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rscalex100 \ul0\nosupersub\cf13\f14\fs24 2\ul0\nosupersub\cf7\f8\fs24 Key words
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\ul0\nosupersub\cf15\f16\fs20 1\tab \up0 \expndtw0\charscalex106 are on the bot
tom grade.\par\pard\ql \li1863\sb70\sl-230\slmult0\tx3776 \up0 \expndtw-2\charsc
alex100 2\tab \up0 \expndtw0\charscalex107 often work in administration.\par\par
d\ql \li1863\sb70\sl-230\slmult0\tx5204 \up0 \expndtw-2\charscalex100 3 The new
job is a\tab \up0 \expndtw0\charscalex104 for her.\par\pard\ql \li1863\sb70\sl230\slmult0\tx5449 \up0 \expndtw0\charscalex108 4 Psychiatric nurses\tab \up0 \e
xpndtw0\charscalex112 in mental health.\par\pard\ql \li1863\sb70\sl-230\slmult0\
tx4893 \up0 \expndtw-2\charscalex100 5 You can do a\tab \up0 \expndtw0\charscal
ex106 course while you work.\par\pard\ql \li1863\sb70\sl-230\slmult0 \up0 \expnd
tw0\charscalex100 6 You need to send a CV when you\par\pard\ql \li1863\sb70\sl-2
30\slmult0 \up0 \expndtw0\charscalex104 7 Contact with patients can be very\par
\pard\ql \li1863\sb70\sl-230\slmult0\tx5828 \up0 \expndtw0\charscalex103 8 We ar
e looking for well\tab \up0 \expndtw0\charscalex105 staff.\par\pard\ql \li1865\s
b0\sl-276\slmult0 \par\pard\ql \li1865\sb156\sl-276\slmult0 \up0 \expndtw-8\char
scalex100 \ul0\nosupersub\cf13\f14\fs24 Reading and vocabuLaRy\par\pard\column \
ql \li9375\sb0\sl-230\slmult0 \par\pard\ql \li20\sb47\sl-230\slmult0 \up0 \expnd
tw0\charscalex102 \ul0\nosupersub\cf15\f16\fs20 qualified\par\pard\qj \li20\ri10
48\sb2\sl-240\slmult0 \up0 \expndtw-5\charscalex100 nursing officers \up0 \expnd
tw0\charscalex104 promotion\par\pard\ql \li20\sb9\sl-230\slmult0 \up0 \expndtw0\
charscalex109 part-time\par\pard\qj \li20\ri1027\sb2\sl-240\slmult0 \up0 \expndt
w-7\charscalex100 apply for a job \up0 \expndtw-4\charscalex100 auxiliary nurses
\up0 \expndtw0\charscalex102 rewarding\par\pard\ql \li20\sb9\sl-230\slmult0 \up
0 \expndtw0\charscalex102 specialize \par\pard\sect\sectd\sbknone \ql \li2056\sb
0\sl-230\slmult0 \par\pard\ql\li2056\sb69\sl-230\slmult0 \up0 \expndtw-2\charsca
lex100 A big hospital is like a small town; it needs thousands of people to make
it work. All these people \par\pard\ql \li2056\sb30\sl-230\slmult0 \up0 \expndt
w0\charscalex102 are organized into teams and each person in each team has a ran
k and often a specialism. In the \par\pard\qj \li2056\ri1243\sb0\sl-250\slmult0

\up0 \expndtw0\charscalex100 past, the health care team\u8217?s chain of command


was simple: doctors made decisions and gave senior \up0 \expndtw0\charscalex100
nurses orders. Senior nurses then instructed junior nurses, and so on. Things a
re changing. In many \up0 \expndtw-1\charscalex100 countries nurses have much mo
re responsibility than they once had. \par\pard\ql \li2056\ri1110\sb44\sl-250\sl
mult0 \up0 \expndtw-3\charscalex100 One thing is not changing; it is still a doc
tor who is in charge of a patient\u8217?s treatment. In Britain, that \up0 \expn
dtw0\charscalex100 doctor is called a consultant. Next in line to the consultant
is the registrar. Consultants and registrars \up0 \expndtw0\charscalex100 train
the junior doctors who are called house officers or interns. Junior doctors wor
k the same long, \up0 \expndtw-1\charscalex100 unsocial hours that nurses do on
the wards. The most senior nurses are nursing officers; they are \up0 \expndtw-1
\charscalex100 administrators. Then come ward managers who supervise staff nurse
s and students. \par\pard\qj \li2056\ri1109\sb54\sl-246\slmult0 \up0 \expndtw0\c
harscalex100 It is not only doctors and nurses who deliver treatment and care; t
here are many other specialists too. \line \up0 \expndtw0\charscalex100 For exam
ple, there are physiotherapists who specialize in exercises to treat injury or d
ysfunction and \line \up0 \expndtw0\charscalex103 occupational therapists who he
lp patients manage every-day living. There are also many people the \line \up0 \
expndtw0\charscalex103 patient does not meet like lab technicians doing the test
s and pharmacists dispensing medicines. \par\pard\ql \li2056\ri1250\sb54\sl-246\
slmult0 \up0 \expndtw-1\charscalex100 Like any town, a hospital has teams of off
ice staff and ancillary workers such as porters, orderlies, \up0 \expndtw0\chars
calex100 technicians, drivers, cleaners, receptionists and cooks. Every team is
essential for the delivery of \up0 \expndtw0\charscalex102 treatment and care. T
his includes the volunteers who, without pay, raise money for the hospital and \
up0 \expndtw0\charscalex102 run shops, cinemas, libraries and restaurants. \par\
pard\ql \li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\p
ard\ql\li2745\sb193\sl-207\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\
cf11\f12\fs18 Oxford English for Careers\ul0\nosupersub\cf10\f11\fs18 Nursing 1
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}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
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mult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf13\f14\fs24 3\ul0\nosupersu
b\cf7\f8\fs24 Comprehension \par\pard\ql \li1870\sb123\sl-253\slmult0 \up0 \exp
ndtw0\charscalex104 \ul0\nosupersub\cf14\f15\fs22 Use the information in the tex
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Lab technicians and pharmacists \
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lmult0\tx2097\tx2097 \up0 \expndtw0\charscalex102 6 Hospital volunteers are \l
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run\par\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \ex
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treat\par\pard\ql \li1870\sb0\sl-276\slmult0 \par\pard\
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I\u8217?m working in reception / receptionist. \par\pard\ql \li1870\ri4362\sb2\s
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d with people, so I thought that nursing was not \up0 \expndtw-1\charscalex100 f
or me. But when I was sixteen my grandmother got very ill. I watched the nurses
care for her as she \up0 \expndtw-2\charscalex100 slowly died, and I realized th
at I wanted to be like them. \par\pard\ql \li2142\sb229\sl-230\slmult0 \up0 \exp
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g college accepted me and I started the \par\pard\qj \li2111\ri1297\sb2\sl-240\s
lmult0 \up0 \expndtw-1\charscalex100 course two years ago. I am still training a
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rscalex100 everyone, but personally I love it. \par\pard\qj \li2111\ri1312\sb240
\sl-240\slmult0 \up0 \expndtw-2\charscalex100 For the past two months I have bee
n working in a children\u8217?s ward. It\u8217?s a wonderful experience and \up0
\expndtw-4\charscalex100 I\u8217?m going to specialize in paediatrics as soon a
s I can. I\u8217?m ambitious and I want to go as high in my \up0 \expndtw-4\char
scalex100 chosen career as possible. \par\pard\ql \li2745\sb0\sl-207\slmult0 \pa
r\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\
pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pa
rd\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard
\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\q
l\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\
li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li
2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li27
45\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745
\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\s
b0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0
\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\s
l-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-20
7\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\
slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\sl
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\par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \p
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\expndtw0\charscalex103 \ul0\nosupersub\cf11\f12\fs18 Oxford English for Career
s\ul0\nosupersub\cf10\f11\fs18 Nursing 1 Practice File Oxford University Press
2011
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er examples. The department that specializes in heart problems, is sometimes \up
0 \expndtw-3\charscalex100 called \u8216?Coronary Care\u8217?. Others call it \u
8216?Cardiology\u8217? or \u8216?Cardiovascular medicine\u8217?. Nephrology, the
\line \up0 \expndtw0\charscalex100 department that treats illnesses of the kidn
ey is sometimes called \u8216?the Renal Unit\u8217?. Gastroenterology \up0 \expn
dtw-2\charscalex100 (digestive system) is sometimes \u8216?the Department of Hep
atology\u8217?. \par\pard\ql \li2056\ri1098\sb51\sl-250\slmult0 \up0 \expndtw-1\
charscalex100 Hospital staff often use abbreviations for departments. For exampl
e, they refer to \u8216?Obs and Gynae\u8217?. \line \up0 \expndtw0\charscalex100
This is a department combining Obstetrics (pregnancy), and Gynaecology (women\u
8217?s reproductive \line \up0 \expndtw-3\charscalex100 organs). They call Otol
aryngology, \u8216?ENT\u8217? (ears, nose & throat), mostly because it is much e
asier to say. \par\pard\ql \li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl
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7\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf11\f12\fs18 Oxford Engl
ish for Careers\ul0\nosupersub\cf10\f11\fs18 Nursing 1 Practice File Oxford Un
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lmult0 \par\pard\ql\li1870\sb96\sl-276\slmult0 \up0 \expndtw-2\charscalex100 \ul
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ctice \par\pard\ql \li1870\sb123\sl-253\slmult0 \up0 \expndtw0\charscalex105 \ul
0\nosupersub\cf14\f15\fs22 Match department names 1-6 with parts of the body a-f
. \par\pard\li1870\sb129\sl-230\slmult0\fi0\tx4970 \up0 \expndtw0\charscalex110
\ul0\nosupersub\cf15\f16\fs20 Department name\tab \up0 \expndtw0\charscalex110 P
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ult0 \par\pard\ql \li1019\sb66\sl-207\slmult0\tx2723 \up0 \expndtw0\charscalex10
2 \ul0\nosupersub\cf19\f20\fs18 Obstetrics\tab \up0 \expndtw-4\charscalex100 Ear
Nose\par\pard\ql \li2711\sb15\sl-207\slmult0 \up0 \expndtw0\charscalex102 & Thr
oat\par\pard\ql \li4463\sb0\sl-184\slmult0 \par\pard\ql \li4463\sb0\sl-184\slmul
t0 \par\pard\ql \li4463\sb0\sl-184\slmult0 \par\pard\ql \li20\sb18\sl-184\slmult
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l \li5126\sb0\sl-207\slmult0 \par\pard\ql \li5126\sb0\sl-207\slmult0 \par\pard\q
l \li5126\sb0\sl-207\slmult0 \par\pard\ql \li683\sb178\sl-207\slmult0 \up0 \expn
dtw-2\charscalex100 \ul0\nosupersub\cf19\f20\fs18 Ward\par\pard\ql \li6677\sb0\s
l-230\slmult0 \par\pard\ql \li6677\sb0\sl-230\slmult0 \par\pard\ql \li2234\sb32\
sl-230\slmult0 \up0 \expndtw-9\charscalex81 \ul0\nosupersub\cf17\f18\fs20 CITY H
OSPITAL\par\pard\ql \li2311\sb1\sl-196\slmult0 \up0 \expndtw-1\charscalex100 Gro
und floor\par\pard\ql \li20\sb0\sl-141\slmult0 \up0 \expndtw0\charscalex102 \ul0
\nosupersub\cf18\f19\fs16 corridor\par\pard\column \ql \li8160\sb0\sl-184\slmult
0 \par\pard\ql \li8160\sb0\sl-184\slmult0 \par\pard\ql \li8160\sb0\sl-184\slmult
0 \par\pard\ql \li8160\sb0\sl-184\slmult0 \par\pard\ql \li8160\sb0\sl-184\slmult
0 \par\pard\ql \li8160\sb0\sl-184\slmult0 \par\pard\ql \li8160\sb0\sl-184\slmult
0 \par\pard\ql \li8160\sb0\sl-184\slmult0 \par\pard\ql \li8160\sb0\sl-184\slmult
0 \par\pard\ql \li8160\sb0\sl-184\slmult0 \par\pard\ql \li8160\sb0\sl-184\slmult
0 \par\pard\ql \li8160\sb0\sl-184\slmult0 \par\pard\ql \li8160\sb0\sl-184\slmult

0 \par\pard\ql \li8160\sb0\sl-184\slmult0 \par\pard\ql \li8160\sb0\sl-184\slmult


0 \par\pard\ql \li8160\sb0\sl-184\slmult0 \par\pard\ql \li8160\sb0\sl-184\slmult
0 \par\pard\ql \li20\sb10\sl-184\slmult0 \up0 \expndtw0\charscalex102 corridor\p
ar\pard\ql \li8862\sb0\sl-207\slmult0 \par\pard\ql \li8862\sb0\sl-207\slmult0 \p
ar\pard\ql \li8862\sb0\sl-207\slmult0 \par\pard\ql \li722\sb22\sl-207\slmult0 \u
p0 \expndtw-2\charscalex100 \ul0\nosupersub\cf19\f20\fs18 Ward \par\pard\sect\se
ctd\sbknone \ql \li2097\sb0\sl-230\slmult0 \par\pard\ql\li2097\sb0\sl-230\slmult
0 \par\pard\ql\li2097\sb228\sl-230\slmult0 \up0 \expndtw-1\charscalex100 \ul0\no
supersub\cf15\f16\fs20 Dear Mrs Contadino, \par\pard\ql \li2097\sb230\sl-230\slm
ult0 \up0 \expndtw0\charscalex100 Regarding your outpatient\u8217?s appointment
on 2nd February at 10.15. \par\pard\qj \li2097\ri1653\sb222\sl-240\slmult0 \up0
\expndtw0\charscalex100 Below are instructions to get to the Department of Coron
ary Care. Park in the hospital car park \up0 \expndtw-1\charscalex100 which is a
t the front of the hospital. Go to the main entrance \u8230? \par\pard\ql \li274
5\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\
sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb
0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\
sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl
-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-2
07\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207
\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\s
lmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slm
ult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmul
t0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0
\par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \
par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \pa
r\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\
pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pa
rd\ql\li2745\sb165\sl-207\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\c
f11\f12\fs18 Oxford English for Careers\ul0\nosupersub\cf10\f11\fs18 Nursing 1
Practice File Oxford University Press 2011
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ew the patient? B Yes, she did / interviewed / do. \up0 \expndtw0\charscalex100
6 What were you doing while / when / during you broke your leg? \up0 \expndtw-2\
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\expndtw0\charscalex107 life-threatening \up0 \expndtw0\charscalex100 prescripti
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\up0 \expndtw0\charscalex105 allergic\par\pard\qj \li20\ri1162\sb2\sl-240\slmult


