For this exercise, you will be able to design 4 products for your course applying what you have

read.
make sure you focus on your ESP course and cover reading, writing, listening and speaking from the
first or second UNIT of your course.

Speaking
Students are going to be given cards of roles and they have to act according to the description they
have in their cards. (APPENDIX A)

Listening
Students will listen to an audio. First, they have to know what is the audio about, and what is the
nurse checking. Then, they have to organise the steps followed (APPENDIX B) in minute 1:06 where
the nurse explains a procedure to the patient to make her feel more relaxed.

Reading
Students read the article (APPENDIX C), and they are going to perform a comprehension check
activity:
Which of these statements do you think are true? Write T (true) or F (false) next to each of the
statements.
Acute wounds are related to an underlying pathology.
Inflammation is a normal part of the healing process.
Smoking affects wound healing.
New skin begins to form immediately as part of the healing process.
Good nutrition can help reduce the rate of infection in wounds.
Now read the text on the next page and check your answers.

Writing
Students have to match the following medical terms with their corresponding common language
words:
Match the medical term you would use in a report with a word that a patient used during a consult.

Abdominal Buttock
Cranial Abdomen
Digital Breast
Femoral Loin
Gluteal Thigh
Inguinal Chest
Lumbar Chest
Mammary Fingers and toes
Nasal Nose
Pectoral Groin
Thoracis Stomach
Ventral Skull
APPENDIX A

Patient: You are in the emergency room because everything you eat; you immediately throw it up.
This is being happening since yesterday. Two days before, you ate tacos in a stand close to your job
because you barely had time to eat somewhere else. You are quickly and you came back to work.

 Ask about everything the nurse is doing.

 If the nurse tells you she’s going to inject you, show that you’re anxious about it.

Nurse: It’s a busy day and the doctor ask you to help you with a patient who’s been throwing up
since yesterday.

 Find out what did s/he do in the previous days

 If the patient asks for information, explain to him/her

APPENDIX B
Now, I’ll just pump it out a little.

And then, I want you to relax, just breathe normally.

That’s 137 over 97

I’m going to ask you to place your arm on the pillow, first.

Now, If I could wrap this cuff around your arm

I’ll just have a listen while I release the pressure

You won’t feel any discomfort, just a little pressure on the arm.

It is a little higher that I would’ve thought; it can be due to anxiety, which is understandable.

APPENDIX C

Wound management

What is a wound?

A wound is a cut or hole in the skin or flesh. Wounds can be classified according to how they are
caused, whether they are acute or chronic, how deep they are, and the stage of healing.

Assessing the risk

A number of wounds, particularly chronic wounds, are associated with underlying pathology: for
example, venous ulcers are often caused by chronic venous insufficiency and arterial ulcers by
peripheral vascular disease. Pressure ulcers can be caused by pressure, friction or shearing.

The healing process

Four main phases can be identified in the healing process:

1. Haemostasis
2. The inflammatory phase
3. The proliferative phase
 4. The maturation phase

Haemostasis is where the wound begins to close and a scab form. The inflammatory phase usually
occurs over three to seven days where the wound appears inflamed; protein, nutrients and growth
factors leak out of the capillaries and bathe the injured area. This phase is a normal response to
injury and is not to be confused with infection. In the proliferative phase, the elements required for
new skin growth, such as capillaries and collagen, emerge. In the final phase, maturation, new skin
begins to thicken.

Factors affecting wound healing

Wounds do not heal in isolation and it is important to consider the whole person by completing a
holistic assessment, which should aim to identify any existing or potential problems that will
adversely affect wound healing. The numerous factors to be considered during assessment are
illustrated below and include local, systemic and contextual factors. By reviewing each factor, the
nurse will be able to develop an effective wound management strategy. Some of the key factors are
identified below.

Nutrition

Good nutrition is essential for wound healing. There is a relationship between protein-energy
malnutrition and delayed healing, reduced tensile strength (resistance to tearing), infection and the
development of pressure ulcers. Proteins are essential for collagen synthesis, angiogenesis and cell
reconstruction.

Cardiovascular and respiratory status

Anything that interferes in any way with oxygen delivery will tend to increase susceptibility to
infection and delay healing, for example, smoking, where carbon monoxide reduces the available
oxygen.