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CHAPTER I
THE HOSPITAL
A. READING
The earliest hospitals date back to the ancient pre-Christian empires of India , Persia , Egypt
,Greece , and Rome. Treatment of the ill was often closely associated with religious practice. In
Egypt, medical instruction and treatment were given by priest, while in Rome and Greece the ill
gathered in temples where they would spend the night in the hope of receiving a divine cure.
Charity hospitals appeared , first in Rome, and later in other parts of Europe in the Middle Ages ,
under the influence of Christianity. Hospitals became well established , both in monasteries of
Europe and in the Muslim empire of the East. The later were highly developed as in the hospital
founded in Cairo in1283 , which had separate sections for woman and for patients with fever and
eye diseases.
Hospital development received its greatest stimulus in modern times from discoveries
concerning the nature of infection. The success of the Scottish surgeon Joseph Lister in reducing
postoperative infection through the use of antiseptic phenol ( carbolic acid) opened the era pf
aseptic surgery and helped establish the hospital as a place where the bacteria-free conditions
necessary for surgery could best be achieved.
The development of X-ray, of elaborate medical apparatus, and of complex laboratory
procedure foe examining blood , urine, and spinal fluid has given the modern hospital a strategic
rule diagnostic and therapeutic procedures and team medical practice which represent the best
combined capacities of modern medicine.

B. VOCABULARLY
TERMS ENGLISH INDONESIA
Acute disease Very serious and quickly become
severe disease
Chronic disease A disease suffered for a long time
ENT Short for ear, nose, and throat
Maternity service Service that has something to do
with giving birth
Otopedics The branch of medicine

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concerned with injuries and di
senses of bones or muscles
Pediatric service Service on a branch of medicine
concerned with injuries and
diseases of bones or muscles
Psychiatry The study and treatment of
mental illness
Restraint An act that limits or controls
something because it is necessary
to do it
Surgical condition Condition that has something to
do with operation
Antiseptic phenol Poisonous white chemical that
kills bacteria used as antiseptic
(carbolic acid)
Aseptic surgery Surgery that is free from bacteria
Charity hospital A hospital for the poor
Cure (v) ; cure (n) To make an illness go away
Diagnostic (adj); Connected with identifying
Diagnose(v); something, especially illness
Diagnosis (n)
Diagnostic procedure Procedure for finding the exact
illness
Hospital A place where sick or injured
people are given medical
treatment or care
Postoperative infection Infection after an operation
Spinal fluid Liquid of backbone
The natureof infection The characteristic of infection
Therapeutic(adj) Design to help treat an illness
Therapeutic Procedure of curative treatment

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Treatment (n); treat (v) Something done to cure illness or
injuries
x-ray apparatus An instrument for Rontgen

C. EXERCISE I
Choose the correct word/phrase in the list to fill out the space g each sentence in the following
sentence. Only six words/phrases are used.
a. Antiseptic phenol b. Aseptic surgery
c. Charity hospital d. Cure
e. Diagnostic procedure f. Nature f imperfection
g. Spinal fluid h. Therapeutic procedure
i. Treatment j. X-ray apparatus
1. In the area of …, an operation room is supposed to be free from bacteria
2. Many people cannot go to a property hospital because the cost is very expensive. They go to…
3. To make the bathroom free from germs, people use a kind of antiseptics called….
4. In spite of using the correct…, sometimes it is difficult to find the exact illness.
5. Long time ago, hospital was a place for …, but nowadays it is also a place for…

D. EXERCISE II
Cross the correct word/phrase to fill in the blank space of each of the following sentences a, b, c, or d!
1. He never complained about any serious disease before people said that he died yesterday of …
heart attack.
a. Chronic
b. Acute
c. Expecred
d. Previous
2. The nurses took to the … ward because she was expecting a baby.
a. ICCU
b. ICU
c. Maternity
d. Laboratory

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3. Because of her …, she was not allowed to work hard.
a. Mental illness
b. Surgical condition
c. Good spirit
d. Physical strength
4. It is wise for the patient with heart attack to … eating the meat of animals.
a. Restraint
b. Restrain
c. Restraining
d. Restrained
5. The baby is seriously ill. It should be taken to the … immediately.
a. Pediatrician
b. Orthopedic an
c. Maternity ward
d. Psychiatry

E. GRAMMAR
Structure focus: English sentence
Arrange the following words/phrases to make good sense!
1. The patient – successfully – yesterday morning – operated on – the surgeon.
2. The ICCU – suffering from – was taken – the heart attack – the patient – to
3. The man – the medicine – Orally – could not take – because-injected – it intravenously – the
nurse.
4. The new comer patient – a very cntiguus disease – was taken – suffering from – the isolated
room – to
5. Mexican flu – Swine flu – instead of – prefer to say – people.

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CHAPTER II
THE HOSPITAL TEAM

A. CONVERSATION: WHO WORKS IN A HOSPITAL

Joe starts to work in a public hospital as a nurse. Today, he is having training with the manager of
the hospital.
Manager : Welcome to Queen Hospital. I do hope you can work best here.
Joe : Thanks a lot, Mrs.Janette. I also hope that I can work well here.
Manager : Today, I am going to explain you the hospital team.
Joe : Sure.
Manager : A hospital is like a city. It needs thousands of people to run it. Furthermore, they
must work together in order to run everything well. Do you know what the highest
position in hospital is?
Joe : A hospital manager.
Manager : You’re right. This hospital has two big teams. The first is clinic department, and the
second is non-clinical clinical.
Joe : I see.
Manager : The clinical department consists of doctors, nurses, and pharmacists.
Joe : So I am in the clinical department,aren’t I?

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Manager : Yes, you are. All the members of this team must perform good team work. Therefore,
all the duties can be performed well.
Joe : Sure.
Manager : The clinical department is divided into several units. So you will be in the pediatric unit.
Joe : I see.
Manager : I do hope you can work well here with team. Let me introduce the members of your
unit.
Joe : Sure.

B. HOSPITAL TEAM

A hospital is usually divided into two parts, clinical unit and non-clinical unit. The following are
workers in a hospital

Clinical Unit Hospital Jobs

1. Animal-assisted therapy
2. Advanced practice nurses(An APN is an RN who has taken additional training beyond
nursing school)
3. Anesthesiologist (who administers medicine during surgery to help you relax and fall
asleep).
4. Attending physician
5. Cardiologist
6. Clinical nurse specialist (A CNS provides a wide range of care in hospitals, clinics, nursing
homes, private offices, and community health centers ).
7. Certified registered nurse anesthetist (A CRNA specialize in giving and monitoring
anesthesia).
8. Dietician
9. Doctor on call
10. Endocrinologist
11. Fellow
12. Gastroenterologist
13. Hematologist

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14. Hospitalist
15. Licensed practical nurse (LPN provides basic care).
16. Medical Assistants
17. Medical Lab Technologist
18. Medical student (who are training to be doctors).
19. Nephrologist
20. Neurologist
21. Nurse (CRNA, RN, LPN/LVN, CNS)
22. Nurse practitioner (An NP has additional training in a particular area, such as family
practice or pediatrics).
23. Oncologist
24. Otolaryngologist
25. Psychiatrist
26. Psychologist
27. Pulmonologist Pharmacists
28. Physician (ER doctors, surgeons, hospitalists).
29. Physician assistant (PA work under the supervision of a doctor).
30. Registered nurse (RN gives medication, performs small procedures such as drawing
blood, and closely follows a person`s condition.
31. Resident (A doctor who has graduated medical school and is now training in medical
specialty area).
32. Rheumatologist
33. Specialists
34. Surgeon
35. Other Medical Staff
36. Child life specialist (offer comfort and the chance to talk about feelings).
37. Dietitian
38. Health educator (specialist who works as part of a medical team, teaching patitents
about a particular health condition and how to manage it).
39. Occupational therapist (work with people to improve coordination and motor skills).
40. Pet therapy volunteer
41. Pharmacist

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42. Physical therapist
43. Respiratory therapist
44. Social worker (focuses on improving the emotional well-being of kids and their families,
and helps coordinate health care).
45. Speech-language therapist
46. Volunteer
47. Techs (Radiology Tech, Ultrasound Tech)
48. Therapist (Physical Therapist, Radiation Therapist)

Non-Clinical Hospital Jobs

1. Case manager / Social worker
2. Accountants
3. Human Resources & Recruiting
4. Executives – CEO, CFO, CIO
5. Information Technology
6. Administrative Assistants
C. GRAMMAR
Fill the following sentences with the appropiate tenses !
1. Surgeons (perfoms/are performing/ perform) operations right now
2. A midwife (delivers/ delivering/ deliver) babies
3. A paramedic (responds/is responding/respond) to an emergency
4. (Do you work/does you work/have you working) in a hospital?
5. I (want/wanting/wants) to qualify as a pediatrician.
6. I like (to working/working/work) in a hospital.
7. Andine (has undergone/is undergoing/undergoes) the therapy twice.
D. Vocabulary
Complete the following sentences with the words in the list.
a. Nursing officers e. Challenging
b. Auxiliary nurses f. Medical
c. Part-time g. Rewarding
d. Qualified h. Apply for a job

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1. This hospital only hires well _____________staff
2. _____________often work in administration .
3. Not many student can do a______________ job while studying
4. This new work is ______________for me
5. Contact with patient must meet ________________ procedures.
6. ______________ are on the bottom grade of an institution.
7. I am a psychiatric nurse. My job deals with _________________in mental health.
8. All applicants must send a CV when they_________________.
E. Reading a Text
Read the following passage and answer the questions
A multidisciplinary team involves a range of health professionals, from one or more
organizations, working together to deliver comprehensive patient care. The ideal multidisciplinary
team for the delivery of the Health One NSW model of care includes: general practitioners,practice
nurses, community health nurses, allied health professionals, and health educators.
Multidisciplinary teams convey many benefits to both the patients and the health professionals
working on the team. These include improved health outcomes and enhanced satisfaction for
clients, and more efficient use of resources and enhanced job satisfaction for team members
To ensure optimum functioning of the team and effective patient outcomes, the roles of the
multidisciplinary team members in care planning and delivery must be clearly negotiated and
defined. This requires: respect and trust between team members; the best use of the skill mix within
the team; agreed clinical governance structures; agreed systems and protocols for communication
and interaction between team members. These issues are complex and achievement of the can
Involve significant change to work practices and organizational arrangements, as well as multifaceted
implementation strategies.

Answer the Following Questions!

1. What is the best title for the text ?
2. What is the text about ?
3. What does multidisciplinary team deal with ?
4. What are the benafits of multidisciplinary team ?
5. What are needed to conduct strong multidisciplinary team ?
F. Writing

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Write your profile in the following space provided. Your writing must explain:
1. Why you learn nursing;
2. What you are doing now;
3. Why you want to becomes are nurse; and
4. What your career plans.

TEAM ENGLISH INDONESIA

Acute disease Very serious and quickly become
severe disease
Chronic disease A disease suffered for a long
time
ENT Short for ear,nose,and throat
Maternity service Service that has something to do
with giving birth
Otopedics The branch of medicine
concerned with injuries and di
seases of bones or muscles
Pediatric service Service on a branch of medicine
concerned with injuries and
diseases of bones or muscles
Psychiatry The study and treatment of
mental illness
Restraint An act that limits or controls
something because it is
necessary to do it
Surgical condition Condition that has something to
do with operation

EXERCISE
Cross the correct word/phrase to fill in the blank space of each of the following sentences a, b, c, or d!

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6. He never complained about any serious disease before people said that he died yesterday of …
heart attack.
e. Chronic
f. Acute
g. Expecred
h. Previous
7. The nurses took to the … ward because she was expecting a baby.
e. ICCU
f. ICU
g. Maternity
h. Laboratory
8. Because of her …, she was not allowed to work hard.
e. Mental illness
f. Surgical condition
g. Good spirit
h. Physical strength
9. It is wise for the patient with heart attack to … eating the meat of animals.
e. Restraint
f. Restrain
g. Restraining
h. Restrained
10. The baby is seriously ill. It should be taken to the … immediately.
e. Pediatrician
f. Orthopedician
g. Maternittee ward
h. Psychiatry
DISCUSSION QUESTIONS
Discuss the following questions with the class!
1. How many categories can hospitals be classified? What are they?
2. What do you mean by acute and chronic attack?
3. Explain the meaning of general and specialized hospital!
4. Can you give an example of a patient who needs restraint technique of treatment?

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5. What did special treatment of mentally ill patients lead to?

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CHAPTER III
NURSING DEPARTMENT
A. READING
NURSING STAFF
Nursing services are essentials to care for the personal needs of patients, to assist the doctors in
their diagnosis and treatment, and periodically to record their observation of patients. Nursing
departments are usually organized by patient wards or units. For each unit, there is a head nurse or
charge of nurse, under whom are a number of registered nurses and in some cases student nurses,
practical nurses, aids, and orderlies.
A group of patient units-usually for related medical specialties-is in the charge of nursing
supervisor who is concerned with the standards of care and general well-being of the patients in those
units. The entire nursing program is headed by a director of nursing with assistant directors in charge of
evening and night shift and other spesial responsibilities.
A recent development of nursing is progressive care, in which patients are cared for in units
arranged and staffed according to the degree of patient disabilities and intensity of care request. There
are three basic levels of care : intensive, intermediate, and limited. These levels differ chiefly in the
amount of nursing and personal care required, the complexity of the patient treatment, and the degree
of the patient’s abilities. The more the patient is able or permitted to do for himself, the less nursing
personal care are needed. Progressive patient care is aimed at improving the overall needed.
Progressive patient care is aimed at improving the overall qualities and effectiveness of hospital care.
Ward nurses are responsible for the execution of medical order and the administration of
medication. They also assist the medical staff in diagnosis and treatment of patients. In modern hospital
practice, nurses are restricted to professional nursing duties and have been largely relieved of the
clerical and housekeeping tasks which formerly consumed much of their time.
Philip D. Bonnet

B. VOCABULARLY

Term English Indonesian

Blood transfusion Injection of bottled human

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blood into a patient
Diagnose Say exactly what an illness or
the cause of a problem is
Dressing A bandage that usually covers
the stitches after a surgery
procedure
I.V Short for intravenous
Licensed practical nurse A nurse who has completed a
course in nursing school
Nurse A person whose job is to take
care of sick or injured people
Nurse’s aid A person without a nursing
degree who assist the nursing
staff
Nurse’s station Central area on the floor where
nurses are based
Nursing director A nurse responsible for the
nursing staffs in a hospital
On duty Term used to refer to the time
when an employee is to work
Medical Orderly A person who assist with
various routine nursing duties
Registered professional nurse A nurse who has completed a
two four year course at an
approved nursing school and
has been licensed to practice
after passing an official
examination
Shift Period of duty
To duty To prepare a patient, for
example, operation

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Vital signs Indications of life in a patient
Ward A room with many beds
Well-being Good bodily health

C. EXERCISE
Match each word/phrase in the column at the left with its meaning on the right!
1. Nursing director a. Tour of dury
2. Registered professional nurse b. The on who is allowed to practice
3. Licensed practical nurse c. A place for patients in a hospital
4. Orderly d. To find the cause of an sickness
5. Diagnose e. Covering for injuries
6. Well-being f. The duty is to oversees nurses
7. Ward g. Helping nurses in general
8. On duty h. Time for working
9. Shift i. Qualified as an expert in nursing
10. Dressing j. In good condition

D. GRAMMAR FOCUS
Structure focus : Active participles (ing-form) and passive participles (ed-form)
Replace the underlined clause in each of the following sentences with its participial phrased !
e.g. a. The man who entered the room is a young famous surgeon.
The man entering the room is a young famous surgeon.
b. The man who was carried to the emergency room is a victim of hit-and-run.
The man carried to the emergency room is a victim of hit-and-run.

1. When the sick woman entered the hospital, she began dying.
2. Because her family was confused, they did not know what to do.
3. The doctor shook his head while he said he could not help her.
4. I am familiar with the doctor who wrote the prescription.
5. The prescription that is left on the table is mine.
Arrange the following sentences to make a good paragraph and use the sequence of place!
1. The emergency room is situated in the first floor, close to the front office.

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2. The fourth floor is for patients suffering from contagious diseases.
3. The operation room is rather separated from the main building not far from the
radiology.
4. Delivery and maternity units are in the second floor far from the wards of contagious
diseases.
5. Some of special wards are in the third floor.
6. Each floor has its own nurse’s station.
E. WRITING
Discuss the following questions with the class!
1. Why do you think that nursing services are very important for the doctors?
2. How are the nursing departments usually organized ?
3. How are units usually organized ? and who is in charge of each unit ?
4. In recent development, what do you mean by a progressive care ? How are units
arranged and staffed ?
5. In the modern practice, what do nurses not do ?

Write your profile in the following space provided. Your writing must explain:
5. Why you learn nursing;
6. What you are doing now;
7. Why you want to becomes are nurse; and
8. What your career plans.

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CHAPTER IV
THE SURGICAL WARD

A. READING
Jane Johnson works in a surgical ward in a London hospital. Jane does hift work, so she
does not go to work at the same time everyday. When she is on an early shift, she goes on
duty at 7 a.m and comes off at 3 pm.late shifts start at 2 pm.and finish at 10 p.m.
Jane does not like late shift. Jane always goes to work bybus when she is on an early
shift. The bus stops outside the out patient department. When she in on a late shift, Jane
generally walks from her home to hospital. When shecomes off duty at 10 p.m, she is usually
rather tired, and takes the bus home. Sometime she goes to the taxi –rank outside the main
entrance of the hospital and goes home by taxi. Jane is not a qualified nurse. She is a
student nurse, so she does not work in the ward everyday. On certain days, she has to
attend lectures on general nursing, anatomy and physiology, hygiene and various subjects.
She wants to pass the final examinations and become a state registered nurse. As a state
registered nurse she becomes a staff nurse arnd can, in time, become a nursing officer.

Answer the ollowing questions

1. Where does lane Johnson work?
2. At what time does she go on duty when she is on an early shift?
3. When does she come off duty when she is on an early shift?
4. At what time do late shift start?
5. When do late shifts finish?
6. When does Jane go to work by bus?
7. Where does the bus stop?
8. When does she take the bus home?

B. NAMES OF WARD AND DEPARTMENT IN HOSPITAL

TERMS INDONESIAN

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Medical ward : CSSD :
Surgical ward : Admission dept :
Pediatric ward : Nutrient dept :
Maternity ward : Body death room :
Delivery room : Pharmacy :
Laundry dept :
Operating theater : X- ray dept :
Out patient dept : Information Center :
Emergency room : Dispensary :
Nurse station : Dentistry clinic :
ICU : E.N.T :
CVCU : Pediactric clinic :
Orthopedic ward : Laboratorium room :
Geriatric ward : Doctor's lounge :
Perinatology : Nurse's lounge :
Vocabulary Late shift :
Early Shift : Comes off :
On duty : Tired :
Out Patient Dept : Attend :
Taxi rank : Lectures :
Main Entrace : Become :
In time : State Registered Nurse:

C. CONVERSATION
Carol : Hi! Tom, good to see you again. How are you doing?
Tom : Hello! Carol, pleasure to see you again. I am fine and you?
Carol : Pretty good, thanks.
Tom : By the way, where do you work now, Carol?

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Carol : I work in Arneza Hospital.
Tom : Working in Hospital ! What do you do there?
Carol : I am a nurse. I take care some patients there.
Tom : That's sound interesting and what ward do you work in Arneza Hospital?
Carol : I work in the surgical ward and what about you?
Tom : You mean 'where do I work'?
Carol : Yes.
Tom : Well Carol, I work for Dr. Frank's clinic.
Carol : What do you do in Dr. Frank's clinic?
Tom : Iam a lab technician.
Carol : Oh. Really? It's a good job.
Tom : Yes it is.

D. WORD POWER: WORK PLACES AND JOBS

a. How many work places can you find for each job in a hospital
Work places Jobs
Operating Theater ________ an Anesthetist ____a Lab Tech.
1. Out Patient Department ________ a Nurse ____a Pediatrician
2. Medical Ward ________a Midwife. ____an Obstetrician
3. Nursing Department ________ a Physician ____a Surgeon
4. Laboratory Dept _________a Radiologist ___an Ophthalmologist.
5. Maternity Ward ________ a Dentist ____a Cardiologist
6. Mental Ilness Hospital ________ a Physiciatric ___ a Pathologist
7. Radiology Dept ________ a Director of nursing service.

4. GRAMMAR FOCUS

+ Subject VerbI+ s/es Object

- Subject Do/Does + Not Verb I Object
? Do/Does Subject Verb I Object

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Examples:
1. I buy a kidney dish in pharmacy (+)
I don't buy a kidney dish in pharmacy (-)
Do l buy a kidney dish in pharmacy (?)
2. Ns. Shanty brings her sister to hospital (+)
Ns. Shanty does not bring her sister to hospital (-)
Does Ns.Shanty bring her sister to hospital (?)
Exercise
Complete the sentences. Use the correct form of these verbs.
Boil close cost cost drink have have
Like meet open teach wash speak go
1. Dr. Stuart is very smart. She speaks four languages.
2. Rosalyn __________ four cups pf tea a day.
3. Shanty and I usually ___________dinner at 7 o’clock.
4. I _______ movie. I often ________to the movie with my friends.
5. Water ________ at 100 degrees Celsius.
6. In my hometown, the Bank __________ at 9 o’clock in the morning.
7. The city museum _________ at 5 o’clock on Saturday.
8. Food is expensive. They ________ a lot of money.
9. Shoes are expensive. They __________ a lot of monay.
10. Sue is a teacher. She __________ English to young children.
11. Peter __________ his hair everyday.
12. Your job is very interesting. You _________a lot people
13. An insert __________ six legs.

5. GRAMMAR FOCUS: MODAL

Expressing Positive
Can Ability and Mr. John can come to the party. Can + Main verb
Possibility I can sing a song beautifully. Can + not - Can’t
(Present form) Can you inject antibiotic? For present and
future

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Exercise: Exercise: Exercise:

Could Ability and She could sing a song when she Could not - couldn’t
Possibility was young For past form

Exercise: Exercise: Exercise:

May and Possibility It may rain tomorrow. For present and

Might Maybe John is sick. future.
John may be sick. Maybe - adverb
(perhaps)
May be - verb form
Exercise: Exercise: Exercise:

May and Permission She may examine me, now. May is more formal
Can Ms. Jane can call a nurse. than Can.

Exercise: Exercise: Exercise:

Should, Advice My instruments are dirty had - This is a good idea

Ought better wash them - This is a good advice
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to, Had For present and
better Exercise: Exercise: future

Exercise:

Have to, Necessity I have a very important test - The idea is necessary
Must, tomorrow. - Have got to for
Have got I have to study tonight. informal speech and
to I have got to (gotta) study to writing.
night.
I must study to night.

Exercise: Exercise: Exercise:

Do not Lack of I finished all of my homework The idea is not

have to necessity this afternoon, I don’t have to necessary.
study tonight.

Exercise: Exercise: Exercise:

Must not Prohibition Mr. Tony, you must not smoke Don’t do this
here.

Exercise: Exercise: Exercise:

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a. E
XER
CISE A
Complete the sentences by using can/couldn’t. Use the expressions in the list.
a. Call you f. Go to the movie
b. Come to class g. Listen the music
c. Do my homework h. Smoke his pipe
d. Get into my car i. Use the pay phone
e. Go swimming j. Watch TV

1. I ___________ last night because I was to tired.

2. I ____________ today because my telephone is okay now.
3. Rosalyn _____________ yesterday because her TV set is broken.
4. Tony _____________again because he will buy matches tomorrow.
5. The teacher ______________ yesterday because he was sick.
6. Next week, my friend will repair my record player, so I _________ again.
7. Today, she ___________ for long distance call.
8. Shanty _____________ yesterday because the water is too hot.
9. Arnez _____________ because I give my key to her last week.
10. Next Saturday Rosalyn and I ____________ together because I am free.

b. Exercise 2
Complete the sentences by using should, ought to, or had better. Use the expressions in the
list.
Call the police Find a new girl friend Speak English
everyday

Drink a glass of water

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1. A. I have a toothache, this tooth is hurt, what should I do?

B. --------------------------------------

2. A. Rosalyn wants to improve in English, what should she do?

B. ---------------------------------------

3. A. Someone stole his motor bike, what should he do?

B. --------------------------------------

4. A. I asked Rosalyn to marry me. She said no, what should I do?
B. -----------------------------------------

5. A. My wife snores. I can’t get to sleep at night, what should I do?

B. --------------------------------------

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UNIT V

MEDICAL INSTRUMENT

A. Medical Instruments

1. Medical instruments are used for measuring vital signs

A watch A TPR / BP or art of book

(to calculate pulse/ resp. Rate) (to record the result of TPR & BP)

A Thermometer A Stethoscope
(a measure body temperature) (to listen the sound of artery)

A Sphygmomanometer Thermometer jar

(to measure blood pressure) (to keep thermometer)

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A tray/ a trolley Gauze/ tissue

(to bring the instruments) (to keep dry thermometer)

This is a needle holder. That is a syringe. These are gloves.

(to hold a needle) (to inject liquid) (to put antiseptic solution)

Those are crutches. Plain dissecting forceps IV catheter

(to support disable (to handle sterile dressing) (to give liquid into vein)
“P” to walk)

Desk sphygmomanometer Bowl stand Gauze

(to measure B/P) (to hold the bowl) (to cover the wound)

Suture scissors Urine specimen glasses artery forceps

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(to take out stitches) (to collect/measure urine) (to camp the artery)

Screen/room cubicle Bandage scissors Bowl (to bring

(tp give privacy of P) (to cut the bandage/gauze) same water)

Cylinders Examining couch Forceps

(to keep big forceps) (to examine the patient) (to used sterile gauze)

Urine catheter
(to take out the urine)

Now practice these medical instrument bellow using possessive adjective and possessive
pronoun and are they for?

Hot water bottle Stretcher Laryngeal mirror

(..............................) (..............................) (..............................)

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Tower clip vagina speculum scarcer handle art blade

(..............................) (..............................) (..............................)

Otoscope Spitting mug Instrument tray a cover

(..............................) (..............................) (..............................)

Dressing jar Urinal Bedpan

(..............................) (..............................) (..............................)

Infusion stand/pole infusion set reflex hammer

(..............................) (..............................) ((..............................)

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Teethe forceps A wheeled stretcher foot step

(.....................) (..............................) (..............................)

B. EXERCISE
1. WRITE 20 MEDICAL INSTRUMENTS AND USAGES!
2. WORKING WITH YOUR PEER GROUP TO EXPLAIN YOUR EQUIPMENTS IN FRONT OF THE
CLASS!

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UNIT VI

NURSING PROCEDURE

A. CONVERSATION

A Nurse Comes To Mr. Jack’s Room To Take His Vital Signs

Nurse : Good morning, Mr. Jack.
Mr. Jack : Good morning too, Nurse.
Nurse : How are you doing now, Sir?
Mr. Jack : I am feeling terrible.
Nurse : Terrible! What is going on with you?
Mr. Jack : I have pain on my head.
Nurse : I see, do you have any else complaint, Sir?
Mr. Jack : And little stiff on my leg.
Nurse : Okay, Mr. Jack, let me check your blood pressure and your temperature first.
Mr. Jack : Yes, please.
Nurse : Would you mind laying down on your bed, please?
Mr. Jack : No problem.
Nurse : Can I have your arm, Mr. Jack?
Mr. Jack : Here it is.
Nurse : Good. Will you roll your sleeve up, please?
Mr. Jack : Yes.
Nurse : Good, now, I want to put this cuff around your upper arm then I’ll search
your pulse (brachialis artery) on your inner of lower arm.
Mr. Jack : Okay
Nurse : Now, I am going to pump this bulb to inflate the cuff, maybe you will have
tingling on your fingers for while but it’s okay.
Mr. J : I see.

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After the nurse pumps the bulb to inflate the cuff then she puts stethoscope over brachialis
artery and listens the sound of artery (corotcof) from beginning to ending, after she gets the
result of B/P, she releases the cuff then puts it back onto trolley.
Nurse : Well, Mr. Jack, I am going to check your temperature now?
Mr. Jack : Okay.
Nurse : Could you raise your arm because I’ll put this thermometer on your armpit?
Mr. Jack : Like this nurse?
Nurse : Yes, thanks (then the nurse puts it at his armpit) and now place your left hand
on your shoulder for a moment.
Mr. Jack : With my pleasure.
Nurse : Very good.
After 5 minutes, she takes thermometer back from Mr. jack’s armpit.
Nurse : Well, Mr. Jack, your blood pressure is high enough, its about 160/90 mmHg
and temperature 37,5oC, pulse 88 bpm, RR : 20x/m, I will report to Dr. Frank
about your complaints. I’ll be back in a few minutes.
Mr. Jack : Thank you very much, Nurse.
Nurse : Welcome.
B. VOCABULARLY
1. Special Terms

Term English Indonesian

Cardiac care unit A hospital specialized in the care of
patient with cardiac conditions
that require continuous monitoring
and treatment
Cardiology medical specialty on heart problem
Delivery room A room where a mother give birth
the baby
Department of The medical department

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surgery responsible for performing
operation on patients
Electrocardiograph Machine recording heart
movement through electronic
impulses
Maternity floor The part of the hospital where
mothers give birth to babies and
are cared for afterwards
Maternity unit The one for mothers who give birth
to their babies
Medical A division of medical services in the
department hospital that offers diagnosis and
treatment in one area
Newborn nursery Caring newborn babies
Pediatric unit The one specially designed for
children
Premature Babies born before the normal
newborn time

2. Exercise

Choose the correct word/phrase in the list to fill out the space of each sentence in the
following sentences. Only five words/phrases are used.

a. Medical department
b. Maternity unit
c. Delivery room
d. Newborn nursery
e. Premature
f. Pediatric unit
g. The department of surgery
h. Cardiac care unit
i. Cardiology
j. Electrocardiograph

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1. The normal baby is in the womb of its mother for 9 months and 10 days, but the
newborn baby was only 8 months and 15 days. Its belongs to …
2. The doctor wants to be specialized in the problem of heart. So he takes … as his
major subject.
3. The young woman is expecting a baby. I think it is the time for the nurse to take her
to …
4. The patient needs operating. It is wise him to go to …
5. … should be separated from any other units to avoid the babies from being infected
by contagious Diseases.

C. GRAMMAR FOCUS

Structure focus : To-infinitive, Infinitive and Verb -Ing

Supply the correct form of each of the verbs in the brackets!

1. The patient did not like the doctor to give any injection, so he only gave some
oral medicine ... (take).
2. Her sister was very happy ... (hear) that she had recovered from her illness.
3. I heard the doctor ... (say) that he had done everything possible but he could not
save his life.
4. Because of my business, I forgot ... (visit) my friend in the hospital.
5. I am sorry it is high time for me ... (leave) now because the visiting time is only
half an hour left.
6. The doctor advised the visitors … (not talk) too much to the patient. He needed a
lot of rest.
7. He suffers from high blood pressure. So he avoids (take) too much salt.
8. Because he did not want the IV injection, the doctor let him … (take) the
medicine orally.
9. She is expecting a baby and is predicted … (deliver) her baby next three days.
10. The hospital did not want to discharge the young mother and her baby before …
(pay) the hospital fee.

D. PRACTICE
1. Working with peer group
2. Make a list the instruments to take a blood pressure
3. Write a procedure to take a blood pressure

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CHAPTER VII
NURSING PROCEDURE

A. CONVERSATION
Let Me Inject This at Your Buttock, Sir!
Nurse Rosalyn comes to Mr. Black room. She wants to give pain killer injection to him
Nurse : “good morning, Sir how are you feeling now?”
Mr. B : “I am falling bad, Nurse. I still have pain on my leg, i can’t stand it anymore.”
Nurse : “yes, I understand iy, i came here to give you pain killer injection.”
Mr. B : “really! Oh... you’re very good nurse”
Nurse : “okays, I am going to prepare the instruments and wash my hands first.”
Mr. B : “Please.”
Then the nurse takes instruments for intramuscular injection, such as.
 Syringe 3 ml
 Alcohol swab
 Pain killer injection ampoule
 Medication administration record
 Disposable gloves
 Kidney dish
 Then withdraws 2 ml of pethidine.
Into syringe and comes back to Mr. Black room.
Nurse : “Now, would you lay into your tummy, please?”
Mr. B : “No, problem.”
Nurse : “very good, and now would you mind lowering your pant down, please?
Mr. B : “No, i don’t mind .”
Nurse : “Thanks, now i am going to put on this glove.”
Mr. B : “good”

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Nurse : “firstly, i will clean the site of injection using this alcohol swab (on dorso gluteal
muscle), please don’t move while i am injecting this medicine okay, sir!”
Mr. B : “yes”
Nurse : “and now inject this needle quickly and firmly with 90 angles and then pulls back on
plunger to aspirate medication, if no blood in syringe and i will inject medication slowly. After
that withdraws it then applying alcohol gently over site and massage site lightly.”
Mr. B : “is it finish, nurse?”
Nurse : “yes, sir.”
Mr. B : “thanks a lot”
Nurse : “you’re welcome”
B. GRAMMAR FOCUS
FUTURE TENSE WITH BE GOING BE GING TO
+ SUBJECT Am/is/are Going to Verb 1
- SUBJECT Am/is/are+not Goig to Verb 1
? SUBJECT SUBJECT Going to Verb 1
Note :
1. Use be going to far an intention (what we have decided).
2. Use be going to far a prediction.
3. Adverb of time for future tense is; tonight, tomorrow, tomorrow after-noon, next week,
next month, next year, next summer, next weekend, by the end of the week.
Example
1. She is going to prepare the instruments (+)
She is not going to prepare the instruments (-)
Is she going to prepare the instruments (?)
2. We are going to come to Ms. Arnez party tomorrow(+)
We are not going to come to Ms. Arnez party tomorrow(-)
Are we going to come to Ms. Arnez party tomorrow(?)
C. EXERCISE
Complete the sentences. Use be going to the expression listed below
Look it up in a dictionary. Get something to eat.
Major in English. Go to the beach.

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See the dentist. Go to the bed.
Stay in bed today. Go to the grocery…..
Take it to the post office. Go to the Chinese restaurant
Take them to the laundry and dry cleaning. And restaurant a while.

1. Dicky and Yanti want to go out to eat, they _____________________________________

2. I feel terrible. I think I am catching a cold, I _____________________________________
3. I want to be an English teacher. When I go to university, I _________________________
4. I have a nastily headache. I _________________________________________________
5. My friend and I want to go swimming. We _____________________________________
6. Miss Sri has to mail a package, she ___________________________________________
7. I am writing my book report. I don’t know how to spell a word, I ___________________
8. Purwanty has a toothache. It hurts, She ______________________________________
9. My clothes are dirty. I _____________________________________________________
10. It’s 2.00 am. Now I am sleepy. I _____________________________________________
11. Wulan needs some sugar. She ______________________________________________
12. Rini is hungry. She _______________________________________________________

D. PRACTICE
1. Working with peer group
2. Make a list the instruments to inject a patient
3. Write a procedure to take intramuscular inject

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UNIT VIII
NURSING PROCEDURE (TAKING VITAL SIGNS)

A. CONVERSATION
Can You Convert Fahrenheit Into Celsius, Please?
Nurse Rosalyn in medical ward calls Dr.Frank at his home to report about condition of Mr. Tony.
Ns.R : Hello, Can I speak to Dr. Frank, please?
Dr.F : Dr. Frank’s speaking, who is speaking?
Ns.R : This is Nurse Rosalyn from Arneza Hospital.
Dr.F : Yes, Ros ,is there anything I can do for you?
Ns.R : Yes, doc, I am going to report about Mr. Tony’s condition.
Dr.F : What’s going on with him?
Ns.R : Well. Doc, This morning his temperature rises and he has headache too.
Dr.F : I see, how high is his temperature?
Ns.R : It’s about one hundred and four Fahrenheit.
Dr.F : Excuse me, can you convert it into Celsius, please?
Ns.R : One hundred and four equals forty degrees Celsius.
Dr.F : How often the temperatures come on and off?
Ns.R : The fever usually comes on in the afternoon or evening and off in the morning.
Dr.F : How is his pulse and respiration?
Ns.R : His pulse is 100 B.P.M and his respiration rate is 24 X/minute.
Dr.F : And what about his blood pressure, is it high too?
Nr.R : Not really, his BP is 120/90 mmHg.
Dr.F : So, what have you done for him?
Nr.R : I have given tepid water compress, a lot of fresh water.
Dr.F : Okay, you can give him Paracetamol 500 mgs 4x1 and I’ll be there in a few minutes.

B. VOCABULARLY

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Anesthesiologist A doctor who studies the use of

anesthesia and anesthetics

CAT (computed Medical imaging scanner that

axial utilizes computer-processed X-rays
tomography) to produce tomography images or
scanner slices of specific areas of the body

Neurosurgeon A surgeon who is in charge of

nervous operation

Orthopedist A doctor who studies bones and

their illnesses

Pathology Science dealing with the causes of

diseases

Radiology Science dealing with the use of X-

ray

Therapeutic Something to do with curative

treatment

Transplant Taking an organ from one person

and put it into or onto another

Trauma A mental or physical injury

condition caused by severe shock

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C. EXERCISE
Cross the correct word/phrase to fill in the blank space of each of the following sentences a, b, c,
or d!
1. To see whether the baby in the womb is male or female the doctor uses ...
a. Pathology
b. Therapeutic instrument
c. CAT
d. Transplant
2. He got a serious accident last night and broke his leg. He was taken to the emergency
room and he was supposed to see a/an ...
a. Orthopedist
b. Neurosurgeon
c. Therapeutics
d. CAT
3. After the big earthquake, she is ... to enter a building with several stories.
a. Therapeutics
b. Trauma
c. CAT
d. Anesthetic
4. I think the doctor used too much ..., so that it took longer time for him to be conscious
and he got severe headache.
a. Pathology
b. Trauma
c. Anesthetic
d. Radiology
5. Two of his kidneys fail to function. He urgently needs ... other wise,he wil die in a few
days.
a. Transplant
b. Neurosurgeon
c. Therapeutic
d. Orthopedist

D. GRAMMAR FOCUS
ADVERB OF FREQUENCY
Always Usually Often Sometimes Seldom Rarely Never
100% 99-90% 90-75% 75-25% 25-10% 10-1% 0%

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A. Bob always comes to class. Always
B. Marry usually comes to class. Usually
C. We often watch TV. Other
D. Shanty is never late for class. Subject + Sometimes + Verb
E. They are seldom on time. Seldom
F. The bus is rarely on time Rarely
Never
Am
Subject Is + Adv of freq + Non Verb
Are

(Noun/ Adjective/ Preposition)

Exercise

1. Jane is on time for class. (always)

2. Jane comes to class on time. (often)

3. Dave is happy. (never)

4. Jack works over time. (seldom)

5. The patients take medicines at 12.00 m.d. (usually)

6. Ms. Jane is angry with me. (sometimes)

7. The weather is hot in July. (rarely)

8. The nurse injects pain killer on the buttock. (often)

9. Dr.Franks teaches us about anatomy. (never)

10. The needle of syringe is sharp. (always)

11. Dr. Tony comes to the ward at 10 o’clock ever morning. (often)

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a. My chief nurse explains the injection procedure completely. (always)

b. Arnez is lazy to do homework. (never)

c. Nurse Rosalyn is late for lecture. (sometime)

d. Ms. Syfa smiles to everyone who see her.(always)

E. ABBREVIATIONS
The following abbreviations are commonly used by doctor when they prescribe drugs

b.i.d : twice a day

t.i.d : three times a day
q.i.d : four times a day
4 hrly : every 4 hours
2 hrly : every 2 hours
P.R.N : if necessary
a.c : before meal
3X1 : three times day
3X500 mg : three five hundred milligrams
4x250 mg : four two hundred and fifty milligrams
1/5 : one over five or one fifth
1/12 : one over twelve or one twelfth
120/80 : one hundred and twenty over eighty
+ : add/plus/and
= : equal/same with
- : Minus /subtract
X : Times/multiply
: : Divided

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CHAPTER IX
MEDICAL STAFF
A. READING

In most voluntary hospitals, members of the hospital staff, which may include dentists and
psychologists as well as physicians and surgeons are affiliated with the hospital by admitting their
patients to the hospital but are not employed by it. They obtain the privilege of admitting their patients
to the hospital if their application is approved by the medical staff credentials committee and by the
board of trustee. Their fees are paid by their patients (or their patients’ insurance carrier).
A chief of staff usually presides over the medical staff. In addition each of the various specialties-
internal medicines, surgery, and otolaryngology has its own chief. Physicians in the government-owned
hospitals and those owned by some HMO’s and by hospital corporations are salaried employees.
In large hospitals, each medical or surgical specialty is organized as a clinical division under a
chief of service. In small hospitals, all doctors are members of the medical staff.
A medical director, or chief of staff, oversees the staff of physicians. He or she is appointed by
the hospital board of trustees. Sometimes the physicians recommend a member of medical staff and the
board approves or disapproves. The medical director is responsible to the hospital board, and not to the
hospital administrator. These two employees, however, must obviously work together to enable the
hospital to deliver adequate and efficient health care.
Suzanne H. Javitt
B. VOCABULARY

Term English Indonesia

Admitting officer The one responsible for checking
in/admitting patients on arrival
and checking out them as they
leaving the hospital
Dentist A person whose work is to cures
and treats a person suffering
from toothache
Gynecology The science of the female
reproductive system

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Obstetrics A branch of surgery connected
with childbirth
Orthopedics A branch of surgery dealing with
bone deformities or diseases
Otolaryngology Science that has something to do
with the diagnosis and treatment
of disorders of the ear, nose, and
throat
Pediatrics Science dealing with curing the
diseases of children
Psychologist An expert in the study of mind
and its process
Surgeon A doctor who performs
operations

C. EXERCISE
Cross the correct word/ phrase to fill in the blank space of each of the following sentences a, b, c
or d !
1. He wants to be a specialist in ear, nose, and throat. So he has to study...
a. Orthopedics
b. Pediatrics
c. Otolaryngology
d. Obstetrics
2. He suffers from serious toothache, so it is wise for him to be taken to a/an…
a. Pediatrician
b. Obstetrician
c. Orthopedic an
d. Dentist
3. He is a surgeon operating a woman who has a trouble in giving birth normally. He studied in
German 7 years ago. He is a/an…
a. Pediatrician
b. Otolaryngologist

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c. Gynecologist
d. Psychologist
4. If you are supposed to be operated next two days, consult the…to see whether there is any
room empty or not.
a. Surgeon
b. Admitting officer
c. Pediatrician
d. Obstetrician
5. Mr.Nurhadi is the…who is going to operate on you tomorrow morning.
a. Surgeon
b. Admitting officer
c. Psychologist
d. Dentist

D. DISCUSSION QUESTION

Discussion the following question with the class!

1. Medical staff is not employed by the hospital. What kind of privileges do they have?
2. In the hospital owned by government, by whom is the chief staff’s salary paid?
3. Where are all doctors considered to be the members of medical staff?
4. Sometimes the medical director is appointed by the board of trustee but sometime by whom is
it recommended?
5. Why do you think that the board of trustee and the medical director must be a compact team?

E. GRAMMAR
Structure focus : Gerund
Supply the correct form!
1. (Use) a microscope is what he likes to do to see small microbes.
2. I cannot stop (smoke) cigarettes although I know it is bad for my health.
3. After (have) finished his study at the university, he went abroad.
4. One of my ideas is (be) a specialist in diseases in tropical countries.
5. He does not like the (cook food) in the hospital. It is tasteless.

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F. COVERSATION
ASKING THE COMPLAINT OF A PATIENT.
Doctor : Good morning, Ms.Carter. What can I do for you?
Patient : I feel unwell, doctor.
Doctor : What’s the matter?
Patient : I have a terrible headache, a sore throat and I am nauseous now.
Doctor : That’s too bad. How long have you been feeling these?
Patient : Since last night.
Doctor : Did you cough?
Patient : Yes I did, but not so much.
Doctor : Have you taken any medicine?
Patient : Not yet, doctor.
Doctor : Well, Let’s take your temperature and find out.

G. WRITING
Write a paragraph telling the reason Maria went to see a doctor by answering the following
question. Use any possible conjunction and time sequence.
1. What time did Maria get up this morning?
2. What did she feel? Did she also feel feverish?
3. What did she do then? Did she feel any better?
4. What did she decide to do?
5. Who was the doctor she wants to see?
6. How did she go to see the doctor?
7. How does she feel now?

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CHAPTER X

SPECIAL HOSPITALS

A. READING

Special hospitals treat particular categories of patients who may require treatment which is
unobtainable in a general hospital or who need special techniques of isolation and restraint.

The first hospital used conducivelyfor the mentally ill was built in viginia in 1773. Since then the
trend has continued toward specialized treatment of psychiatric patients in mental hospital.

Patients requiring long-term hospitalization for certain conditions may be sent to a hospital
specializing in chronic diseases. This may be a wing of general hospital or a separate unit.

Although special hospitals for tubercular patients are still maintained, it is expected that as the
number of beds needed for the purpose declines, tuberculosis sanitariums will be supplanted by
a special wards in general hospitals.

Less well known special hospitals include those which treat exclusively diseases of the eyes,
ears, tumors, joint diseases, or other restricred categories of diseases.

Daniel Monroe, M.D.

B. SPECIAL TERMS

TERM ENGLISH INDONESIAN

Isolation the state of being separated
Mentally ill sick in the mind
Psychiatric have something to do with mental
illness

Restraint the act of controlling or limiting

something because it is reasonable
to do so

Sanitarium A place like a hospital where

patients who have a lasting illness
or who are getting better after an
illness is treated

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Supplant Replace somebody/ something

tuberculosis A serious infectious disease in

which swellings appear on the
lungs and other parts of the body

C. EXERCISE

Match each word/phrase in the columm at the left with its meaning on the right!

1. Isolation a. experiencing mental disorders

2. Restraint b. avoiding eating something because necessary to do so
3. Mentally ill c. having relationship with mental disorder
4. Psychiatric d. in separation from other patients
5. Tuberculosis e. taking the place of something older
6. Sanitarium f. a serious illness attacking skin and very often lungs
7. Supplant g. a place for patients who just recovered from an sickness

D. DISCUSSION QUESTIONS

Discuss the following quetions with the class!

1. Why do some patients stay in a special hospital instead of the general one?
2. What kind of special hospital was firs successfully built in Virginia?
3. Where do patients requiring long-term hospitalitazion sent to?
4. Why do you think that the number of beds in tuberculosis sanitarium is decreasing in
number?

E. GRAMMAR (ADVERB CLAUSE)

What kind of adverb clause does each of the underlined clause in the following sentences belong to?
Adverb of time,place,manner reason,purpose,concession or condition.

e.g. When I was sick I decided not be an in –patient becauce my house is next to the hospital
(adverb caluse of reason)

1. When he was hospitalized, he stayed in this room. ( )

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2. The accident happened where the sreet makes a sharp turn. ( )

3. Even though the doctor made any effort to save him, at last he died. ( )

4. My decision is as the doctor thinks it the best. ( )

5. If you want to go the dispensary, I will accompany you. ( )

F. ROLE-PLAY

Patient : You are a 35 years old female patient who has just been informed that you have active
TB. Currently, you are a daily wage-earner and work at the market selling goods, You
are reluctant to go to the hospital as you think that your husband will not be able to
take care of your children. You also dont’s agree to direct observation of treatment as
you do not want to miss work.

Doctor : You have just received the diagnosis for this patient, who has active TB disease. She
seems very scared and cries. You dont’s know how to deal with her emotions. You
inform her that TB is curable, but she needs to go to the hospital for up to two months.
The patient refuses to go to the hospital and wants to get treatment at home and
continue working. She irritates you by not listening to what you are saying. You
constantly interrupt her. Also, a nurse comes to the room saying that you have a phone
call in the neighboring room.

Note:

Suggested outline for an ongoing TB treatment visit

1. Greetings
2. Review of how the patient is feeling, any problems, and concerns.
3. Review of clinical progess based on any test results.
4. Review of medications and how to take them. Discussion of any side effects.

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5. Assessment of adherence and reinforcement of messages about continuing treatment to
cure.
6. Follow-up on any referrals made.

G. WRITING
FOCUS

Write a short paragaph telling that you prefer going to see dr. Sartono to any other doctor in your town.
Use argumentation form.

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