0 \up0 \expndtw0\charscalex106 assessment \line \up0 \expndtw0\charscalex107 app
ointments \line \up0 \expndtw0\charscalex103 limbs \par\pard\sect\sectd\sbknone
\ql \li2056\sb0\sl-230\slmult0 \par\pard\ql\li2056\sb68\sl-230\slmult0 \up0 \exp
ndtw0\charscalex100 There are three ways to admit a patient to hospital: either
as an outpatient, a day patient or an \par\pard\qj \li2056\ri1382\sb22\sl-240\sl
mult0 \up0 \expndtw0\charscalex100 inpatient. An outpatient needs treatment but
not a bed. A day patient needs a bed for a few hours, \up0 \expndtw0\charscalex1
00 but doesn\u8217?t need to stay overnight. An inpatient needs at least one ove
rnight stay. \par\pard\ql \li2056\ri1380\sb52\sl-250\slmult0 \up0 \expndtw0\char
scalex100 Hospitals need to plan for patient admissions. They have to predict ho
w many beds they will need. \up0 \expndtw0\charscalex100 It is quite easy to pre
dict referrals from doctors like General Practitioners, but a larger number of \
up0 \expndtw-1\charscalex100 patients come through A&E, and it is more difficult
to plan for them. \par\pard\ql \li2056\sb87\sl-230\slmult0 \up0 \expndtw0\chars
calex100 It is very important to keep accurate records of patients\u8217? treatm
ent, from admission through to \par\pard\qj \li2056\ri1250\sb0\sl-260\slmult0 \u
p0 \expndtw0\charscalex102 discharge and follow-up. These include personal detai
ls such as marital status, occupation and next \line \up0 \expndtw0\charscalex10
0 of kin, as well as medical history such as past illnesses and treatments, fami
ly history and lifestyle. \par\pard\qj \li2056\ri1296\sb35\sl-250\slmult0 \up0 \
expndtw0\charscalex100 Medical staff record all treatments, test results and cor
respondence. They try to record these things \up0 \expndtw0\charscalex102 at the
time they happen. This is important, and not only to ensure the correct treatme
nt. Medical \up0 \expndtw0\charscalex100 records are sometimes used for research
, or in a court of law. \par\pard\ql \li2745\sb0\sl-207\slmult0 \par\pard\ql\li2
745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li274
5\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\
sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb
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rd English for Careers\ul0\nosupersub\cf10\f11\fs18 Nursing 1 Practice File Ox
ford University Press 2011
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slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf13\f14\fs24 3\ul0\nosuper
sub\cf7\f8\fs24 Comprehension \par\pard\ql \li1870\sb123\sl-253\slmult0 \up0 \e
xpndtw-2\charscalex100 \ul0\nosupersub\cf14\f15\fs22 According to the text, are
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l-230\slmult0 \up0 \expndtw0\charscalex105 \ul0\nosupersub\cf15\f16\fs20 1 Admi
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l-276\slmult0 \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf13\f14\fs24 4\ul0\n
osupersub\cf7\f8\fs24 Vocabulary \par\pard\qj \li1870\ri4136\sb118\sl-260\slmul
t0 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf14\f15\fs22 Match the words or
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st one is done for you.\par\pard\sect\sectd\sbknone\cols2\colno1\colw4930\colsr2
0\colno2\colw6810\colsr160\ql \li1870\sb128\sl-230\slmult0 \up0 \expndtw-4\chars
calex100 \ul0\nosupersub\cf15\f16\fs20 1
overnight stay\par\pard\ql \li1870\s
b70\sl-230\slmult0 \up0 \expndtw-4\charscalex100 2
admission\par\pard\ql \li1
870\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex110 3 referral\par\pard\ql \li
1870\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex115 4 discharge\par\pard\ql \l
i1870\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex108 5 follow-up\par\pard\ql
\li1870\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex115 6 correspondence\par\pa
rd\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex103 7 lifestyle\par\
pard\ql \li1870\sb0\sl-276\slmult0 \par\pard\ql \li1870\sb92\sl-276\slmult0 \up0
\expndtw-2\charscalex100 \ul0\nosupersub\cf13\f14\fs24 5\ul0\nosupersub\cf7\f8\
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\up0 \expndtw0\charscalex104 \ul0\nosupersub\cf15\f16\fs20 a when a patient is
sent to hospital\par\pard\ql \li20\sb70\sl-230\slmult0 \up0 \expndtw0\charscale
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\up0 \expndtw0\charscalex107 c treatment after a patient has been discharged fr
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20\sb58\sl-230\slmult0 \up0 \expndtw0\charscalex108 e letters, emails and messa
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the moment when a patient enters hospital \line \up0 \expndtw0\charscalex101
g
when a patient is told they can leave hospital \par\pard\sect\sectd\sbknone
\qj \li1870\ri3669\sb78\sl-280\slmult0 \up0 \expndtw0\charscalex105 \ul0\nosupe

rsub\cf14\f15\fs22 Underline the correct words in italics to complete the senten


ces. \up0 \expndtw-2\charscalex100 The first one is done for you. \par\pard\ql \
li1870\sb102\sl-230\slmult0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf15\f
16\fs20 1
We don\u8217?t need beds for out / in / day patients. \par\pard\ql
\li1870\sb70\sl-230\slmult0 \up0 \expndtw-3\charscalex100 2 Who is your family
history / next of kin / occupation? \par\pard\ql \li1870\sb70\sl-230\slmult0 \u
p0 \expndtw-2\charscalex100 3 What is your marital status / past illnesses / pe
rsonal details ? \par\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw0\charsca
lex102 4 The new patient is a referral / admission / discharge from Cardiology.
\par\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex100 5 We need
you to come back to the hospital for discharge / follow-up / admission tests. \
par\pard\qj \li1870\ri1270\sb13\sl-300\slmult0\tx2097 \up0 \expndtw0\charscalex1
00 6 If you don\u8217?t stop smoking and drinking so much, your lifestyle / test
results / medical history may \line\tab \up0 \expndtw-1\charscalex100 kill you.
\par\pard\ql \li1870\sb58\sl-230\slmult0 \up0 \expndtw0\charscalex100 7 After
you sign the discharge / correspondence / record form, you can go home. \par\par
d\ql \li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard
\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\q
l\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\
li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li
2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li27
45\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745
\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\s
b0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0
\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\s
l-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-20
7\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\
slmult0 \par\pard\ql\li2745\sb194\sl-207\slmult0 \up0 \expndtw0\charscalex103 \u
l0\nosupersub\cf11\f12\fs18 Oxford English for Careers\ul0\nosupersub\cf10\f11\f
s18 Nursing 1 Practice File Oxford University Press 2011
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}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
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\pard\ql \li1870\sb176\sl-276\slmult0 \up0 \expndtw0\charscalex100 \ul0\nosupers
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r\pard\ql \li2097\sb0\sl-230\slmult0 \par\pard\ql\li2097\sb115\sl-230\slmult0 \u
p0 \expndtw0\charscalex100 \ul0\nosupersub\cf15\f16\fs20 Example Summary \par\pa
rd\ql \li2097\sb130\sl-230\slmult0 \up0 \expndtw-3\charscalex100 Jim Grady is a
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0 kin. Mr Grady was bitten by a snake while walking with his dog, and admitted t
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18 Nursing 1 Practice File Oxford University Press 2011
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Make sure / Make / Make you sure the patient is comfortable. \par\pard\qj \li18
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A Every day of the year people come through the doors of A&E departments. Some w
alk and some \line\tab \up0 \expndtw0\charscalex102 come on stretchers. They may
be victims of road traffic accidents, violence, accidents at home, \line \tab \
up0 \expndtw0\charscalex102 self-harming, poisoning, burns, and so on. \par\pard
\qj \li2060\ri1121\sb42\sl-260\slmult0\tx2300 \up0 \expndtw-1\charscalex100 B A
&E is for people who are seriously injured, perhaps unconscious or losing a lot
of blood. Hospitals \line\tab \up0 \expndtw-1\charscalex100 usually say that A&E
departments are only for critical or life-threatening situations. \par\pard\ql
\li2060\sb65\sl-230\slmult0 \up0 \expndtw-1\charscalex100 C Some people go to A
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j \li2060\ri1445\sb80\sl-240\slmult0\tx2300 \up0 \expndtw0\charscalex100 D When
A&E departments have multiple casualties, after a major incident like a train c
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e, and those who only need first aid. People who are going to die are not a \lin
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ursing in A&E is fast moving and interesting. The high level of stress can somet
imes mean that \line\tab \up0 \expndtw0\charscalex100 staff suffer emotional pro
blems. A&E staff are well known for their dark sense of humour - they \line \tab
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{\shp {\*\shpinst\shpleft5247\shptop9026\shpright6902\shpbottom9026\shpfhdr0\shp
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{\shp {\*\shpinst\shpleft5034\shptop9326\shpright6690\shpbottom9326\shpfhdr0\shp
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{\shp {\*\shpinst\shpleft2090\shptop9626\shpright3746\shpbottom9626\shpfhdr0\shp
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{\shp {\*\shpinst\shpleft6002\shptop9926\shpright7658\shpbottom9926\shpfhdr0\shp
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{\shp {\*\shpinst\shpleft1863\shptop10881\shpright10828\shpbottom15393\shpfhdr0\
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{\shp {\*\shpinst\shpleft9217\shptop9402\shpright9217\shpbottom7320\shpfhdr0\shp
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}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
g13}{\bkmkend Pg13}\par\pard\ql \li1870\sb0\sl-207\slmult0 \par\pard\ql\li1870\s
b62\sl-207\slmult0 \up0 \expndtw0\charscalex128 \ul0\nosupersub\cf10\f11\fs18 11
Unit 4 \par\pard\ql \li1870\sb0\sl-276\slmult0 \par\pard\ql\li1870\sb180\sl-276
\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf13\f14\fs24 3\ul0\nosupe
rsub\cf7\f8\fs24 Comprehension \par\pard\ql \li1870\sb123\sl-253\slmult0 \up0 \
expndtw0\charscalex106 \ul0\nosupersub\cf14\f15\fs22 Match each paragraph A-F wi
th the correct heading 1-6. \par\pard\ql \li1870\sb126\sl-230\slmult0 \up0 \expn
dtw0\charscalex108 \ul0\nosupersub\cf15\f16\fs20 1 Triage categories \par\pard\
ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex100 2 The purpose of tr
iage \par\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw-2\charscalex100 3 T
he purpose of A&E \par\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw0\charsc
alex104 4 A&E staff are victims \par\pard\ql \li1870\ri3632\sb13\sl-300\slmult0
\up0 \expndtw0\charscalex102 5 Patients who present to A&E \line \up0 \expndtw0
\charscalex103 6 Non-emergencies \par\pard\ql \li1870\sb0\sl-276\slmult0 \par\pa
rd\ql\li1870\sb84\sl-276\slmult0 \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf
13\f14\fs24 4\ul0\nosupersub\cf7\f8\fs24 Vocabulary\par\pard\sect\sectd\sbknone
\cols2\colno1\colw9175\colsr160\colno2\colw2425\colsr160\ql \li1870\sb129\sl-253
\slmult0 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf14\f15\fs22 Complete the
sentences with the words in the list.\par\pard\ql \li1870\sb123\sl-230\slmult0\
tx6850 \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf15\f16\fs20 1 Use a stret
cher to bring in the next\tab \up0 \expndtw0\charscalex105 - she can\u8217?t wal
k.\par\pard\ql \li1870\sb70\sl-230\slmult0\tx6074 \up0 \expndtw-2\charscalex100
2 This patient\u8217?s condition is\tab \up0 \expndtw0\charscalex106 at the mom
ent, but she\par\pard\ql \li2097\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex10
3 needs to see a doctor soon.\par\pard\ql \li1870\sb70\sl-230\slmult0\tx4417 \up
0 \expndtw0\charscalex104 3 He has\tab \up0 \expndtw0\charscalex107 injuries, b
ut they are not life-threatening.\par\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \
expndtw0\charscalex102 4 This patient is in serious danger - his condition is\pa
r\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw-2\charscalex100 5 She has c
uts and bruising to her face - I\u8217?m sure she\u8217?s a\par\pard\ql \li2097\
sb70\sl-230\slmult0 \up0 \expndtw0\charscalex108 of violence.\par\pard\ql \li187
0\sb70\sl-230\slmult0\tx6562 \up0 \expndtw-2\charscalex100 6 This child is serio
usly ill - he\u8217?s a\tab \up0 \expndtw0\charscalex113 for immediate treatment
.\par\pard\ql \li1870\sb0\sl-276\slmult0 \par\pard\ql \li1870\sb92\sl-276\slmult
0 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf13\f14\fs24 5\ul0\nosupersub\cf
7\f8\fs24 Further vocabulary practice\par\pard\qj \li1870\ri540\sb118\sl-260\sl
mult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf14\f15\fs22 Choose the word
or phrase from the list which has the same meaning \up0 \expndtw0\charscalex108
as the underlined words in sentences 1-6.\par\pard\ql \li1870\sb121\sl-230\slmu
lt0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf15\f16\fs20 1 The patient is
conscious - you can talk to her now.\par\pard\ql \li1870\sb70\sl-230\slmult0 \u
p0 \expndtw0\charscalex102 2 Remove the pads from his chest.\par\pard\ql \li187
0\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex102 3 Make sure you keep his hea

d still - you might injure\par\pard\ql \li2097\sb70\sl-230\slmult0 \up0 \expndtw


0\charscalex103 his spine.\par\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw
0\charscalex113 4 He needs treatment immediately.\par\pard\ql \li1870\sb70\sl-23
0\slmult0 \up0 \expndtw0\charscalex101 5 If the procedure is not successful, yo
u may have to do\par\pard\ql \li2097\sb70\sl-230\slmult0 \up0 \expndtw0\charscal
ex107 it again.\par\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw0\charscale
x106 6 Her condition is serious, but not life-threatening.\par\pard\ql \li2745\s
b0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\s
b0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\s
b0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\s
b0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\s
b0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\s
b0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\s
b0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\s
b0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\s
b0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\s
b0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\s
b0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\s
b0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\s
b87\sl-218\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf11\f12\fs18 Ox
ford English for Careers\ul0\nosupersub\cf10\f11\fs18 Nursing 1 Practice File
Oxford University Press 2011\par\pard\column \ql \li9335\sb0\sl-230\slmult0 \par
\pard\ql \li20\sb29\sl-230\slmult0 \up0 \expndtw0\charscalex106 \ul0\nosupersub\
cf15\f16\fs20 victim\par\pard\ql \li20\sb10\sl-230\slmult0 \up0 \expndtw0\charsc
alex106 critical\par\pard\ql \li20\sb10\sl-230\slmult0 \up0 \expndtw0\charscalex
107 minor\par\pard\ql \li20\sb10\sl-230\slmult0 \up0 \expndtw0\charscalex109 cas
ualty\par\pard\ql \li20\sb10\sl-230\slmult0 \up0 \expndtw0\charscalex111 stable\
par\pard\ql \li20\sb10\sl-230\slmult0 \up0 \expndtw0\charscalex100 priority\par\
pard\qj \li9335\sb0\sl-240\slmult0 \par\pard\qj \li9335\sb0\sl-240\slmult0 \par\
pard\qj \li9335\sb0\sl-240\slmult0 \par\pard\qj \li9335\sb0\sl-240\slmult0 \par\
pard\qj \li9335\sb0\sl-240\slmult0 \par\pard\qj \li9335\sb0\sl-240\slmult0 \par\
pard\qj \li9335\sb0\sl-240\slmult0 \par\pard\qj \li20\ri999\sb219\sl-240\slmult0
\up0 \expndtw0\charscalex107 awake and alert \up0 \expndtw0\charscalex106 criti
cal\par\pard\qj \li20\ri1396\sb0\sl-240\slmult0 \up0 \expndtw0\charscalex108 imm
obilize \up0 \expndtw-1\charscalex100 take off\par\pard\ql \li20\sb9\sl-230\slmu
lt0 \up0 \expndtw0\charscalex100 right now\par\pard\ql \li20\sb10\sl-230\slmult0
\up0 \expndtw0\charscalex114 repeat
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{\shp {\*\shpinst\shpleft3878\shptop2744\shpright4438\shpbottom2744\shpfhdr0\shp
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{\shp {\*\shpinst\shpleft6508\shptop8751\shpright8164\shpbottom8751\shpfhdr0\shp
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{\shp {\*\shpinst\shpleft4958\shptop9051\shpright6614\shpbottom9051\shpfhdr0\shp
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{\shp {\*\shpinst\shpleft2955\shptop9651\shpright4611\shpbottom9651\shpfhdr0\shp
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{\shp {\*\shpinst\shpleft5097\shptop9951\shpright6752\shpbottom9951\shpfhdr0\shp
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{\shp {\*\shpinst\shpleft2834\shptop10551\shpright4490\shpbottom10551\shpfhdr0\s
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}}
{\shp {\*\shpinst\shpleft9217\shptop7827\shpright10823\shpbottom9473\shpfhdr0\sh
pbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz535\shplid25
{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{
\sn geoRight}{\sv 1606}}{\sp{\sn geoBottom}{\sv 1646}}
{\sp{\sn pVerticies}{\sv 8;4;(0,1646);(1606,1646);(1606,0);(0,0)}}
{\sp{\sn pSegmentInfo}{\sv 2;10;16384;45824;1;45824;1;45824;1;45824;24577;32768}
}
{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 167772
15}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv
1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}
}}
{\shp {\*\shpinst\shpleft9217\shptop7827\shpright10823\shpbottom9473\shpfhdr0\sh
pbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz567\shplid26
{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{
\sn geoRight}{\sv 1606}}{\sp{\sn geoBottom}{\sv 1646}}{\sp{\sn shapePath}{\sv 4}
}

{\sp{\sn pVerticies}{\sv 8;4;(0,1646);(1606,1646);(1606,0);(0,0)}}


{\sp{\sn pSegmentInfo}{\sv 2;9;16384;45824;1;45824;1;45824;1;45824;32768}}
{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 7550}}
{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocumen
t}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}
}}
{\shp {\*\shpinst\shpleft9217\shptop9473\shpright9217\shpbottom7827\shpfhdr0\shp
bxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz567\shplid27{\sp{\sn shapeType}{
\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lin
eWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft9217\shptop4490\shpright10823\shpbottom6136\shpfhdr0\sh
pbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz571\shplid28
{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{
\sn geoRight}{\sv 1606}}{\sp{\sn geoBottom}{\sv 1646}}
{\sp{\sn pVerticies}{\sv 8;4;(0,1646);(1606,1646);(1606,0);(0,0)}}
{\sp{\sn pSegmentInfo}{\sv 2;10;16384;45824;1;45824;1;45824;1;45824;24577;32768}
}
{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 167772
15}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv
1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}
}}
{\shp {\*\shpinst\shpleft9217\shptop4490\shpright10823\shpbottom6136\shpfhdr0\sh
pbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz595\shplid29
{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{
\sn geoRight}{\sv 1606}}{\sp{\sn geoBottom}{\sv 1646}}{\sp{\sn shapePath}{\sv 4}
}
{\sp{\sn pVerticies}{\sv 8;4;(0,1646);(1606,1646);(1606,0);(0,0)}}
{\sp{\sn pSegmentInfo}{\sv 2;9;16384;45824;1;45824;1;45824;1;45824;32768}}
{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 7550}}
{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocumen
t}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}
}}
{\shp {\*\shpinst\shpleft9217\shptop6136\shpright9217\shpbottom4490\shpfhdr0\shp
bxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz595\shplid30{\sp{\sn shapeType}{
\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lin
eWidth}{\sv 7550}}
}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
g14}{\bkmkend Pg14}\par\pard\ql \li1870\sb0\sl-207\slmult0 \par\pard\ql\li1870\s
b62\sl-207\slmult0 \up0 \expndtw0\charscalex118 \ul0\nosupersub\cf10\f11\fs18 12
Unit 4 \par\pard\ql \li1872\sb0\sl-322\slmult0 \par\pard\ql\li1872\sb136\sl-322
\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf12\f13\fs28 WRiting \pa
r\pard\ql \li1870\sb176\sl-276\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupe
rsub\cf13\f14\fs24 6\ul0\nosupersub\cf7\f8\fs24 Writing instructions \par\pard\
ql \li1870\sb123\sl-253\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf
14\f15\fs22 Read this set of first aid instructions for bruises. \par\pard\ql \l
i2184\sb0\sl-230\slmult0 \par\pard\ql\li2184\sb56\sl-230\slmult0 \up0 \expndtw0\
charscalex100 \ul0\nosupersub\cf15\f16\fs20 How to treat bruises \par\pard\ql \l
i2184\sb170\sl-230\slmult0 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf16\f17
\fs38 \u8226?\ul0\nosupersub\cf15\f16\fs20 Apply ice to the bruise to reduce sw
elling. \par\pard\ql \li2184\sb110\sl-230\slmult0 \up0 \expndtw0\charscalex100 \
ul0\nosupersub\cf16\f17\fs38 \u8226?\ul0\nosupersub\cf15\f16\fs20 Raise the bru
ised area so that it is higher than the heart. This reduces internal bleeding. \
par\pard\ql \li2184\sb130\sl-230\slmult0 \up0 \expndtw0\charscalex100 \ul0\nosup
ersub\cf16\f17\fs38 \u8226?\ul0\nosupersub\cf15\f16\fs20 Get medical advice if
the bruise doesn\u8217?t get any better after 24 hours. \par\pard\qj \li1870\sb0
\sl-300\slmult0 \par\pard\qj\li1870\ri1457\sb133\sl-300\slmult0 \up0 \expndtw0\c
harscalex104 Write first aid instructions for non-medical people for the treatme

nt and care of cuts and grazes. \up0 \expndtw0\charscalex104 Include information


about: \par\pard\ql \li1870\sb89\sl-241\slmult0 \up0 \expndtw0\charscalex110 \u
l0\nosupersub\cf16\f17\fs38 \u8226?\ul0\nosupersub\cf15\f16\fs20 cleaning and h
ygiene \par\pard\ql \li1870\sb59\sl-241\slmult0 \up0 \expndtw0\charscalex105 \ul
0\nosupersub\cf16\f17\fs38 \u8226?\ul0\nosupersub\cf15\f16\fs20 how to stop ble
eding \par\pard\ql \li1870\sb59\sl-241\slmult0 \up0 \expndtw0\charscalex111 \ul0
\nosupersub\cf16\f17\fs38 \u8226?\ul0\nosupersub\cf15\f16\fs20 antiseptics \par
\pard\ql \li1870\sb50\sl-253\slmult0 \up0 \expndtw0\charscalex107 \ul0\nosupersu
b\cf16\f17\fs38 \u8226?\ul0\nosupersub\cf15\f16\fs20 dressings \par\pard\ql \li
1870\sb66\sl-230\slmult0 \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf16\f17\f
s38 \u8226?\ul0\nosupersub\cf15\f16\fs20 what to do if the bleeding does not st
op \par\pard\ql \li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult
0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0
\par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \p
ar\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par
\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\p
ard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\par
d\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\
ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql
\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\l
i2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2
745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li274
5\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\
sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb
0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\
sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl
-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-2
07\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207
\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\s
lmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slm
ult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmul
t0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0
\par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \
par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb187\sl-207\slmult0 \
up0 \expndtw0\charscalex103 \ul0\nosupersub\cf11\f12\fs18 Oxford English for Car
eers\ul0\nosupersub\cf10\f11\fs18 Nursing 1 Practice File Oxford University Pr
ess 2011
{\shp {\*\shpinst\shpleft1870\shptop6831\shpright10828\shpbottom6831\shpfhdr0\sh
pbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz174\shplid0{\sp{\sn shapeType}{
\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lin
eWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft1875\shptop15849\shpright1875\shpbottom6836\shpfhdr0\sh
pbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz180\shplid1{\sp{\sn shapeType}{
\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lin
eWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft10823\shptop15849\shpright10823\shpbottom6836\shpfhdr0\
shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz186\shplid2{\sp{\sn shapeType
}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn l
ineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft1870\shptop15855\shpright10828\shpbottom15855\shpfhdr0\
shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz192\shplid3{\sp{\sn shapeType
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ineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop7278\shpright10493\shpbottom7278\shpfhdr0\sh
pbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz200\shplid4{\sp{\sn shapeType}{
\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lin

eWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop7691\shpright10493\shpbottom7691\shpfhdr0\sh
pbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz206\shplid5{\sp{\sn shapeType}{
\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lin
eWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop8104\shpright10493\shpbottom8104\shpfhdr0\sh
pbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz212\shplid6{\sp{\sn shapeType}{
\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lin
eWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop8518\shpright10493\shpbottom8518\shpfhdr0\sh
pbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz218\shplid7{\sp{\sn shapeType}{
\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lin
eWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop8931\shpright10493\shpbottom8931\shpfhdr0\sh
pbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz224\shplid8{\sp{\sn shapeType}{
\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lin
eWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop9344\shpright10493\shpbottom9344\shpfhdr0\sh
pbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz230\shplid9{\sp{\sn shapeType}{
\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lin
eWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop9758\shpright10493\shpbottom9758\shpfhdr0\sh
pbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz236\shplid10{\sp{\sn shapeType}
{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn li
neWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop10171\shpright10493\shpbottom10171\shpfhdr0\
shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz242\shplid11{\sp{\sn shapeTyp
e}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn
lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop10585\shpright10493\shpbottom10585\shpfhdr0\
shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz248\shplid12{\sp{\sn shapeTyp
e}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn
lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop10998\shpright10493\shpbottom10998\shpfhdr0\
shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz254\shplid13{\sp{\sn shapeTyp
e}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn
lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop11411\shpright10493\shpbottom11411\shpfhdr0\
shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz260\shplid14{\sp{\sn shapeTyp
e}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn
lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop11825\shpright10493\shpbottom11825\shpfhdr0\
shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz266\shplid15{\sp{\sn shapeTyp
e}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn
lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop12238\shpright10493\shpbottom12238\shpfhdr0\
shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz272\shplid16{\sp{\sn shapeTyp
e}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn

lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop12652\shpright10493\shpbottom12652\shpfhdr0\
shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz278\shplid17{\sp{\sn shapeTyp
e}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn
lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop13065\shpright10493\shpbottom13065\shpfhdr0\
shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz284\shplid18{\sp{\sn shapeTyp
e}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn
lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop13478\shpright10493\shpbottom13478\shpfhdr0\
shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz290\shplid19{\sp{\sn shapeTyp
e}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn
lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop13892\shpright10493\shpbottom13892\shpfhdr0\
shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz296\shplid20{\sp{\sn shapeTyp
e}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn
lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop14305\shpright10493\shpbottom14305\shpfhdr0\
shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz302\shplid21{\sp{\sn shapeTyp
e}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn
lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop14718\shpright10493\shpbottom14718\shpfhdr0\
shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz308\shplid22{\sp{\sn shapeTyp
e}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn
lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop15132\shpright10493\shpbottom15132\shpfhdr0\
shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz314\shplid23{\sp{\sn shapeTyp
e}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn
lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop15545\shpright10493\shpbottom15545\shpfhdr0\
shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz320\shplid24{\sp{\sn shapeTyp
e}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn
lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft1890\shptop2481\shpright10823\shpbottom4070\shpfhdr0\sh
pbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz329\shplid25
{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{
\sn geoRight}{\sv 8933}}{\sp{\sn geoBottom}{\sv 1589}}{\sp{\sn shapePath}{\sv 4}
}
{\sp{\sn pVerticies}{\sv 8;4;(0,1589);(8933,1589);(8933,0);(0,0)}}
{\sp{\sn pSegmentInfo}{\sv 2;9;16384;45824;1;45824;1;45824;1;45824;32768}}
{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 7550}}
{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocumen
t}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}
}}
{\shp {\*\shpinst\shpleft1890\shptop4070\shpright1890\shpbottom2481\shpfhdr0\shp
bxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz329\shplid26{\sp{\sn shapeType}{
\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lin
eWidth}{\sv 7550}}
}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
g15}{\bkmkend Pg15}\par\pard\ql \li1870\sb0\sl-207\slmult0 \par\pard\ql\li1870\s

b62\sl-207\slmult0 \up0 \expndtw0\charscalex122 \ul0\nosupersub\cf10\f11\fs18 13


Unit 5 \par\pard\ql \li2143\sb0\sl-690\slmult0 \par\pard\ql\li2143\sb144\sl-690
\slmult0 \up0 \expndtw0\charscalex87 \ul0\nosupersub\cf20\f21\fs60 5 Pain \par
\pard\ql \li1865\sb0\sl-322\slmult0 \par\pard\ql\li1865\sb0\sl-322\slmult0 \par\
pard\ql\li1865\sb10\sl-322\slmult0 \up0 \expndtw-8\charscalex100 \ul0\nosupersub
\cf12\f13\fs28 Language \par\pard\ql \li1863\sb196\sl-276\slmult0 \up0 \expndtw0
\charscalex111 \ul0\nosupersub\cf13\f14\fs24 1\ul0\nosupersub\cf7\f8\fs24 Gramm
ar \par\pard\ql \li1863\sb123\sl-253\slmult0 \up0 \expndtw0\charscalex106 \ul0\n
osupersub\cf14\f15\fs22 Choose the correct option to complete the sentences. \pa
r\pard\ql \li1863\ri4431\sb49\sl-300\slmult0 \up0 \expndtw-2\charscalex100 \ul0\
nosupersub\cf15\f16\fs20 1 A fracture is least serious / painful / less serious
than a break. \up0 \expndtw-1\charscalex100 2 My rash is more itchy / red / it
chier today than yesterday. \up0 \expndtw0\charscalex100 3 Do kidney stones hur
t more / most / least than childbirth? \up0 \expndtw-1\charscalex100 4 You look
much best / better / good today? \par\pard\ql \li1863\sb58\sl-230\slmult0 \up0 \
expndtw0\charscalex102 5 A migraine is the most / least / more severe headache
you can have. \par\pard\qj \li1863\ri2401\sb13\sl-300\slmult0 \up0 \expndtw0\cha
rscalex100 6 Operations are most successful / successful / more successful these
days than before. \up0 \expndtw-2\charscalex100 7 Less / Least / Most illnesse
s are curable, if treated early. \par\pard\ql \li1863\sb58\sl-230\slmult0 \up0 \
expndtw0\charscalex102 8 This medication will make you feel less painful / pain
/ dull in your arm. \par\pard\ql \li1863\sb212\sl-276\slmult0 \up0 \expndtw-5\ch
arscalex100 \ul0\nosupersub\cf13\f14\fs24 2\ul0\nosupersub\cf7\f8\fs24 Key word
s from the unit \par\pard\ql \li1863\sb123\sl-253\slmult0 \up0 \expndtw0\charsca
lex104 \ul0\nosupersub\cf14\f15\fs22 Complete the sentences with the words from
the list.\par\pard\sect\sectd\sbknone\cols2\colno1\colw9175\colsr160\colno2\colw
2425\colsr160\ql \li1863\sb127\sl-230\slmult0\tx3776 \up0 \expndtw-2\charscalex1
00 \ul0\nosupersub\cf15\f16\fs20 1\tab \up0 \expndtw0\charscalex103 is often giv
en during labour.\par\pard\ql \li1863\sb70\sl-230\slmult0\tx3948 \up0 \expndtw-7
\charscalex100 2 A\tab \up0 \expndtw0\charscalex108 is a severe headache.\par\p
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n alternative form of\par\pard\ql \li1863\sb70\sl-230\slmult0\tx3776 \up0 \expnd
tw-2\charscalex100 4\tab \up0 \expndtw0\charscalex101 or slight pain is not seve
re.\par\pard\ql \li1863\sb70\sl-230\slmult0\tx4265 \up0 \expndtw0\charscalex104
5 Local\tab \up0 \expndtw0\charscalex104 are often given for operations.\par\pa
rd\ql \li1863\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex104 6 He has a pain i
n the chest when he\par\pard\ql \li1863\sb70\sl-230\slmult0 \up0 \expndtw0\chars
calex101 7 The terrible pain her arm is\par\pard\ql \li1863\sb70\sl-230\slmult0
\tx4879 \up0 \expndtw0\charscalex111 8 Women feel\tab \up0 \expndtw0\charscalex1
04 after giving birth.\par\pard\ql \li1865\sb0\sl-322\slmult0 \par\pard\ql \li18
65\sb72\sl-322\slmult0 \up0 \expndtw-10\charscalex100 \ul0\nosupersub\cf12\f13\f
s28 Reading and vocabuLaRy\par\pard\column \ql \li20\sb52\sl-230\slmult0 \up0 \e
xpndtw0\charscalex108 \ul0\nosupersub\cf15\f16\fs20 migraine\par\pard\ql \li20\s
b10\sl-230\slmult0 \up0 \expndtw0\charscalex107 mild\par\pard\ql \li20\sb10\sl-2
30\slmult0 \up0 \expndtw0\charscalex105 sore\par\pard\qj \li20\ri1266\sb2\sl-240
\slmult0 \up0 \expndtw0\charscalex110 anaesthetics \up0 \expndtw0\charscalex104
coughs\par\pard\qj \li20\ri1441\sb0\sl-240\slmult0 \up0 \expndtw-1\charscalex100
gas and air \line \up0 \expndtw0\charscalex105 agonizing \line \up0 \expndtw0\c
harscalex102 pain relief \par\pard\sect\sectd\sbknone \ql \li2056\sb0\sl-230\slm
ult0 \par\pard\ql\li2056\sb78\sl-230\slmult0 \up0 \expndtw-1\charscalex100 Pain
is important because it tells us that we are injured or ill. However, we don\u82
17?t all feel pain in the \par\pard\qj \li2056\ri1150\sb0\sl-260\slmult0 \up0 \e
xpndtw0\charscalex100 same way. Researchers are trying to learn more about this
fact. Their experiments show that children \up0 \expndtw0\charscalex100 are more
sensitive to pain than adults, and that men can tolerate more pain than women.
\par\pard\qj \li2056\ri1168\sb38\sl-246\slmult0 \up0 \expndtw0\charscalex100 Pai
n is also difficult to measure and describe. This is a problem because it is an
important symptom \line \up0 \expndtw0\charscalex100 and medics (medical staff)
need information from patients about it. It is therefore common practice \line \
up0 \expndtw-1\charscalex100 to give patients lists of words and ask them to say

which words best describe three things: the type \line \up0 \expndtw-3\charscal
ex100 of pain they are suffering, its intensity (how bad it is ) and its frequen
cy (how often they feel it). \par\pard\qj \li2056\ri1204\sb71\sl-250\slmult0 \up
0 \expndtw-1\charscalex100 With some patients, such as children, words don\u8217
?t work very well to describe intensity, so medics use \up0 \expndtw0\charscalex
100 smiley faces or sometimes colours. For example, blues mean a mild pain and r
eds mean severe pain. \up0 \expndtw0\charscalex100 Some medics prefer a range of
numbers; 0 is no pain and 10 is unbearable pain. \par\pard\qj \li2056\ri1305\sb
48\sl-253\slmult0 \up0 \expndtw0\charscalex100 Pain does not always show where a
n injury is. Internal organs, for example, do not have many pain\up0 \expndtw-1\
charscalex100 receiving nerve endings, so internal injuries often cause pain in
a different part of the body. This is \up0 \expndtw0\charscalex100 called \u8216
?referred pain\u8217?. One example of referred pain is when someone suffering a
heart attack feels \up0 \expndtw-1\charscalex100 pain in their left shoulder, ar
m or hand. \par\pard\ql \li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-20
7\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\
slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\sl
mult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmu
lt0 \par\pard\ql\li2745\sb69\sl-207\slmult0 \up0 \expndtw0\charscalex103 \ul0\no
supersub\cf11\f12\fs18 Oxford English for Careers\ul0\nosupersub\cf10\f11\fs18
Nursing 1 Practice File Oxford University Press 2011
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}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
g16}{\bkmkend Pg16}\par\pard\ql \li1870\sb0\sl-207\slmult0 \par\pard\ql\li1870\s
b62\sl-207\slmult0 \up0 \expndtw0\charscalex120 \ul0\nosupersub\cf10\f11\fs18 14
Unit 5 \par\pard\ql \li1870\sb0\sl-276\slmult0 \par\pard\ql\li1870\sb180\sl-276
\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf13\f14\fs24 3\ul0\nosupe
rsub\cf7\f8\fs24 Comprehension \par\pard\ql \li1870\sb123\sl-253\slmult0 \up0 \
expndtw0\charscalex104 \ul0\nosupersub\cf14\f15\fs22 Use the information in the
text to complete the sentences with a, b or c. \par\pard\ql \li1870\sb126\sl-230
\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf15\f16\fs20 1 Researche
rs are trying to find out why \par\pard\ql \li2097\ri3230\sb13\sl-300\slmult0 \u
p0 \expndtw0\charscalex108 a people experience pain differently. \line \up0 \ex
pndtw0\charscalex109 b people feel pain. \par\pard\ql \li2097\sb58\sl-230\slmul
t0 \up0 \expndtw0\charscalex107 c pain is important to people. \par\pard\ql \li
1870\sb130\sl-230\slmult0 \up0 \expndtw0\charscalex100 2 Experiments show that
\par\pard\ql \li2097\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex107 a pain i
s worse for men than women. \par\pard\ql \li2097\ri3087\sb13\sl-300\slmult0 \up0
\expndtw0\charscalex109 b men can take more pain than women. \line \up0 \expnd
tw0\charscalex106 c children feel less pain than adults. \par\pard\qj \li1870\r
i5383\sb60\sl-300\slmult0\tx2097 \up0 \expndtw0\charscalex104 3 Nurses need to
measure a patient\u8217?s pain because \line\tab \up0 \expndtw0\charscalex105 a
pain is a problem. \par\pard\ql \li2097\sb58\sl-230\slmult0 \up0 \expndtw0\char
scalex106 b pain is a symptom. \par\pard\ql \li2097\sb70\sl-230\slmult0 \up0 \e
xpndtw0\charscalex106 c patients can\u8217?t describe it. \par\pard\qj \li1870\
ri5725\sb53\sl-300\slmult0\tx2097 \up0 \expndtw0\charscalex102 4 Medics ask pat
ients for a number to describe \line\tab \up0 \expndtw0\charscalex103 a the kin
d of pain they have. \par\pard\ql \li2097\sb58\sl-230\slmult0 \up0 \expndtw0\cha
rscalex104 b how bad the pain is. \par\pard\ql \li2097\sb70\sl-230\slmult0 \up0
\expndtw0\charscalex105 c how often they\u8217?re in pain. \par\pard\ql \li187
0\ri3170\sb73\sl-300\slmult0\tx2097 \up0 \expndtw0\charscalex102 5 To describe
pain, medics ask children to \line\tab \up0 \expndtw0\charscalex103 a point to
a smiley face. \par\pard\ql \li2097\ri3717\sb0\sl-300\slmult0 \up0 \expndtw0\cha
rscalex107 b think of some numbers. \line \up0 \expndtw0\charscalex105 c say h
ow it feels. \par\pard\ql \li1870\sb118\sl-230\slmult0 \up0 \expndtw0\charscalex
103 6 You experience referred pain \par\pard\ql \li2097\ri3519\sb13\sl-300\slmu
lt0 \up0 \expndtw0\charscalex106 a only in your internal organs. \line \up0 \ex
pndtw0\charscalex107 b long after an injury. \par\pard\ql \li2097\sb58\sl-230\s
lmult0 \up0 \expndtw0\charscalex105 c in a different place from an injury. \par
\pard\ql \li1870\sb0\sl-276\slmult0 \par\pard\ql\li1870\sb96\sl-276\slmult0 \up0
\expndtw0\charscalex102 \ul0\nosupersub\cf13\f14\fs24 4\ul0\nosupersub\cf7\f8\f
s24 Vocabulary \par\pard\qj \li1870\ri3563\sb118\sl-260\slmult0 \up0 \expndtw-1
\charscalex100 \ul0\nosupersub\cf14\f15\fs22 Write \u8216?F\u8217? next to the s
entences which are about frequency of pain. \line \up0 \expndtw-4\charscalex100
Write \u8216?T\u8217? next to the sentences which describe types of pain (T). \p
ar\pard\ql \li1870\sb125\sl-230\slmult0 \up0 \expndtw0\charscalex102 \ul0\nosupe
rsub\cf15\f16\fs20 1 He says his toe is throbbing. \par\pard\qj \li1870\ri5131\
sb13\sl-300\slmult0\fi0 \up0 \expndtw-1\charscalex100 2 It\u8217?s wearing off
now and it\u8217?s just an occasional ache. \up0 \expndtw-1\charscalex100 3 The
shooting pains are getting worse. \par\pard\ql \li1870\sb58\sl-230\slmult0 \up0
\expndtw0\charscalex109 4 He complains of frequent headaches. \par\pard\ql \li1
870\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex100 5 She has a stabbing pain
in her side. \par\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex1
01 6 She was in constant pain, but now it\u8217?s gone. \par\pard\ql \li1870\sb0
\sl-276\slmult0 \par\pard\ql\li1870\sb96\sl-276\slmult0 \up0 \expndtw0\charscale
x101 \ul0\nosupersub\cf13\f14\fs24 5\ul0\nosupersub\cf7\f8\fs24 Further vocabul
ary practice \par\pard\ql \li1870\sb123\sl-253\slmult0 \up0 \expndtw0\charscalex

100 \ul0\nosupersub\cf14\f15\fs22 Give these patients\u8217? pain a score from 1


to 6. 1 is the lowest pain, 6 is most severe. \par\pard\ql \li1870\sb126\sl-230
\slmult0 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf15\f16\fs20 a \u8216?It\
u8217?s moderately painful when you touch it.\u8217? \par\pard\ql \li1870\sb70\s
l-230\slmult0 \up0 \expndtw-6\charscalex100 b \u8216?It\u8217?s agonizing, I can
\u8217?t bear it.\u8217? \par\pard\li1870\sb70\sl-230\slmult0\fi0\tx2097 \up0 \e
xpndtw-3\charscalex100 c\tab \up0 \expndtw-3\charscalex100 \u8216?There is a ver
y mild pain when I move.\u8217?\par\pard\li1870\sb70\sl-230\slmult0\fi0 \up0 \ex
pndtw-3\charscalex100 d \u8216?It feels very sore.\u8217?\par\pard\li1870\sb70\s
l-230\slmult0\fi0\tx2097 \up0 \expndtw-3\charscalex100 e\tab \up0 \expndtw-3\cha
rscalex100 \u8216?There\u8217?s a severe stabbing pain in my head.\u8217?\par\pa
rd\li1870\sb70\sl-230\slmult0\fi0\tx2097 \up0 \expndtw-3\charscalex100 f\tab \up
0 \expndtw-3\charscalex100 \u8216?It\u8217?s not bad today, thank you.\u8217?\pa
r\pard\ql \li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par
\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\p
ard\ql\li2745\sb1\sl-207\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf
11\f12\fs18 Oxford English for Careers\ul0\nosupersub\cf10\f11\fs18 Nursing 1 P
ractice File Oxford University Press 2011
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{\shp {\*\shpinst\shpleft3674\shptop14735\shpright4235\shpbottom14735\shpfhdr0\s
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{\shp {\*\shpinst\shpleft5898\shptop15035\shpright6459\shpbottom15035\shpfhdr0\s
hpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz681\shplid16{\sp{\sn shapeType
}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn l
ineWidth}{\sv 7550}}
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{\shp {\*\shpinst\shpleft4713\shptop15335\shpright5273\shpbottom15335\shpfhdr0\s
hpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz700\shplid17{\sp{\sn shapeType
}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn l
ineWidth}{\sv 7550}}
}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
g17}{\bkmkend Pg17}\par\pard\ql \li1870\sb0\sl-207\slmult0 \par\pard\ql\li1870\s
b62\sl-207\slmult0 \up0 \expndtw0\charscalex122 \ul0\nosupersub\cf10\f11\fs18 15
Unit 5 \par\pard\ql \li1872\sb0\sl-322\slmult0 \par\pard\ql\li1872\sb136\sl-322
\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf12\f13\fs28 WRiting \pa
r\pard\ql \li1870\sb176\sl-276\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupe
rsub\cf13\f14\fs24 6\ul0\nosupersub\cf7\f8\fs24 Writing a report \par\pard\qj \
li1870\ri2737\sb118\sl-260\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\
cf14\f15\fs22 Read the example Pain Report and use the information in the box to
write \line \up0 \expndtw0\charscalex103 a similar report about a patient with
appendicitis, Mrs. Fawza Adnan. \par\pard\ql \li2097\sb0\sl-230\slmult0 \par\par
d\ql\li2097\sb55\sl-230\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf
15\f16\fs20 Example Pain Report \par\pard\ql \li2097\sb190\sl-230\slmult0 \up0 \

expndtw0\charscalex100 At 18.30 last night the patient complained of a constant


shooting pain in his right leg. The pain \par\pard\qj \li2097\ri1195\sb2\sl-240\
slmult0 \up0 \expndtw0\charscalex100 ranged from moderate to severe. At 08.30 to
day he says that the type of pain has not changed but it \up0 \expndtw-1\charsca
lex100 is now occasional. However, when it comes it is much worse. The patient s
ays he is in agony. \par\pard\ql \li2182\sb0\sl-230\slmult0 \par\pard\ql\li2182\
sb19\sl-230\slmult0 \up0 \expndtw-9\charscalex95 Patient\u8217?s name:
Mrs
Fawza Adnan \par\pard\li2703\sb124\sl-230\slmult0\fi33\tx3961\tx5704\tx7451\tx93
38 \up0 \expndtw0\charscalex107 Time\tab \up0 \expndtw0\charscalex107 Location o
f pain\tab \up0 \expndtw0\charscalex107 Pain frequency\tab \up0 \expndtw0\charsc
alex107 Pain intensity\tab \up0 \expndtw0\charscalex107 Pain type\par\pard\li270
3\sb78\sl-230\slmult0\fi9\tx4392\tx5892\tx7736\tx9494 \up0 \expndtw0\charscalex1
07 19.00\tab \up0 \expndtw0\charscalex107 upper\tab \up0 \expndtw0\charscalex107
occasional\tab \up0 \expndtw0\charscalex107 mild to\tab \up0 \expndtw0\charscal
ex107 sharp\par\pard\li2703\sb10\sl-230\slmult0\fi1529\tx7619 \up0 \expndtw0\cha
rscalex107 abdomen\tab \up0 \expndtw0\charscalex107 moderate\par\pard\li2703\sb7
8\sl-230\slmult0\fi0\tx4175\tx5964\tx7511\tx9356 \up0 \expndtw0\charscalex107 09
.45\tab \up0 \expndtw0\charscalex107 lower right\tab \up0 \expndtw0\charscalex10
7 constant\tab \up0 \expndtw0\charscalex107 moderate to\tab \up0 \expndtw0\chars
calex107 stabbing\par\pard\li2703\sb10\sl-230\slmult0\fi1529\tx7765 \up0 \expndt
w0\charscalex107 abdomen\tab \up0 \expndtw0\charscalex107 severe\par\pard\ql \li
2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li27
45\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745
\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\s
b0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0
\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\s
l-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-20
7\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\
slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\sl
mult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmu
lt0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult
0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0
\par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \p
ar\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par
\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\p
ard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\par
d\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\
ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql
\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\l
i2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2
745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li274
5\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\
sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb
0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb13
6\sl-207\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf11\f12\fs18 Oxfo
rd English for Careers\ul0\nosupersub\cf10\f11\fs18 Nursing 1 Practice File Ox
ford University Press 2011
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}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
g18}{\bkmkend Pg18}\par\pard\ql \li1870\sb0\sl-207\slmult0 \par\pard\ql\li1870\s
b62\sl-207\slmult0 \up0 \expndtw0\charscalex117 \ul0\nosupersub\cf10\f11\fs18 16
Unit 6 \par\pard\ql \li2143\sb0\sl-690\slmult0 \par\pard\ql\li2143\sb144\sl-690
\slmult0 \up0 \expndtw0\charscalex94 \ul0\nosupersub\cf20\f21\fs60 6 Symptoms
\par\pard\ql \li1865\sb0\sl-322\slmult0 \par\pard\ql\li1865\sb0\sl-322\slmult0 \

par\pard\ql\li1865\sb10\sl-322\slmult0 \up0 \expndtw-8\charscalex100 \ul0\nosupe


rsub\cf12\f13\fs28 Language \par\pard\ql \li1863\sb196\sl-276\slmult0 \up0 \expn
dtw0\charscalex111 \ul0\nosupersub\cf13\f14\fs24 1\ul0\nosupersub\cf7\f8\fs24 G
rammar \par\pard\ql \li1863\sb123\sl-253\slmult0 \up0 \expndtw0\charscalex106 \u
l0\nosupersub\cf14\f15\fs22 Choose the correct option to complete the sentences.
\par\pard\qj \li1863\ri3229\sb49\sl-300\slmult0 \up0 \expndtw0\charscalex100 \u
l0\nosupersub\cf15\f16\fs20 1 Who prescribed you / did prescribe you / do presc
ribe you that medication? \up0 \expndtw-3\charscalex100 2 Do you can / Can you
/ You can move your fingers? \par\pard\ql \li1863\sb58\sl-230\slmult0 \up0 \expn
dtw-4\charscalex100 3 Has he been / was / is like this for a long time? \par\pa
rd\qj \li1863\ri4366\sb13\sl-300\slmult0 \up0 \expndtw-4\charscalex100 4 Is the
swelling / The swelling is / Do the swelling going down? \up0 \expndtw-4\charsca
lex100 5 You won\u8217?t try to move, will you / won\u8217?t you / do you? \par
\pard\qj \li1863\ri1773\sb0\sl-300\slmult0 \up0 \expndtw0\charscalex100 6 How lo
ng are you / How long have you been / What are you waiting for your appointment?
\up0 \expndtw-7\charscalex100 7 The pain is in your arm, hasn\u8217?t / is / i
sn\u8217?t it? \par\pard\ql \li1863\sb58\sl-230\slmult0 \up0 \expndtw-2\charscal
ex100 8 Could you to tell / Could you tell / Tell me where it hurts? \par\pard\q
l \li1863\sb212\sl-276\slmult0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf1
3\f14\fs24 2\ul0\nosupersub\cf7\f8\fs24 Key words from the unit\par\pard\sect\s
ectd\sbknone\cols2\colno1\colw9175\colsr160\colno2\colw2425\colsr160\ql \li1863\
sb127\sl-253\slmult0 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf14\f15\fs22
Complete the sentences with the words from the list.\par\pard\ql \li1863\sb123\s
l-230\slmult0\tx4946 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf15\f16\fs20
1 She suffered\tab \up0 \expndtw0\charscalex110 and vomiting.\par\pard\ql \li18
63\sb70\sl-230\slmult0\tx3810 \up0 \expndtw-2\charscalex100 2\tab \up0 \expndtw0
\charscalex107 is an external symptom.\par\pard\ql \li1863\sb70\sl-230\slmult0\t
x4650 \up0 \expndtw-1\charscalex100 3 She had a\tab \up0 \expndtw0\charscalex11
9 abdomen.\par\pard\ql \li1863\sb70\sl-230\slmult0\tx3776 \up0 \expndtw-2\charsc
alex100 4\tab \up0 \expndtw0\charscalex104 are a typical symptom of chicken pox.
\par\pard\ql \li1863\sb70\sl-230\slmult0\tx5293 \up0 \expndtw0\charscalex102 5
A deep cut needs\tab \up0 \expndtw0\charscalex106 to heal properly.\par\pard\ql
\li1863\sb70\sl-230\slmult0\tx3948 \up0 \expndtw0\charscalex110 6 A\tab \up0 \ex
pndtw0\charscalex108 can cause itching.\par\pard\ql \li1863\sb70\sl-230\slmult0\
tx4777 \up0 \expndtw0\charscalex100 7 He found a\tab \up0 \expndtw0\charscalex1
07 above his ankle.\par\pard\ql \li1863\sb70\sl-230\slmult0\tx4957 \up0 \expndtw
0\charscalex113 8 Her extreme\tab \up0 \expndtw0\charscalex102 are difficult to
live with.\par\pard\ql \li1865\sb0\sl-322\slmult0 \par\pard\ql \li1865\sb72\sl-3
22\slmult0 \up0 \expndtw-10\charscalex100 \ul0\nosupersub\cf12\f13\fs28 Reading
and vocabuLaRy\par\pard\column \ql \li9335\sb0\sl-230\slmult0 \par\pard\ql \li20
\sb42\sl-230\slmult0 \up0 \expndtw0\charscalex105 \ul0\nosupersub\cf15\f16\fs20
stitches\par\pard\ql \li20\sb10\sl-230\slmult0 \up0 \expndtw0\charscalex114 naus
ea\par\pard\qj \li20\ri1222\sb2\sl-240\slmult0 \up0 \expndtw0\charscalex101 mood
swings \line \up0 \expndtw0\charscalex104 rash\par\pard\ql \li20\sb9\sl-230\slm
ult0 \up0 \expndtw0\charscalex101 bruising\par\pard\ql \li20\sb10\sl-230\slmult0
\up0 \expndtw0\charscalex107 swollen\par\pard\ql \li20\sb10\sl-230\slmult0 \up0
\expndtw0\charscalex110 lump\par\pard\ql \li20\sb10\sl-230\slmult0 \up0 \expndt
w0\charscalex101 spots \par\pard\sect\sectd\sbknone \ql \li2056\sb0\sl-260\slmul
t0 \par\pard\ql\li2056\ri1115\sb25\sl-260\slmult0 \up0 \expndtw-2\charscalex100
Signs and symptoms are the tools for making a diagnosis, but what is the differe
nce between the two? \up0 \expndtw-1\charscalex100 The \ul0\nosupersub\cf21\f22\
fs20 signs\ul0\nosupersub\cf15\f16\fs20 of an illness are the things that a doc
tor or nurse can see and measure. Signs are things like \up0 \expndtw0\charscale
x102 spots and bleeding. Temperature, heart rate, blood pressure and respiration
rate are all signs because \up0 \expndtw0\charscalex104 you can measure them. \
ul0\nosupersub\cf21\f22\fs20 Symptoms\ul0\nosupersub\cf15\f16\fs20 are the thin
gs which a patient experiences, but others can\u8217?t \line \up0 \expndtw0\char
scalex102 always see. Dizziness and nausea are examples of symptoms. \par\pard\q
l \li2056\ri1263\sb72\sl-246\slmult0 \up0 \expndtw0\charscalex100 The symptoms w
hich make a patient seek medical help in the first place are called the presenti

ng \up0 \expndtw0\charscalex104 symptoms. Medics describe them in terms of being


either \ul0\nosupersub\cf21\f22\fs20 strong\ul0\nosupersub\cf15\f16\fs20 , \ul0
\nosupersub\cf21\f22\fs20 mild\ul0\nosupersub\cf15\f16\fs20 or \ul0\nosupersub\
cf21\f22\fs20 weak\ul0\nosupersub\cf15\f16\fs20 . Sometimes the \line \up0 \expn
dtw0\charscalex100 symptoms of serious illnesses like cancer and diabetes are we
ak. They stay weak for a long time and \up0 \expndtw-1\charscalex100 the illness
remains undiagnosed. \par\pard\ql \li2056\sb88\sl-230\slmult0 \up0 \expndtw0\ch
arscalex102 Many illnesses have the same symptoms. These symptoms are called \ul
0\nosupersub\cf21\f22\fs20 non-specific\ul0\nosupersub\cf15\f16\fs20 . Fatigue i
s an \par\pard\qj \li2056\ri1180\sb0\sl-260\slmult0 \up0 \expndtw-1\charscalex10
0 example of this. It\u8217?s a symptom of many kinds of illness, both chronic a
nd acute, and of both physical \up0 \expndtw-2\charscalex100 and mental disorder
s. \par\pard\qj \li2056\ri1357\sb43\sl-240\slmult0 \up0 \expndtw0\charscalex102
Doctors ask patients about the onset of the symptoms, what they feel like, what
relieves them and \up0 \expndtw0\charscalex102 what makes them worse. The more d
etail they have, the faster they can make a diagnosis. \par\pard\ql \li2745\sb0\
sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl
-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-2
07\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207
\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb32\sl-207\
slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf11\f12\fs18 Oxford Englis
h for Careers\ul0\nosupersub\cf10\f11\fs18 Nursing 1 Practice File Oxford Univ
ersity Press 2011
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}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
g19}{\bkmkend Pg19}\par\pard\ql \li1870\sb0\sl-207\slmult0 \par\pard\ql\li1870\s
b62\sl-207\slmult0 \up0 \expndtw0\charscalex115 \ul0\nosupersub\cf10\f11\fs18 17
Unit 6 \par\pard\ql \li1870\sb0\sl-276\slmult0 \par\pard\ql\li1870\sb180\sl-276
\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf13\f14\fs24 3\ul0\nosupe
rsub\cf7\f8\fs24 Comprehension \par\pard\ql \li1870\sb123\sl-253\slmult0 \up0 \
expndtw0\charscalex100 \ul0\nosupersub\cf14\f15\fs22 Decide whether these statem
ents are true (T) or false (F) according to the text. \par\pard\ql \li1870\sb126
\sl-230\slmult0 \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf15\f16\fs20 1 Yo
u need signs and symptoms for a diagnosis. \par\pard\ql \li1870\sb70\sl-230\slmu
lt0 \up0 \expndtw0\charscalex100 2 You can\u8217?t see symptoms. \par\pard\qj \
li1870\ri4165\sb13\sl-300\slmult0 \up0 \expndtw0\charscalex105 3 Patients prese
nting symptoms are either strong, mild or weak. \up0 \expndtw0\charscalex106 4 K
iller diseases can have weak symptoms. \par\pard\qj \li1870\ri5312\sb0\sl-300\sl
mult0 \up0 \expndtw0\charscalex104 5 Non-specific symptoms help a lot with diag
nosis. \up0 \expndtw0\charscalex105 6 Too much information slows up diagnosis. \
par\pard\ql \li1870\sb0\sl-276\slmult0 \par\pard\ql\li1870\sb84\sl-276\slmult0 \
up0 \expndtw0\charscalex102 \ul0\nosupersub\cf13\f14\fs24 4\ul0\nosupersub\cf7\f
8\fs24 Vocabulary \par\pard\ql \li1870\ri3252\sb118\sl-260\slmult0 \up0 \expndt
w0\charscalex103 \ul0\nosupersub\cf14\f15\fs22 A nurse wants to know about sympt
oms and asks the questions a-g. \up0 \expndtw0\charscalex106 Write the number of
the correct symptom 1-7 after each question. \up0 \expndtw-3\charscalex100 The
first is done for you. \par\pard\ql \li1870\sb125\sl-230\slmult0 \up0 \expndtw0\
charscalex117 \ul0\nosupersub\cf15\f16\fs20 1 diarrhoea \par\pard\ql \li1870\sb
70\sl-230\slmult0 \up0 \expndtw0\charscalex101 2 spots \par\pard\ql \li1870\ri4
434\sb13\sl-300\slmult0 \up0 \expndtw0\charscalex110 3 numbness \line \up0 \exp
ndtw0\charscalex111 4 fever \par\pard\ql \li1870\ri4495\sb0\sl-300\slmult0 \up0
\expndtw0\charscalex107 5 swelling \line \up0 \expndtw0\charscalex121 6 nausea
\line \up0 \expndtw0\charscalex102 7 dizziness \par\pard\li1870\sb118\sl-230\sl
mult0\fi0\tx3889 \dn2 \expndtw0\charscalex106 a Can you feel this?\tab \up0 \exp
ndtw0\charscalex106 3\par\pard\ql \li1870\ri3313\sb33\sl-300\slmult0 \up0 \expnd
tw0\charscalex103 b Do you have them on your back too? \line \up0 \expndtw-2\cha
rscalex100 c How high is it? \par\pard\ql \li1870\ri3039\sb0\sl-300\slmult0 \up
0 \expndtw0\charscalex103 d When you have an attack, do you fall over? \line \up
0 \expndtw0\charscalex104 e Was there any blood in it? \par\pard\ql \li1870\sb58
\sl-230\slmult0 \up0 \expndtw-2\charscalex100 f Do you still feel sick? \par\pa
rd\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex101 g How long has it
been this big? \par\pard\ql \li1870\sb0\sl-276\slmult0 \par\pard\ql\li1870\sb96
\sl-276\slmult0 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf13\f14\fs24 5\ul0
\nosupersub\cf7\f8\fs24 Further vocabulary practice \par\pard\qj \li1870\ri3669
\sb118\sl-260\slmult0 \up0 \expndtw0\charscalex105 \ul0\nosupersub\cf14\f15\fs22
Underline the correct words in italics to complete the sentences. \up0 \expndtw
-2\charscalex100 The first one is done for you. \par\pard\ql \li1870\sb105\sl-23
0\slmult0 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf15\f16\fs20 1 I have a
ches and pains / in pain / painful all over my body. \par\pard\ql \li1870\ri3437
\sb13\sl-300\slmult0 \up0 \expndtw-2\charscalex100 2 My pulse is up to 150 per
minute and I feel dizzy / dizziness / to be dizzy. \up0 \expndtw-3\charscalex100
3 I\u8217?ve got an itchy / itchiness / itch rash on the back of my hand. \lin
e \up0 \expndtw-1\charscalex100 4 My leg is cut and bruising / bruised / bruise
from the accident. \line \up0 \expndtw0\charscalex101 5 He feels nauseous / nau
sea / nauseating and needs to sit down. \line \up0 \expndtw0\charscalex100 6 She
has a small lump / lumpy / lumps on her breast. \line \up0 \expndtw-1\charscale
x100 7 Her spine is deform / deformed / deformity. \par\pard\ql \li2745\sb0\sl-

207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-20


7\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\
slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\sl
mult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmu
lt0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult
0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0
\par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \p
ar\pard\ql\li2745\sb112\sl-207\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosuper
sub\cf11\f12\fs18 Oxford English for Careers\ul0\nosupersub\cf10\f11\fs18 Nursi
ng 1 Practice File Oxford University Press 2011
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}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
g20}{\bkmkend Pg20}\par\pard\ql \li1870\sb0\sl-207\slmult0 \par\pard\ql\li1870\s
b62\sl-207\slmult0 \up0 \expndtw0\charscalex117 \ul0\nosupersub\cf10\f11\fs18 18
Unit 6 \par\pard\ql \li1872\sb0\sl-322\slmult0 \par\pard\ql\li1872\sb136\sl-322
\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf12\f13\fs28 WRiting \pa
r\pard\ql \li1870\sb176\sl-276\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupe
rsub\cf13\f14\fs24 6\ul0\nosupersub\cf7\f8\fs24 Writing a symptom report \par\p
ard\ql \li1870\sb123\sl-253\slmult0 \up0 \expndtw0\charscalex104 \ul0\nosupersub
\cf14\f15\fs22 Read the example report about the fatal symptoms of one patient.
\par\pard\qj \li1870\ri2088\sb2\sl-260\slmult0 \up0 \expndtw0\charscalex104 Use
the notes in the box to write a similar report about a patient with symptoms \up
0 \expndtw0\charscalex104 of an angina attack. \par\pard\ql \li2097\sb0\sl-230\s
lmult0 \par\pard\ql\li2097\sb55\sl-230\slmult0 \up0 \expndtw-2\charscalex100 \ul
0\nosupersub\cf15\f16\fs20 Example Report \par\pard\ql \li2097\sb130\sl-230\slmu
lt0 \up0 \expndtw0\charscalex100 The victim was a 60-year-old man. Two days ago
he complained of a bad cough and said he felt \par\pard\ql \li2097\sb10\sl-230\s
lmult0 \up0 \expndtw0\charscalex100 nauseous. Yesterday his ankles and feet were
swollen and he told his wife that his fingers were \par\pard\qj \li2097\ri1220\
sb2\sl-240\slmult0 \up0 \expndtw-1\charscalex100 numb. At two o\u8217?clock in t
he afternoon he felt dizzy, fell over and lost consciousness. He died of heart \
up0 \expndtw-2\charscalex100 failure in the ambulance. \par\pard\ql \li2370\sb0\
sl-230\slmult0 \par\pard\ql\li2370\sb59\sl-230\slmult0 \up0 \expndtw-9\charscale
x83 NOTES \par\pard\li2370\sb132\sl-230\slmult0\fi0\tx4410 \up0 \expndtw0\charsc
alex101 Patient:\tab \up0 \expndtw0\charscalex101 55-year-old woman\par\pard\li2
370\sb67\sl-230\slmult0\fi0 \up0 \expndtw0\charscalex101 Admitted to hospital:
Monday 13\ul0\super\cf22\f23\fs24 th\ul0\nosupersub\cf15\f16\fs20 June 18.35\pa
r\pard\li2370\sb67\sl-230\slmult0\fi0 \up0 \expndtw0\charscalex102 Presenting sy
mptoms: burning pain in the centre of chest, nausea, numbness in fingers\par\par
d\li2370\sb66\sl-230\slmult0\fi0\tx4410 \up0 \expndtw0\charscalex101 Diagnosis:\
tab \up0 \expndtw0\charscalex101 angina attack\par\pard\li2370\sb67\sl-230\slmul
t0\fi0\tx4410 \up0 \expndtw0\charscalex101 Treatment:\tab \up0 \expndtw0\charsca
lex101 rest & glyceryl trinitrate\par\pard\li2370\sb67\sl-230\slmult0\fi0\tx4410
\up0 \expndtw0\charscalex101 Follow-up:\tab \up0 \expndtw0\charscalex101 Tuesda
y 11.00 : No symptoms, vital signs normal\par\pard\ql \li4410\sb4\sl-230\slmult0
\up0 \expndtw0\charscalex103 14.00: Discharged \par\pard\ql \li2745\sb0\sl-207\
slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\sl

mult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmu


lt0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult
0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0
\par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \p
ar\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par
\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\p
ard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\par
d\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\
ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql
\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\l
i2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2
745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li274
5\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\
sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb
0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\
sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl
-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-2
07\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207
\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\s
lmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slm
ult0 \par\pard\ql\li2745\sb61\sl-207\slmult0 \up0 \expndtw0\charscalex103 \ul0\n
osupersub\cf11\f12\fs18 Oxford English for Careers\ul0\nosupersub\cf10\f11\fs18
Nursing 1 Practice File Oxford University Press 2011
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}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
g21}{\bkmkend Pg21}\par\pard\ql \li1870\sb0\sl-207\slmult0 \par\pard\ql\li1870\s
b62\sl-207\slmult0 \up0 \expndtw0\charscalex115 \ul0\nosupersub\cf10\f11\fs18 19
Unit 7 \par\pard\ql \li2143\sb0\sl-690\slmult0 \par\pard\ql\li2143\sb144\sl-690
\slmult0 \up0 \expndtw0\charscalex94 \ul0\nosupersub\cf20\f21\fs60 7 Caring fo
r the elderly \par\pard\ql \li1865\sb0\sl-322\slmult0 \par\pard\ql\li1865\sb0\sl
-322\slmult0 \par\pard\ql\li1865\sb10\sl-322\slmult0 \up0 \expndtw-8\charscalex1
00 \ul0\nosupersub\cf12\f13\fs28 Language \par\pard\ql \li1863\sb196\sl-276\slmu
lt0 \up0 \expndtw0\charscalex111 \ul0\nosupersub\cf13\f14\fs24 1\ul0\nosupersub\
cf7\f8\fs24 Grammar \par\pard\ql \li1863\sb123\sl-253\slmult0 \up0 \expndtw0\ch
arscalex106 \ul0\nosupersub\cf14\f15\fs22 Choose the correct option to complete
the sentences. \par\pard\ql \li1863\sb106\sl-230\slmult0 \up0 \expndtw-1\charsca
lex100 \ul0\nosupersub\cf15\f16\fs20 1 He will to / wills / will feel better af
ter a short sleep. \par\pard\ql \li1863\sb70\sl-230\slmult0 \up0 \expndtw-4\char
scalex100 2 Do you will / Will you / You will / visit me again tomorrow? \par\p
ard\qj \li1863\ri3284\sb13\sl-300\slmult0 \up0 \expndtw0\charscalex100 3 I\u821
7?m afraid your grandfather won\u8217?t / not will / isn\u8217?t remember your
name. \up0 \expndtw-6\charscalex100 4 I help / I\u8217?ll help / I\u8217?ll to h
elp / Mavis have her bath. \par\pard\ql \li1863\sb58\sl-230\slmult0 \up0 \expndt
w-3\charscalex100 5 I hope I won\u8217?t put / don\u8217?t put / put my parents
in a bad care home. \par\pard\ql \li1863\ri2966\sb13\sl-300\slmult0 \up0 \expnd
tw0\charscalex100 6 It\u8217?s possible that, you are having / will have / have
arthritis when you are old. \up0 \expndtw-5\charscalex100 7 A Will he need a he
aring aid? B No, he won\u8217?t / will / doesn\u8217?t. \line \up0 \expndtw-7\ch
arscalex100 8 I \u8216?s / \u8216?ll is / \u8216?ll be happy to see you tomorro
w. \par\pard\ql \li1863\sb0\sl-276\slmult0 \par\pard\ql\li1863\sb84\sl-276\slmul
t0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf13\f14\fs24 2\ul0\nosupersub\
cf7\f8\fs24 Key words from the unit\par\pard\sect\sectd\sbknone\cols2\colno1\co
lw9261\colsr160\colno2\colw2339\colsr160\ql \li1863\sb137\sl-253\slmult0 \up0 \e
xpndtw0\charscalex104 \ul0\nosupersub\cf14\f15\fs22 Complete the sentences with
the words from the list.\par\pard\column \ql \li9421\sb0\sl-160\slmult0 \par\par
d\ql \li9421\sb0\sl-160\slmult0 \par\pard\ql \li20\sb6\sl-160\slmult0 \up0 \expn
dtw-1\charscalex100 \ul0\nosupersub\cf15\f16\fs20 shuffling\par\pard\sect\sectd\
sbknone\cols3\colno1\colw4590\colsr160\colno2\colw4521\colsr160\colno3\colw2339\
colsr160\ql \li1863\sb28\sl-230\slmult0 \up0 \expndtw0\charscalex101 1 She like
s to have a\par\pard\ql \li1863\ri50\sb13\sl-300\slmult0\fi0 \up0 \expndtw-2\cha
rscalex100 2 Alzheimer\u8217?s causes a loss of \up0 \expndtw0\charscalex101 3
Sufferers often have a \up0 \expndtw0\charscalex107 4 The mind needs\par\pard\q
l \li1863\sb58\sl-230\slmult0 \up0 \expndtw0\charscalex102 5 He is quite\par\pa

rd\column \ql \li670\sb28\sl-230\slmult0 \up0 \expndtw0\charscalex110 after lunc


h.\par\pard\ql \li1486\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex113 function
.\par\pard\ql \li1041\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex115 gait.\par
\pard\ql \li497\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex100 to stay fit.\pa
r\pard\ql \li20\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex105 but he can see
well.\par\pard\column \ql \li20\sb23\sl-230\slmult0 \up0 \expndtw0\charscalex111
immobile\par\pard\qj \li20\ri1254\sb2\sl-240\slmult0 \up0 \expndtw0\charscalex1
02 mobility aid \line \up0 \expndtw0\charscalex111 nap\par\pard\qj \li20\ri1055\
sb0\sl-240\slmult0 \up0 \expndtw0\charscalex112 independence \line \up0 \expndtw
0\charscalex111 deaf\par\pard\ql \li20\sb9\sl-230\slmult0 \up0 \expndtw0\charsca
lex108 stimulation \par\pard\sect\sectd\sbknone \li1863\sb70\sl-230\slmult0\fi0\
tx4320\tx9421 \dn3 \expndtw0\charscalex102 6 She is\tab \dn3 \expndtw0\charscale
x102 so she needs a power chair.\tab \up3 \expndtw0\charscalex102 cognitive\par\
pard\sect\sectd\sbknone \li1863\sb70\sl-230\slmult0\fi0\tx4406 \up0 \expndtw0\ch
arscalex102 7 Loss of\tab \up0 \expndtw0\charscalex102 is frustrating for the e
lderly.\par\pard\sect\sectd\sbknone \li1863\sb70\sl-230\slmult0\fi0\tx4406 \up0
\expndtw0\charscalex102 8 With a\tab \up0 \expndtw0\charscalex102 she can visit
the shops.\par\pard\li1865\sb0\sl-322\slmult0\par\pard\li1865\sb72\sl-322\slmult
0\fi0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf12\f13\fs28 Reading and vo
cabuLaRy\par\pard\li1865\sb0\sl-230\slmult0\par\pard\li1865\sb64\sl-230\slmult0\
fi190 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf15\f16\fs20 Any healthy pe
rson reading this has a good chance of living past their one hundredth birthday.
\par\pard\li1865\sb40\sl-230\slmult0\fi190\tx6963 \dn2 \expndtw-1\charscalex100
However, that is not necessarily good news, because (1)\tab \up0 \expndtw-1\char
scalex100 \ul0\nosupersub\cf21\f22\fs20 e\par\pard\li1865\sb77\sl-230\slmult0\fi
190\tx7816 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf15\f16\fs20 The main
problem with old age is boredom. Boredom, and (2)\tab \up0 \expndtw-1\charscalex
100 . Depression can increase mental\par\pard\ql \li2056\sb2\sl-230\slmult0 \up0
\expndtw-1\charscalex100 and physical decay, especially if it is made worse by
the loss of a wife or husband. \par\pard\ql \li2056\sb90\sl-230\slmult0\tx6946 \
up0 \expndtw-3\charscalex100 Elderly people depend a lot on nursing care and (3)
\tab \up0 \expndtw0\charscalex102 .They can be inattentive, have disorganized \
par\pard\ql \li2056\sb10\sl-230\slmult0 \up0 \expndtw0\charscalex103 thoughts an
d speech, and they sometimes show strange behaviour. Many of them are bedridden
and \par\pard\ql \li2056\sb30\sl-230\slmult0 \up0 \expndtw-9\charscalex81 (4) \p
ar\pard\li2056\sb81\sl-230\slmult0\fi0\tx8993 \up0 \expndtw-2\charscalex100 It i
s possible to grow old and die without losing your faculties. However, (5)\tab \
up0 \expndtw-2\charscalex100 . It usually shows\par\pard\li2056\sb20\sl-230\slmu
lt0\fi0 \up0 \expndtw-2\charscalex100 as confusion and forgetfulness.\par\pard\q
j \li2056\ri1339\sb61\sl-240\slmult0 \up0 \expndtw0\charscalex100 Immobility is
common problem for elderly people. This is often caused by diseases such as arth
ritis \up0 \expndtw-1\charscalex100 and osteoporosis. Another problem is inconti
nence, which (6) \par\pard\ql \li2056\sb89\sl-230\slmult0 \up0 \expndtw-1\charsc
alex100 But there is a positive side to geriatric nursing. Care of the elderly i
s usually long-term, and so \par\pard\li2056\sb24\sl-230\slmult0\fi0\tx2899 \up0
\expndtw-1\charscalex100 (7)\tab \up0 \expndtw-1\charscalex100 relationships wi
th their patients, which can be very rewarding.\par\pard\ql \li2745\sb0\sl-207\s
lmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slm
ult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmul
t0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0
\par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb19\sl-207\slmult0
\up0 \expndtw0\charscalex103 \ul0\nosupersub\cf11\f12\fs18 Oxford English for Ca
reers\ul0\nosupersub\cf10\f11\fs18 Nursing 1 Practice File Oxford University P
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}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
g22}{\bkmkend Pg22}\par\pard\ql \li1870\sb0\sl-207\slmult0 \par\pard\ql\li1870\s
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rsub\cf7\f8\fs24 Comprehension \par\pard\qj \li1870\ri1806\sb118\sl-260\slmult0
\up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf14\f15\fs22 Choose the correct
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tw-7\charscalex100 The first one is done for you. \par\pard\ql \li1870\sb125\sl230\slmult0 \up0 \expndtw0\charscalex108 \ul0\nosupersub\cf15\f16\fs20 a nurses
have time to develop \par\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw0\cha
rscalex111 b intellectual impairment is very common \par\pard\ql \li1870\sb70\sl
-230\slmult0 \up0 \expndtw0\charscalex105 c they can be very demanding to nurse
\par\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex104 d a sense
of uselessness, produce depression \par\pard\ql \li1870\sb70\sl-230\slmult0 \up
0 \expndtw0\charscalex100 e not everyone looks forward to old age \par\pard\qj
\li1870\ri5428\sb13\sl-300\slmult0 \up0 \expndtw0\charscalex103 f suffer from s
leep disorders and eating problems \up0 \expndtw0\charscalex104 g causes a great
deal of distress \par\pard\ql \li1870\sb180\sl-276\slmult0 \up0 \expndtw0\chars
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tric problems 1-7. \up0 \expndtw-2\charscalex100 The first one is done for you.
\par\pard\ql \li1870\sb125\sl-230\slmult0 \up0 \expndtw0\charscalex114 \ul0\nosu
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up0 \expndtw0\charscalex110 b artificial hip \line \up0 \expndtw0\charscalex104
c bath lift \par\pard\ql \li1870\sb58\sl-230\slmult0 \up0 \expndtw0\charscalex1
04 d walking stick \par\pard\ql \li1870\ri4128\sb13\sl-300\slmult0 \up0 \expndtw
0\charscalex115 e incontinence pad \line \up0 \expndtw0\charscalex114 f commode
\par\pard\ql \li1870\sb58\sl-230\slmult0 \up0 \expndtw0\charscalex112 g hearing
aid \par\pard\ql \li1870\sb0\sl-230\slmult0 \par\pard\ql\li1870\sb20\sl-230\slm
ult0\tx5853 \dn2 \expndtw0\charscalex106 1 Patient needs a little help with mob
ility. \tab \up0 \expndtw0\charscalex103 d \par\pard\ql \li1870\sb90\sl-230\slmu
lt0 \up0 \expndtw0\charscalex102 2 This lady cannot focus well. \par\pard\ql \l
i1870\ri3471\sb13\sl-300\slmult0 \up0 \expndtw0\charscalex104 3 She needs help
in the bathroom. \line \up0 \expndtw0\charscalex100 4 You have to shout, he\u821
7?s very deaf. \par\pard\qj \li1870\ri5157\sb0\sl-300\slmult0 \up0 \expndtw0\cha
rscalex104 5 Patient\u8217?s joint has degenerated because of arthritis. \up0 \
expndtw0\charscalex105 6 She occasionally wets herself. \par\pard\ql \li1870\sb5
8\sl-230\slmult0 \up0 \expndtw0\charscalex101 7 He needs a toilet by his bed. \
par\pard\ql \li1870\sb0\sl-276\slmult0 \par\pard\ql\li1870\sb96\sl-276\slmult0 \
up0 \expndtw0\charscalex101 \ul0\nosupersub\cf13\f14\fs24 5\ul0\nosupersub\cf7\f
8\fs24 Further vocabulary practice\par\pard\sect\sectd\sbknone\cols2\colno1\col
w9090\colsr160\colno2\colw2510\colsr160\ql \li1870\sb127\sl-253\slmult0 \up0 \ex
pndtw0\charscalex103 \ul0\nosupersub\cf14\f15\fs22 Write these words in the corr
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\charscalex100 The first is done for you.\par\pard\qj \li1870\ri495\sb48\sl-320\

slmult0\tx4156\tx7469 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf15\f16\fs20


This lady is proud of her (1) independence. However, arthritis has taken away \
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877\sb75\sl-230\slmult0\tx4274 \up0 \expndtw-9\charscalex89 This (4)\tab \up0 \e
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tw0\charscalex100 she forgets to wear her hearing aid. The first thing she needs
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charscalex107 again is a wheelchair.\par\pard\ql \li2745\sb0\sl-218\slmult0 \par
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\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par
\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par
\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par
\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par
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}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
g23}{\bkmkend Pg23}\par\pard\ql \li1870\sb0\sl-207\slmult0 \par\pard\ql\li1870\s
b62\sl-207\slmult0 \up0 \expndtw0\charscalex116 \ul0\nosupersub\cf10\f11\fs18 21
Unit 7 \par\pard\ql \li1872\sb0\sl-322\slmult0 \par\pard\ql\li1872\sb136\sl-322
\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf12\f13\fs28 WRiting \pa
r\pard\ql \li1870\sb176\sl-276\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupe
rsub\cf13\f14\fs24 6\ul0\nosupersub\cf7\f8\fs24 Writing a letter \par\pard\qj \
li1870\ri2505\sb118\sl-260\slmult0 \up0 \expndtw0\charscalex104 \ul0\nosupersub\
cf14\f15\fs22 Use the patient\u8217?s record to complete the letter about her to
a physiotherapist \up0 \expndtw0\charscalex101 (Mr. Martin). Describe the patie
nt and her problems. \par\pard\ql \li6003\sb0\sl-230\slmult0 \par\pard\ql\li6003
\sb175\sl-230\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf15\f16\fs2
0 City Hospital \par\pard\ql \li5453\sb10\sl-230\slmult0 \up0 \expndtw0\charscal
ex102 Department of Psychiatry \par\pard\ql \li5890\sb170\sl-230\slmult0 \up0 \e
xpndtw-1\charscalex100 Patient\u8217?s record \par\pard\ql \li2510\sb0\sl-230\sl
mult0 \par\pard\ql\li2510\sb20\sl-230\slmult0 \up0 \expndtw-9\charscalex91 Patie
nt\u8217?s name: Mrs Yasmina Said
Age: 87 \par\pard\ql \li2510\ri4124\s
b9\sl-353\slmult0 \up0 \expndtw-1\charscalex100 Medical history: 7th September
- admitted for assessment \up0 \expndtw0\charscalex100 Cognitive functions: occ
asional confusion & loss of memory \up0 \expndtw-1\charscalex100 Mobility: mobil
e but shuffling gait. Uses walking frame. \up0 \expndtw-1\charscalex100 Requirem
ents: physiotherapy \par\pard\ql \li2510\sb109\sl-230\slmult0 \up0 \expndtw-1\ch
arscalex100 Aims: improve balance, mobility, independence with ADLs \par\pard\q
l \li2097\sb0\sl-230\slmult0 \par\pard\ql\li2097\sb0\sl-230\slmult0 \par\pard\ql
\li2097\sb0\sl-230\slmult0 \par\pard\ql\li2097\sb140\sl-230\slmult0 \up0 \expndt
w-4\charscalex100 Dear Mr Martin, \par\pard\li2097\sb0\sl-230\slmult0\par\pard\l
i2097\sb23\sl-230\slmult0\fi0\tx5604\tx7899 \up0 \expndtw-1\charscalex100 This l
etter introduces\tab \up0 \expndtw-1\charscalex100 . She is\tab \up0 \expndtw-1\
charscalex100 and was admitted\par\pard\li2097\sb110\sl-230\slmult0\fi1690\tx897
0 \up0 \expndtw-1\charscalex100 on the 7th of September. Mrs Said suffers\tab \u
p0 \expndtw-1\charscalex100 . She is mobile but\par\pard\li2097\sb110\sl-230\slm
ult0\fi1690\tx7808\tx10380 \up0 \expndtw-1\charscalex100 to get around. She requ
ires\tab \up0 \expndtw-1\charscalex100 in order to\tab \up0 \expndtw-1\charscale
x100 ,\par\pard\li2097\sb110\sl-230\slmult0\fi0\tx4572 \up0 \expndtw-1\charscale
x100 increase\tab \up0 \expndtw-1\charscalex100 and\par\pard\ql \li2097\sb227\sl
-230\slmult0 \up0 \expndtw-3\charscalex100 Yours sincerely, \par\pard\ql \li2745
\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\s
b0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0
\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\s
l-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-20
7\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\
slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\sl
mult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmu

lt0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult


0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0
\par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \p
ar\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par
\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\p
ard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\par
d\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\
ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql
\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb51\sl-207\slmult0 \up0 \expndtw
0\charscalex103 \ul0\nosupersub\cf11\f12\fs18 Oxford English for Careers\ul0\nos
upersub\cf10\f11\fs18 Nursing 1 Practice File Oxford University Press 2011
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{\shp {\*\shpinst\shpleft4973\shptop8598\shpright6628\shpbottom8598\shpfhdr0\shp
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{\shp {\*\shpinst\shpleft1890\shptop2878\shpright10823\shpbottom6355\shpfhdr0\sh
pbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz298\shplid17
{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{
\sn geoRight}{\sv 8933}}{\sp{\sn geoBottom}{\sv 3477}}{\sp{\sn shapePath}{\sv 4}
}
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}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
g24}{\bkmkend Pg24}\par\pard\ql \li1870\sb0\sl-207\slmult0 \par\pard\ql\li1870\s
b62\sl-207\slmult0 \up0 \expndtw0\charscalex110 \ul0\nosupersub\cf10\f11\fs18 22
Unit 8 \par\pard\ql \li2143\sb0\sl-690\slmult0 \par\pard\ql\li2143\sb144\sl-690
\slmult0 \up0 \expndtw0\charscalex97 \ul0\nosupersub\cf20\f21\fs60 8 Nutrition
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0 \ul0\nosupersub\cf12\f13\fs28 Language \par\pard\ql \li1863\sb196\sl-276\slmul
t0 \up0 \expndtw0\charscalex111 \ul0\nosupersub\cf13\f14\fs24 1\ul0\nosupersub\c
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arscalex100 \ul0\nosupersub\cf15\f16\fs20 1 You should / should you / should cu
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ave / you have sugar in your tea and coffee? \par\pard\ql \li1863\sb70\sl-230\sl
mult0 \up0 \expndtw0\charscalex101 5 To be healthy you should eaten / eating /
eat a balanced diet. \par\pard\ql \li1863\sb70\sl-230\slmult0 \up0 \expndtw0\cha
rscalex100 6 She could die of anorexia, so she must eat / should eat / eats some
thing. \par\pard\qj \li1863\ri2185\sb13\sl-300\slmult0 \up0 \expndtw0\charscalex
100 7 It should be / would be / would a good idea to try adding some vegetables
to your diet. \up0 \expndtw-5\charscalex100 8 If I were you, I should / I\u8217
?d / I drink fewer fizzy drinks. \par\pard\ql \li1863\sb0\sl-276\slmult0 \par\pa
rd\ql\li1863\sb84\sl-276\slmult0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\c
f13\f14\fs24 2\ul0\nosupersub\cf7\f8\fs24 Key words from the unit\par\pard\sect
\sectd\sbknone\cols2\colno1\colw9272\colsr160\colno2\colw2328\colsr160\ql \li186
3\sb137\sl-253\slmult0 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf14\f15\fs2
2 Complete the sentences with the words from the list.\par\pard\ql \li1863\sb123
\sl-230\slmult0 \up0 \expndtw0\charscalex105 \ul0\nosupersub\cf15\f16\fs20 1 He
injects himself because he is\par\pard\ql \li1863\sb70\sl-230\slmult0 \up0 \exp
ndtw0\charscalex100 2 Meat and fish are sources of\par\pard\ql \li1863\sb70\sl230\slmult0\tx3776 \up0 \expndtw-2\charscalex100 3\tab \up0 \expndtw0\charscalex
105 provide the body with energy.\par\pard\ql \li1863\sb70\sl-230\slmult0\tx3948
\up0 \expndtw0\charscalex111 4 A\tab \up0 \expndtw0\charscalex105 advises peopl
e how to eat healthily.\par\pard\ql \li1863\sb70\sl-230\slmult0 \up0 \expndtw0\c
harscalex103 5 Pizzas and burgers are examples of\par\pard\ql \li1863\sb70\sl-2
30\slmult0\tx5699 \up0 \expndtw0\charscalex103 6 Morgan Spurlock had\tab \up0 \e
xpndtw-1\charscalex100 for fast food.\par\pard\ql \li1863\sb70\sl-230\slmult0\tx
4792 \up0 \expndtw0\charscalex103 7 A balanced\tab \up0 \expndtw0\charscalex106
is healthy.\par\pard\ql \li1863\sb70\sl-230\slmult0\tx4244 \up0 \expndtw0\chars
calex108 8 He is\tab \up0 \expndtw-1\charscalex100 to fast foods.\par\pard\ql \l
i1865\sb0\sl-322\slmult0 \par\pard\ql \li1865\sb72\sl-322\slmult0 \up0 \expndtw10\charscalex100 \ul0\nosupersub\cf12\f13\fs28 Reading and vocabuLaRy\par\pard\c
olumn \ql \li9432\sb0\sl-230\slmult0 \par\pard\ql \li20\sb38\sl-230\slmult0 \up0
\expndtw0\charscalex111 \ul0\nosupersub\cf15\f16\fs20 addicted\par\pard\ql \li2
0\sb10\sl-230\slmult0 \up0 \expndtw0\charscalex107 protein\par\pard\qj \li20\ri1
039\sb2\sl-240\slmult0 \up0 \expndtw0\charscalex107 carbohydrates \up0 \expndtw0
\charscalex102 cravings\par\pard\ql \li20\sb9\sl-230\slmult0 \up0 \expndtw0\char
scalex110 diet\par\pard\qj \li20\ri1280\sb2\sl-240\slmult0 \up0 \expndtw0\charsc

alex104 nutritionist \line \up0 \expndtw0\charscalex100 junk food\par\pard\ql \l


i20\sb9\sl-230\slmult0 \up0 \expndtw0\charscalex110 diabetic \par\pard\sect\sect
d\sbknone \qj \li2056\sb0\sl-253\slmult0 \par\pard\qj\li2056\ri1339\sb27\sl-253\
slmult0 \up0 \expndtw-1\charscalex100 Nutritionists classify food by groups. The
y say that the human body requires a balanced mixture of \line \up0 \expndtw0\ch
arscalex100 food from all the main food groups: carbohydrates, protein, fats, vi
tamins, fibre and minerals. The \line \up0 \expndtw0\charscalex100 secret of goo
d heath is to eat a balanced diet, with the right amount of food, and to take pl
enty of \line \up0 \expndtw0\charscalex100 physical exercise. \par\pard\ql \li20
56\sb66\sl-230\slmult0 \up0 \expndtw-2\charscalex100 When there is an imbalance
- for example if you eat too little or too much, or when one of the food \par\pa
rd\ql \li2056\ri1105\sb0\sl-250\slmult0 \up0 \expndtw-3\charscalex100 groups is
missing from your diet - this can cause vitamin deficiency, illness, and even de
ath. If there is \line \up0 \expndtw-1\charscalex100 no treatment and the diet d
oes not change, death is a possibility. One example of this is the problem \line
\up0 \expndtw-2\charscalex100 of obesity - this is when a person is dangerously
overweight. Obesity is most common in developed \line \up0 \expndtw-2\charscale
x100 countries. The imbalance comes from eating a diet which is high in fat, sug
ar and salt, and in not eating \line \up0 \expndtw-2\charscalex100 enough fruit,
vegetables and fibre, and not burning the extra calories through physical exerc
ise. \par\pard\ql \li2056\ri1273\sb64\sl-250\slmult0 \up0 \expndtw0\charscalex10
0 In the case of eating disorders such as anorexia nervosa and bulimia, the imba
lance leads to weight \up0 \expndtw0\charscalex100 loss, when a person eats less
than they need. Sufferers are mostly teenage girls - they either starve \up0 \e
xpndtw0\charscalex100 themselves in order to lose weight, or eat a lot of food a
t once (binge-eating) and vomit up all the \up0 \expndtw0\charscalex102 food lat
er. They often end up in hospital, and after emergency life-saving treatment the
y receive \up0 \expndtw0\charscalex102 psychiatric help and counselling. \par\pa
rd\ql \li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\par
d\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\
ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql
\li2745\sb124\sl-207\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf11\f
12\fs18 Oxford English for Careers\ul0\nosupersub\cf10\f11\fs18 Nursing 1 Pract
ice File Oxford University Press 2011
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}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
g25}{\bkmkend Pg25}\par\pard\ql \li1870\sb0\sl-207\slmult0 \par\pard\ql\li1870\s
b62\sl-207\slmult0 \up0 \expndtw0\charscalex112 \ul0\nosupersub\cf10\f11\fs18 23
Unit 8 \par\pard\ql \li1870\sb0\sl-276\slmult0 \par\pard\ql\li1870\sb180\sl-276
\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf13\f14\fs24 3\ul0\nosupe
rsub\cf7\f8\fs24 Comprehension \par\pard\ql \li1870\sb123\sl-253\slmult0 \up0 \
expndtw0\charscalex103 \ul0\nosupersub\cf14\f15\fs22 Answer these questions acco
rding to the text. \par\pard\qj \li1870\ri5615\sb69\sl-300\slmult0 \up0 \expndtw
0\charscalex103 \ul0\nosupersub\cf15\f16\fs20 1 What kind of diet does the huma
n body need? \up0 \expndtw0\charscalex101 2 What is obesity an example of? \par
\pard\ql \li1870\sb58\sl-230\slmult0 \up0 \expndtw0\charscalex105 3 Where is th
e obesity problem common? \par\pard\ql \li1870\ri3004\sb13\sl-300\slmult0 \up0 \
expndtw0\charscalex108 4 What imbalance causes anorexia nervosa? \line \up0 \exp
ndtw0\charscalex101 5 Who usually suffers from eating disorders? \line \up0 \ex
pndtw0\charscalex102 6 What is the treatment for eating disorders? \par\pard\ql
\li1870\sb0\sl-276\slmult0 \par\pard\ql\li1870\sb84\sl-276\slmult0 \up0 \expndtw
-3\charscalex100 \ul0\nosupersub\cf13\f14\fs24 4\ul0\nosupersub\cf7\f8\fs24 Wor
ds from the text \par\pard\ql \li1870\sb123\sl-253\slmult0 \up0 \expndtw0\charsc
alex101 \ul0\nosupersub\cf14\f15\fs22 Make word combinations. The first one is d
one for you. \par\pard\li1870\sb129\sl-230\slmult0\fi0\tx4970 \up0 \expndtw0\cha
rscalex104 \ul0\nosupersub\cf15\f16\fs20 1 physical\tab \up0 \expndtw0\charscal
ex104 a loss\par\pard\li1870\sb70\sl-230\slmult0\fi0\tx4970 \up0 \expndtw0\char
scalex104 2 balanced\tab \up0 \expndtw0\charscalex104 b overweight\par\pard\li1
870\sb70\sl-230\slmult0\fi0\tx4970 \up0 \expndtw0\charscalex104 3 weight\tab \u
p0 \expndtw0\charscalex104 c disorder\par\pard\li1870\sb70\sl-230\slmult0\fi0\t
x4970 \up0 \expndtw0\charscalex104 4 vitamin\tab \up0 \expndtw0\charscalex104 d
groups\par\pard\li1870\sb70\sl-230\slmult0\fi0\tx4970 \up0 \expndtw0\charscalex1
04 5 food\tab \up0 \expndtw0\charscalex104 e diet\par\pard\li1870\sb70\sl-230\
slmult0\fi0\tx4970 \up0 \expndtw0\charscalex104 6 eating\tab \up0 \expndtw0\char
scalex104 f exercise\par\pard\li1870\sb70\sl-230\slmult0\fi0\tx4970 \up0 \expnd
tw0\charscalex104 7 dangerously\tab \up0 \expndtw0\charscalex104 g deficiency\
par\pard\li1870\sb0\sl-276\slmult0\par\pard\li1870\sb92\sl-276\slmult0\fi0 \up0
\expndtw0\charscalex104 \ul0\nosupersub\cf13\f14\fs24 5\ul0\nosupersub\cf7\f8\fs
24 Further vocabulary practice\par\pard\li1870\sb123\sl-253\slmult0\fi0 \up0 \e
xpndtw0\charscalex105 \ul0\nosupersub\cf14\f15\fs22 Use the correct form of the
word in brackets to complete the sentences 1-7.\par\pard\li1870\sb8\sl-253\slmul
t0\fi0 \up0 \expndtw0\charscalex104 The first one is done for you.\par\pard\li18
70\sb126\sl-230\slmult0\fi0\tx2566\tx3788 \dn2 \expndtw0\charscalex104 \ul0\nosu
persub\cf15\f16\fs20 1\tab \up0 \expndtw0\charscalex104 Obesity\tab \dn2 \expndt
w0\charscalex104 causes many illnesses. (obese)\par\pard\li1870\sb91\sl-230\slmu
lt0\fi0\tx6032 \up0 \expndtw0\charscalex104 2 He has an uncontrollable\tab \up0
\expndtw0\charscalex104 for fast food. (crave)\par\pard\li1870\sb70\sl-230\slmu

lt0\fi0\tx4997 \up0 \expndtw0\charscalex104 3 Her fast food\tab \up0 \expndtw0\


charscalex104 is serious. (addict)\par\pard\li1870\sb70\sl-230\slmult0\fi0\tx588
7 \up0 \expndtw0\charscalex104 4 Everyone needs to eat a\tab \up0 \expndtw0\char
scalex104 diet. (balance)\par\pard\li1870\sb70\sl-230\slmult0\fi0\tx5386 \up0 \e
xpndtw0\charscalex104 5 Being overweight\tab \up0 \expndtw0\charscalex104 her a
lot. (depress)\par\pard\li1870\sb70\sl-230\slmult0\fi0\tx6467 \up0 \expndtw0\ch
arscalex104 6 His diet makes him constantly\tab \up0 \expndtw0\charscalex104 . (
constipation)\par\pard\li1870\sb70\sl-230\slmult0\fi0\tx4146 \up0 \expndtw0\char
scalex104 7 She\tab \up0 \expndtw0\charscalex104 weight easily. (loss)\par\pard
\ql \li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\
ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql
\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\l
i2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2
745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li274
5\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\
sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb
0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\
sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl
-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-2
07\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207
\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\s
lmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slm
ult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb92\sl-207\slmu
lt0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf11\f12\fs18 Oxford English fo
r Careers\ul0\nosupersub\cf10\f11\fs18 Nursing 1 Practice File Oxford Universi
ty Press 2011
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= get your daughter to accept she has a problem \par\pard\ql \li2097\sb70\sl-230
\slmult0 \up0 \expndtw0\charscalex111 get her to speak to a doctor or a trained
counsellor - do this before things get worse \par\pard\ql \li2745\sb0\sl-207\slm
ult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmul
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rd\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard
\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\q
l\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\
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2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li27
45\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745
\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\s
b0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0
\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\s
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\nosupersub\cf11\f12\fs18 Oxford English for Careers\ul0\nosupersub\cf10\f11\fs1
8 Nursing 1 Practice File Oxford University Press 2011
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i1863\sb123\sl-230\slmult0\tx4813 \up0 \expndtw0\charscalex116 \ul0\nosupersub\c
f15\f16\fs20 1 Pulmonary\tab \up0 \expndtw0\charscalex103 take blood to the lun
gs.\par\pard\ql \li1863\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex104 2 Bloo
d contains red and white\par\pard\ql \li1863\sb70\sl-230\slmult0\tx3776 \up0 \ex
pndtw-2\charscalex100 3\tab \up0 \expndtw0\charscalex106 take blood to the heart
.\par\pard\ql \li1863\sb70\sl-230\slmult0\tx3948 \up0 \expndtw0\charscalex111 4
A\tab \up0 \expndtw0\charscalex102 of blood can tell the police a lot.\par\pard\
ql \li1863\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex104 5 Platelets help bl
ood to\par\pard\ql \li1863\sb70\sl-230\slmult0\tx3776 \up0 \expndtw-2\charscalex
100 6\tab \up0 \expndtw0\charscalex104 is a protein.\par\pard\ql \li1863\sb70\sl
-230\slmult0\tx4318 \up0 \expndtw-3\charscalex100 7 Use a\tab \up0 \expndtw0\ch
arscalex105 to take a blood sample.\par\pard\ql \li1863\sb70\sl-230\slmult0\tx58
48 \up0 \expndtw0\charscalex105 8 Put this slide under the\tab \up0 \expndtw0\ch
arscalex104 and have a look.\par\pard\ql \li1865\sb0\sl-322\slmult0 \par\pard\ql
\li1865\sb72\sl-322\slmult0 \up0 \expndtw-10\charscalex100 \ul0\nosupersub\cf12
\f13\fs28 Reading and vocabuLaRy\par\pard\column \ql \li9511\sb0\sl-230\slmult0
\par\pard\ql \li20\sb38\sl-230\slmult0 \up0 \expndtw0\charscalex110 \ul0\nosuper
sub\cf15\f16\fs20 arteries\par\pard\ql \li20\sb10\sl-230\slmult0 \up0 \expndtw0\
charscalex106 cells\par\pard\qj \li20\ri1206\sb2\sl-240\slmult0 \up0 \expndtw0\c
harscalex107 microscope \line \up0 \expndtw0\charscalex102 veins\par\pard\ql \li
20\sb9\sl-230\slmult0 \up0 \expndtw0\charscalex104 drop\par\pard\ql \li20\sb10\s
l-230\slmult0 \up0 \expndtw0\charscalex109 clot\par\pard\qj \li20\ri1036\sb2\sl240\slmult0 \up0 \expndtw0\charscalex110 haemoglobin \up0 \expndtw0\charscalex10
1 syringe \par\pard\sect\sectd\sbknone \ql \li2056\sb0\sl-230\slmult0 \par\pard\
ql\li2056\sb68\sl-230\slmult0 \up0 \expndtw0\charscalex105 The prefix \ul0\nosup
ersub\cf21\f22\fs20 haem\ul0\nosupersub\cf15\f16\fs20 - means blood The study of
blood is \ul0\nosupersub\cf21\f22\fs20 haematology\ul0\nosupersub\cf15\f16\fs20
, \ul0\nosupersub\cf21\f22\fs20 haemophilia\ul0\nosupersub\cf15\f16\fs20 is a
disease of the \par\pard\qj \li2056\ri1138\sb14\sl-250\slmult0 \up0 \expndtw0\ch
arscalex103 blood and a \ul0\nosupersub\cf21\f22\fs20 haemorrhage\ul0\nosupersub
\cf15\f16\fs20 is a bruise. In humans, blood forms in the bone marrow by a proc
ess called \up0 \expndtw0\charscalex103 haemogenesis. Blood circulates around th
e body through the cardiovascular system of arteries, veins \up0 \expndtw0\chars
calex103 and capillaries. \par\pard\qj \li2056\ri1479\sb54\sl-246\slmult0 \up0 \
expndtw0\charscalex100 Blood has many functions. It distributes oxygen, keeps th
e body warm, and removes waste. More \up0 \expndtw0\charscalex100 than half of t
he blood in the body is a fluid called \ul0\nosupersub\cf21\f22\fs20 plasma\ul0\
nosupersub\cf15\f16\fs20 - plasma is mostly water. The rest of the \up0 \expndt
w0\charscalex100 blood is made up of red cells which carry oxygen, white cells w
hich protect against disease, and \up0 \expndtw0\charscalex100 platelets which h
eal wounds. \par\pard\qj \li2056\ri1059\sb74\sl-246\slmult0 \up0 \expndtw0\chars

calex100 When someone loses a lot of blood they need a transfusion. There are di
fferent types of human blood \line \up0 \expndtw-4\charscalex100 and medics usua
lly use the ABO system which puts blood into four main groups: A, B, AB, and O.
The \line \up0 \expndtw0\charscalex102 donor blood must be compatible with the b
lood of the recipient, because a transfusion of the wrong \line \up0 \expndtw0\c
harscalex102 blood can be fatal. \par\pard\ql \li2091\sb88\sl-230\slmult0 \up0 \
expndtw-1\charscalex100 Medical conditions affect blood in many ways, so a blood
test is a good way to get information \par\pard\qj \li2056\ri1308\sb0\sl-250\sl
mult0 \up0 \expndtw0\charscalex100 about a patient\u8217?s state of health. The
shape, size, behaviour and number of blood cells can provide \up0 \expndtw0\char
scalex103 information about kidney and liver function, about levels of hormone,
glucose and cholesterol, and \up0 \expndtw0\charscalex103 about a patient\u8217?
s immune system. \par\pard\ql \li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0
\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\s
l-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb25\sl
-207\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf11\f12\fs18 Oxford E
nglish for Careers\ul0\nosupersub\cf10\f11\fs18 Nursing 1 Practice File Oxford
University Press 2011
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}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
g28}{\bkmkend Pg28}\par\pard\ql \li1870\sb0\sl-207\slmult0 \par\pard\ql\li1870\s
b62\sl-207\slmult0 \up0 \expndtw0\charscalex109 \ul0\nosupersub\cf10\f11\fs18 26
Unit 9 \par\pard\ql \li1870\sb0\sl-276\slmult0 \par\pard\ql\li1870\sb180\sl-276
\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf13\f14\fs24 3\ul0\nosupe
rsub\cf7\f8\fs24 Comprehension \par\pard\qj \li1870\ri3697\sb118\sl-260\slmult0
\up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf14\f15\fs22 Decide whether the
following statements are true (T) or false (F) \up0 \expndtw-2\charscalex100 acc
ording to the text. \par\pard\ql \li1870\ri3053\sb67\sl-300\slmult0 \up0 \expndt
w0\charscalex107 \ul0\nosupersub\cf15\f16\fs20 1 Bone marrow is formed by haemo
genesis. \line \up0 \expndtw-1\charscalex100 2
Blood cells are mostly water.
\par\pard\ql \li1870\sb58\sl-230\slmult0 \up0 \expndtw-4\charscalex100 3
ABO
is a method of transfusion. \par\pard\ql \li1870\ri5747\sb13\sl-300\slmult0 \up0
\expndtw-2\charscalex100 4 Recipients\u8217? blood is given in transfusions.
\line \up0 \expndtw-5\charscalex100 5
A blood test is good for a patient\u821
7?s health. \line \up0 \expndtw-5\charscalex100 6 Blood cells can tell us abou
t internal organs. \par\pard\ql \li1870\sb0\sl-276\slmult0 \par\pard\ql\li1870\s
b84\sl-276\slmult0 \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf13\f14\fs24 4\
ul0\nosupersub\cf7\f8\fs24 Vocabulary\par\pard\sect\sectd\sbknone\cols2\colno1\
colw9090\colsr160\colno2\colw2510\colsr160\ql \li1870\sb129\sl-253\slmult0 \up0
\expndtw0\charscalex104 \ul0\nosupersub\cf14\f15\fs22 Put the correct word or ph
rase into the spaces 1-6 in the text.\par\pard\ql \li1870\sb123\sl-230\slmult0\t
x6363 \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf15\f16\fs20 The detective n
oticed several (1)\tab \up0 \expndtw0\charscalex100 on the floor. Then he\par\pa
rd\ql \li1870\ri319\sb13\sl-300\slmult0\tx4739 \up0 \expndtw0\charscalex100 saw
more. \u8216?That\u8217?s very interesting,\u8217? he thought. \u8216?It has obv
iously come from \line \up0 \expndtw-6\charscalex100 someone\u8217?s (2) \tab \u
p0 \expndtw-1\charscalex100 , and there is quite a lot of it. But whose blood\p
ar\pard\ql \li1870\sb58\sl-230\slmult0\tx5892 \up0 \expndtw-7\charscalex100 is i
t?\u8217? He needed to get a (3)\tab \up0 \expndtw0\charscalex103 , and he neede
d it quickly. He\par\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw0\charscal
ex100 used a swab to get a sample of the blood and put it safely into a\par\pard
\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw-9\charscalex81 (4)\par\pard\ql \li
1870\ri271\sb126\sl-299\slmult0\fi0\tx6904 \up0 \expndtw0\charscalex101 Later, b
ack at the laboratory, a police scientist prepared a (5) \line \up0 \expndtw0\ch
arscalex103 and switched on the high-powered (6) \tab \up0 \expndtw0\charscalex1
04 . The detective would\par\pard\ql \li1870\sb58\sl-230\slmult0 \up0 \expndtw0\
charscalex104 soon know the answer to his question.\par\pard\ql \li1912\sb0\sl-2
76\slmult0 \par\pard\ql \li1912\sb93\sl-276\slmult0 \up0 \expndtw-1\charscalex10
0 \ul0\nosupersub\cf13\f14\fs24 5\ul0\nosupersub\cf7\f8\fs24 Further vocabulary
practice\par\pard\qj \li1870\ri965\sb118\sl-260\slmult0 \up0 \expndtw0\charscal
ex105 \ul0\nosupersub\cf14\f15\fs22 Underline the correct words in italics to co
mplete the sentences. \up0 \expndtw-2\charscalex100 The first one is done for yo
u.\par\pard\ql \li1870\sb122\sl-230\slmult0 \up0 \expndtw0\charscalex103 \ul0\no
supersub\cf15\f16\fs20 1 In healthy blood the red cells are circular / circulat
e.\par\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw-3\charscalex100 2 I ju
st want a drop / drip of blood from you.\par\pard\ql \li1870\sb70\sl-230\slmult0
\up0 \expndtw0\charscalex101 3 The platelets cause blood to clotting / clot.\p
ar\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex102 4 Blood cell
s are microscopic / microscope.\par\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \ex
pndtw0\charscalex100 5 Blood flows / flies through veins and arteries.\par\pard
\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex102 6 He is bleeding /
bloody badly and needs a transfusion.\par\pard\ql \li1870\sb70\sl-230\slmult0 \u
p0 \expndtw0\charscalex100 7 We need to analyse / analysis your blood.\par\pard
\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard
\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard
\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard
\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard

\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard


\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard
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\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard
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11\f12\fs18 Oxford English for Careers\ul0\nosupersub\cf10\f11\fs18 Nursing 1 P
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rd\ql \li20\sb10\sl-230\slmult0 \up0 \expndtw0\charscalex103 slide\par\pard\ql \
li20\sb10\sl-230\slmult0 \up0 \expndtw0\charscalex108 wound\par\pard\ql \li20\sb
10\sl-230\slmult0 \up0 \expndtw0\charscalex106 test tube\par\pard\qj \li20\ri122
3\sb2\sl-240\slmult0 \up0 \expndtw-2\charscalex100 drops of blood \up0 \expndtw0
\charscalex107 microscope
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{\shp {\*\shpinst\shpleft9132\shptop6556\shpright9132\shpbottom4695\shpfhdr0\shp
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}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
g29}{\bkmkend Pg29}\par\pard\ql \li1870\sb0\sl-207\slmult0 \par\pard\ql\li1870\s
b62\sl-207\slmult0 \up0 \expndtw0\charscalex107 \ul0\nosupersub\cf10\f11\fs18 27
Unit 9 \par\pard\ql \li1872\sb0\sl-322\slmult0 \par\pard\ql\li1872\sb136\sl-322
\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf12\f13\fs28 WRiting \pa
r\pard\ql \li1870\sb176\sl-276\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupe
rsub\cf13\f14\fs24 6\ul0\nosupersub\cf7\f8\fs24 A description of healthy blood
\par\pard\qj \li1870\ri3459\sb118\sl-260\slmult0 \up0 \expndtw0\charscalex102 \u
l0\nosupersub\cf14\f15\fs22 Study the information in the table and use it to wri
te a description \up0 \expndtw0\charscalex103 of healthy blood. The first two se

ntences are written for you. \par\pard\li1956\sb0\sl-230\slmult0\par\pard\li1956


\sb84\sl-230\slmult0\fi1777\tx5512\tx7290\tx9068 \up0 \expndtw0\charscalex102 \u
l0\nosupersub\cf15\f16\fs20 Plasma\tab \up0 \expndtw0\charscalex102 Numbers of w
hite\tab \up0 \expndtw0\charscalex102 Shape of red blood\tab \up0 \expndtw0\char
scalex102 Behaviour of red\par\pard\li1956\sb10\sl-230\slmult0\fi3556\tx7290\tx9
068 \up0 \expndtw0\charscalex102 blood cells\tab \up0 \expndtw0\charscalex102 ce
lls\tab \up0 \expndtw0\charscalex102 blood cells\par\pard\li1956\sb78\sl-230\slm
ult0\fi0\tx3734\tx5512\tx7290\tx9068 \up0 \expndtw0\charscalex102 Healthy blood\
tab \up0 \expndtw0\charscalex102 Clear and\tab \up0 \expndtw0\charscalex102 Abou
t 1% of\tab \up0 \expndtw0\charscalex102 Even sizes and\tab \up0 \expndtw0\chars
calex102 Flow freely with\par\pard\li1956\sb10\sl-230\slmult0\fi1778\tx5512\tx72
90\tx9068 \up0 \expndtw0\charscalex102 colourless\tab \up0 \expndtw0\charscalex1
02 blood\tab \up0 \expndtw0\charscalex102 circular shape\tab \up0 \expndtw0\char
scalex102 space between\par\pard\li1956\sb78\sl-230\slmult0\fi0\tx3734\tx5512\tx
7290\tx9069 \up0 \expndtw0\charscalex102 Unhealthy\tab \up0 \expndtw0\charscalex
102 Fat in the\tab \up0 \expndtw0\charscalex102 Low numbers\tab \up0 \expndtw0\c
harscalex102 Lose even size\tab \up0 \expndtw0\charscalex102 Clump together\par\
pard\li1956\sb10\sl-230\slmult0\fi0\tx3734\tx7290 \up0 \expndtw0\charscalex102 b
lood\tab \up0 \expndtw0\charscalex102 plasma\tab \up0 \expndtw0\charscalex102 an
d shape\par\pard\ql \li2209\sb0\sl-230\slmult0 \par\pard\ql\li2209\sb0\sl-230\sl
mult0 \par\pard\ql\li2209\sb0\sl-230\slmult0 \par\pard\ql\li2209\sb15\sl-230\slm
ult0 \up0 \expndtw0\charscalex100 In healthy blood the plasma is clear and colou
rless. In unhealthy blood there is fat in the plasma. \par\pard\ql \li2745\sb0\s
l-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-20
7\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\
slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\sl
mult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmu
lt0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult
0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0
\par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \p
ar\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par
\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\p
ard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\par
d\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\
ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql
\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\l
i2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2
745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li274
5\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\
sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb
0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\
sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl
-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-2
07\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207
\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\s
lmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slm
ult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmul
t0 \par\pard\ql\li2745\sb45\sl-207\slmult0 \up0 \expndtw0\charscalex103 \ul0\nos
upersub\cf11\f12\fs18 Oxford English for Careers\ul0\nosupersub\cf10\f11\fs18 N
ursing 1 Practice File Oxford University Press 2011
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}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
g30}{\bkmkend Pg30}\par\pard\ql \li1870\sb0\sl-207\slmult0 \par\pard\ql\li1870\s
b62\sl-207\slmult0 \up0 \expndtw0\charscalex116 \ul0\nosupersub\cf10\f11\fs18 28
Unit 10 \par\pard\ql \li2143\sb0\sl-690\slmult0 \par\pard\ql\li2143\sb144\sl-69
0\slmult0 \up0 \expndtw0\charscalex98 \ul0\nosupersub\cf20\f21\fs60 10 Death a
nd dying \par\pard\ql \li1865\sb0\sl-322\slmult0 \par\pard\ql\li1865\sb0\sl-322\
slmult0 \par\pard\ql\li1865\sb10\sl-322\slmult0 \up0 \expndtw-8\charscalex100 \u
l0\nosupersub\cf12\f13\fs28 Language \par\pard\ql \li1863\sb196\sl-276\slmult0 \
up0 \expndtw0\charscalex111 \ul0\nosupersub\cf13\f14\fs24 1\ul0\nosupersub\cf7\f
8\fs24 Grammar \par\pard\ql \li1863\sb123\sl-253\slmult0 \up0 \expndtw0\charsca
lex106 \ul0\nosupersub\cf14\f15\fs22 Choose the correct option to complete the s
entences. \par\pard\ql \li1863\sb106\sl-230\slmult0 \up0 \expndtw-2\charscalex10
0 \ul0\nosupersub\cf15\f16\fs20 1 Maybe / May / Might I should take him to hosp
ital. \par\pard\ql \li1863\sb70\sl-230\slmult0 \up0 \expndtw-5\charscalex100 2
Do she could / She could / