you !egin, look at the ictures !elow and write a story with your
artner. "ell what haened to Frank. #se the $uestions !elow to hel you.
(All pictures taken from www.clipsahoy.com)
%uestions to hel you with your story&
1. What happened to the man?
2. What did he do after this?
3. ow did he feel?
!. Where did he go the ne"t day?
#. Who did he meet there?
$. What happened ne"t?
%. What did he ask the doctor?
&'L ealth (nit)*dvanced +eginning, (nit -wo. -he ospital 2
/. What did the doctor say to him?
0. What did the doctor give him?
11.ow did the man feel?
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Reading Three A Confusing Trip to the Hospital
Frank talks a!out feeling confused a!out her 'isit to the local hosital&
-wo months ago, 3 tripped on a cord and fell down in my apartment.
3 hurt my left side and my head. 3 could walk but 3 ached a little. *t night, 3
lay on my left side and the walls and the ceiling began to spin. 3t was
terrible. 3 turned on my back and the feeling disappeared. +ut it happened
again later. -his time, it was worse. When 3 turned, the feeling went away.
3 waited until morning. -hen 3 got out of bed slowly. 4othing
happened. 3 called my doctor5s emergency service. 'he said, 67o to the
hospital.8 *fter that, my son took me to 9ounty ospital. 3 was the only
patient in the hospital. 3t was 'unday. -he nurse took me to a small room.
*nd 3 lay there 3 hours. -he nurse took my blood pressure constantly all 3
hours. -hey measured my heart too. -hey took me to another room and did
something to my head. +ut they didn5t tell me anything. 3 didn5t understand.
:inally, the doctor came and shook my hand. e told me his name.
e said, 6&verything is okay.8 3 asked him, 6What is wrong with me?8 e
said, 63t5s in your ear.8 -he nurse gave me 2 pills. 'he said, 63n 11 minutes,
go on your left side.8 *nd 3 was afraid. +ut nothing happened. -hey gave
me a prescription. 4ow, 3 am feeling very good.
&'L ealth (nit)*dvanced +eginning, (nit -wo. -he ospital !
Activity One:
(ead the sentences and write " if the statement is true and F if the statement
is false.
222221. :rank fell down the stairs.
222222. e hurt her left side.
222223. e ached a little.
22222!. e lay down on her right side and the room began to spin.
22222#. -his happened five times.
22222$. e called her doctor5s office.
22222%. e called an ambulance.
22222/. e was the only patient in the emergency room.
222220. -he nurse checked her blood pressure.
2222211. -hey checked her heart and head.
2222211. -he doctor said it was her heart.
2222212. -he nurse gave her two pills and she was fine.
&'L ealth (nit)*dvanced +eginning, (nit -wo. -he ospital #
Activity Two:
)ow discuss the $uestions !elow with your classmates and teacher.
1. What was wrong with :rank5s health?
2. What did the doctor tell him? Was the doctor clear?
3. What ;uestions should :rank ask about his health?
&'L ealth (nit)*dvanced +eginning, (nit -wo. -he ospital $
Activity Three:
What are the main ideas in this story? *ractice telling Franks story again
in your words with your artner.
&'L ealth (nit)*dvanced +eginning, (nit -wo. -he ospital %
Unit Two Unit Two
Taking Charge While You Are in the Taking Charge While You Are in the
Hospital Hospital
Listening and Speaking Practice Listening and Speaking Practice

&'L ealth (nit)*dvanced +eginning, (nit -wo. -he ospital /
Below are some of the goals of this lesson. Which ones are your goals too? Check
() them.
Practice asking for information and e"pressing your opinion politely in
healthcare situations.
(nderstand cultural differences between how patients and healthcare
professionals communicate in the (nited 'tates and other countries..
'tudy should < verb, have to < verb, need to < verb, and could < verb
Practice listening to and understanding numbers.
Lesson Three ! Taking Charge While You Are in the Hospital
Listening and Speaking Practice
Before You Listen!
+iscuss these $uestions with your classmates and teacher.
1. ow do you feel when you talk to your doctor or nurse in the
hospital?
2. =o you understand what they say?
3. =o you understand the tests they do?
!. =o you understand the medicine they give you?
#. =o you understand what is wrong with you?
(ead this with your classmates and your teacher !efore you listen. +iscuss
any words you dont know with your teacher.
Good Co""uni#ation in the Hospital
>ou should be able to communicate ?communicate means talk to and
understand@ with your doctor or nurse in the hospital. >ou should
understand everything that is happening to you. >ou should understand all
tests done, medications, and advice your doctor gives you.
*ractice these e,ressions to hel you communicate with your doctor or
nurse.
$%pressions
Stating a Preference
3 would like to get a second opinion.
3 would like to speak to my doctor.
3 would like my son to come with me.
3 would like to know what is wrong with me.
35m sorry, but 35m not comfortable with that.
Asking for Information
9ould you e"plain this to me? 3 don5t understand this procedure.
35m sorry, but 3 don5t understand what that is.
9ould 3 talk to the doctor? 3 need to know about this medication.
Listening Three A Co""uni#ating &u##essfull' in the Hospital
Nurse: Brs. *lvareC, you can come with me.
rs! Alvare": Dkay.
"he nurse takes -rs. .l'are/ into a room.
Nurse: 4ow, Brs. *lvareC, could you put on this hospital gown? 35ll be
back in a minute.
rs! Alvare": 'ure.
"he nurse comes !ack and checks her !lood ressure, takes her ulse.
Nurse: Brs. *lvareC, do you have any allergies? *re you
allergic to any medicines?
rs! Alvare": 4o, 35m not allergic to anything.
Nurse: Dkay. 7ood. >our blood pressure is good.
rs! Alvare": Dkay.
Nurse: -he doctor will be with you in a few minutes.
rs! Alvare": -hank you.
#octor: i Brs. *lvareC. ow are you today?
rs! Alvare": Well, 3 fell down the stairs and now 3 feel achy. By head
hurts a little.
#octor: D.E. We5re going to do a test on your head now.
rs! Alvare": What kind of test is it? What will happen to me?
#octor: -he test is called a 9*- 'can.
rs! Alvare": 35m sorry, but 3 don5t understand what that is.
#octor: 3t is a test to see if you have any head inFuries.
rs! Alvare": Why do 3 need this test?
#octor: >ou need this test because you fell down the stairs and you hit
your head. 3t5s the only way we can see if there5s a problem.
rs! Alvare": Dkay. 3 understand. 9ould you tell me what will happen to
me? What is this test?
#octor: >ou will lie down and we will put your head under something
that looks like a donut.
rs! Alvare": Will it hurt me?
#octor: 4o, it won5t hurt and you won5t feel anything. 3t5s very simple.
3t is a test we do to find out if there are any inFuries to your
head or any other problems.
rs! Alvare": Dkay. 3 understand. +ut 3 would like my daughter to come
with me.
#octor: 35m sorryG she can5t come in with you. +ut she can wait in the
waiting room.
-rs. .l'are/ is now in the C." 0can room.
Technician:4ow Brs. *lvareC, hold your breath. Dkay now let your breath
go.
(Picture above is taken from www.hhp.umd.edu/.../ gusto/othertesting.html)
&'L ealth (nit)*dvanced +eginning, (nit -wo. -he ospital 1!
Activity One:
"alk a!out these $uestions with your artner.
1. Why did Brs. *lvareC go to the hospital?
2. What did the nurse do?
3. What did the doctor say?
!. What ;uestions did Brs. *lvareC ask?
#. ow did the doctor e"plain the 9*- 'can?
$. =id Brs. *lvareC understand everything in the end?
Activity Two:
)ow ractice reading the dialogue out loud with your artner.
&'L ealth (nit)*dvanced +eginning, (nit -wo. -he ospital 1#
Activity Three:
(ead the following situations. Work with a artner. Write what you can say
to the healthcare rofessional.
1. >ou are having severe chest pain. >ou call 0H1H1 and an ambulance
comes. >ou want to go to a specific hospital. What can you say to the
emergency medical technician ?this is the erson who takes you to the
hosital@?
&'L ealth (nit)*dvanced +eginning, (nit -wo. -he ospital 1$
2. >ou want to know which hospital your doctor says you should go to
for your condition. What can you say to your doctor?
3. >ou look at the hospital identification nametag on your wrist it is not
your name. 3t has another name on it. What can you say?
!. >ou are in the emergency room. -he doctor is e"amining you and
something really hurts. What can you say to the doctor?
#. -he nurse gave you an 3I drip ?remem!er we learned this in 1esson
2?@. >our arm is very swollen and it looks black and blue. What can
you say to the nurse?
&'L ealth (nit)*dvanced +eginning, (nit -wo. -he ospital 1%
$. >ou5ve had a bad reaction to a medication ?this means ro!lems
!ecause of your medication@. >ou want to change the medication or
the dosage ?this means the amount of medication you take@. What can
you say to the nurse or doctor?
&'L ealth (nit)*dvanced +eginning, (nit -wo. -he ospital 1/
Activity One:
$
&'L ealth (nit)*dvanced +eginning, (nit -wo. -he ospital
Culture Bo%: Cultural (deas and Health#are
=ifferent cultures have different ideas about contact between health care
professionals and patients. ere are some e"amples. Jead them and discuss
any words you don5t know with your teacher.

Patients should know everything about their condition, even if it is bad.
* health care professional is allowed to touch a patient5s body during
e"amination.
* patient should look a doctor or nurse in the eye as they speak. 3t is ok
to look away sometimes.
-he patient makes the final decision ?this means choice@ about medical
treatment. 3f the patient is too sick, family members and doctors can
help.
-he patient5s family members can stay in the hospital only during
visiting hours! Bost patient care is provided by health care
professionals, not family members.
10
With your classmates or teacher, talk a!out the culture !o,. .re these ideas
the same in your country?
Activity Two:
%
)ow read the story !elow a!out -inh, whose hus!and has different cultural
!eliefs a!out a doctor touching his !ody.
By husband was in the hospital for about 2 hours. e was feeling very
diCCy and had bad headaches. :inally, we made an appointment with his
doctor. is doctor was worried. e sent us to a specialist for tests. *
neurologist& e"amined my husband and he touched his head. 3n my culture,
it is very bad to touch a person5s head. By husband was very upset. e left
the hospital. By husband doesn5t want to go back to the doctor.
K neurologist A * doctor who treats the brain and nervous system.
1
&'L ealth (nit)*dvanced +eginning, (nit -wo. -he ospital, Lesson -hree. -aking 9harge While >ou
*re in the ospital, Listening and 'peaking Practice
2
Activity Three:
'

In your grou or air, answer the following $uestions
1. What cultural ideas did the doctor not know?
2. What is kind of physical contact between patient and doctor is okay in
your country?
3. as a doctor or health care professional ever done anything to upset
you?
!. What should Binh do?
3
Before You Listen!
4
3ow do you say and write the following num!ers? Fill in the chart with the
correct information and discuss your answers with your classmates and
teacher.
4umber ow do you say it?
111
1,111
11,111
111,111
1,111,111
131
1, 231
13,131
131,313
1, 213,!33
$L
!.#L
1)!
!
1)3
1)2
10$0 ?the year@
10%$ ?the year@
10// ?the year@
1002 ?the year@
2112 ?the year@
)o#a*ular'
"alk with your teachers and classmates a!out these 'oca!ulary words
!efore you listen.
1. interpreter. someone who speaks &nglish and your language
2. diagnosis. what the doctors says is your medical problem
3. treatment. how the doctor helps you with your medical
problem
!. demand. to command, ask for something strongly
#
Listening +our ! Language ,ro*le"s and Health Care
-

*bout 32 million people in the (nited 'tates speak a language other than
&nglish at home. 11L of patients need interpreter services. =uring the
10/1s, 0.# million people came to *merica from over 111 countries. Bany
health care providers have not given professional interpreter services to their
nonH&nglish speaking patients. Patient care suffers because of this. People
have to ask their children to interpret for them. 'ometimes, nonH&nglish
speaking patients wait a long time because there are no interpreters for them.
9ommunication problems cause problems in diagnosis and treatment.
(.'. health care providers should give interpreting services to nonH&nglishH
speaking patients. 4onH&nglish speaking patients should demand ?this
means to ask for strongly@ interpreting services when they need them.
Adapted from http://wwwdiversit!r"org
$
&'L ealth (nit)*dvanced +eginning, (nit -wo. -he ospital 2#
Activity One:
(

1isten the first time for the main idea.
1. What is the main idea of this listening?
Activity Two:
)
1isten again and fill in the !lanks with the missing num!ers and words.
1. *bout 222222222222 people in the (nited 'tates speak a language
other than &nglish at home.
2. =uring the 222222222, 0.# million people came to *merica from over
222222 countries.
3. 4onH&nglish speaking patients should 2222222222222 interpreting
services when they 222222222222 them.
%
/
&'L ealth (nit)*dvanced +eginning, (nit -wo. -he ospital 2$
Gra""ar Tip: should . /er*0 need to . /er*0 ha/e to . /er*0
#ould . /er*
1
Should * verb
>ou should go to the
hospital.
People use should *
verb to give advice.
Should * verb means
something that is good
for you to do
1. 4onH&nglish

speaking patients
should demand
interpreting services.
2. (.'. health care

providers should
give interpreting
services to nonH
Need to * verb and
+ave to * verb
>ou need to have a
9*- scan.
People use need to *
verb and have to *
verb to tell people
what is necessary to do.
Need to * verb and
have to * verb are
stronger than should *
verb.
1. >ou need to have
a blood test.
2. =o 3 need to go to
the hospital?
,ould * verb
>ou could ask your
doctor for advice.
People use could *
verb to tell people
what is possible for
them to do.
1. >ou could ask for
a second opinion. *
second opinion is when
you ask another doctor
for advice.
3. >ou could go to
the hospital if you can5t
see the doctor.
0
&'L ealth (nit)*dvanced +eginning, (nit -wo. -he ospital 2%
&nglishHspeaking
patients.
23
Talk A*out (t!
22

Activity One:
(ead the following situations. What should the atient do or say?
4)ote 5 as you are reading, discuss any words you do not know with your
classmates and instructor. If necessary, use a dictionary to hel you
understand the meaning of the new words.
Situation -$
9arla went to the hospital after her doctor said her heart was beating
irregularly. 'he knows that she will have some medical tests. 'he doesn5t
understand how long she will be in the hospital. 'he doesn5t know when she
will go home. 'he feels bad because she thinks a nurse e"plained this to her
before.
11
&'L ealth (nit)*dvanced +eginning, (nit -wo. -he ospital, Lesson -hree. -aking 9harge While
>ou *re in the ospital, Listening and 'peaking Practice
11
&'L ealth (nit)*dvanced +eginning, (nit -wo. -he ospital 2/
Situation -%
WenHliu has been in the hospital for a day. e is very angry with his nurse.
-his nurse never smiles. e makes faces when WenHliu asks a ;uestion.
WenHliu waits for a long time when he calls for the nurse. Dne time, the
nurse yelled at him when he asked for a drink.
Situation -'
$%
Baria5s husband has cancer. er doctor has been very kind. 'he respects
him. er doctor said, 6>our husband can get many different treatments.8
Baria is confused. 'he would like to get a second opinion. 'he is afraid to
tell her doctor this.
12
Activity Three:
13

My Rights as a Patient
+iscuss the definition !elow with your teacher.
* 6Jight8 says that you should be treated in a certain way by law.
.. (ead the two stories !elow.
6-he nurses at M hospital don5t enFoy
or respect their patientsN3 felt bad
because 3 didn5t speak &nglish. -hey
didn5t help me.8
0anish 0eaker, *hiladelhia
63 think the M hospital is friendly and
kind. -hey care about their patients.
3 have a problem speaking &nglish,
but 3 feel comfortable with them.8
6orean, *hiladelhia
B. "hese two eole li'e in the same city. "hey are the same age. "hey had
different e,eriences in the hosital. .nswer these $uestions.
1. Why do they have different opinions about hospital M?
2. =o they agree about anything?
3. =o they have a 6right8 to respectful treatment in a hospital?
13
What other 7rights8 do they ha'e as atients?
9:

C. In small grous read each sentence. +iscuss the words you dont know
with your teacher. If the sentence is true, write " on the line. If the sentence
is false, write F on the line.
22222221. >ou have the right to free medicine while in the hospital.
22222222. >ou have the right to respectful treatment by all hospital staff.
22222223. >ou have the right to emergency services.
2222222!. >ou have the right to know the names of all the healthcare
professionals who help you.
2222222#. >ou have the right to a television in your hospital room.
2222222$. >ou have the right to have someone in the operating room with
you.
2222222%. >ou have the right to decide what treatments and procedures you
want.
2222222/. >ou have the right to a private room.
22222220. >ou have the right to privacy.
1!
Unit Two Unit Two
Taking Charge While You Are Taking Charge While You Are
in the Hospital in the Hospital
Rea# Practice Rea# Practice
Advanced Beginning Advanced Beginning

Lesson Three: Taking Charge While You Are (n the Hospital
Below are some of the goals of this lesson. Which ones
are your goals too? Check () them.
Learning about your rights as a patient.
Real ,ra#ti#e!
24
+o you want to learn more a!out your rights as a atient? "he ne,t time
you go to the doctors office, ask your doctor to e,lain what rights you
ha'e as a atient.
1#
>ou *re in the ospital
A The!atic Unit "or #eginning Le$el ESL Teachers
Beginning Leve#$ %nit &wo: &he 'ospita#
Lesson &hree: &aking (harge Whi#e )ou Are in the 'ospita#
Checklist for Learning
)o#a*ular' Log:
In the sace !elow, write down all of the new words you learned during this lesson that you want
to remem!er. "ry to searate your list of words into nouns (erson, lace or thing), ad;ecti'es
(descri!ing words) and 'er!s (action words). For e,tra ractice use them in sentences of your
own.
New words I learned during this lesson:
)ouns&
.d;ecti'es&
<er!s&
What can !ou do*
Below are some of the language goals you worked on during this lesson. Check () what you
learned from this lesson. .dd more ideas if you wish.
I learned to=
describe your feelings
understand a voicemail message
learn new vocabulary
describe why you call the doctor
make an appointment
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ESL Health Unit ESL Health Unit

Unit Two Unit Two

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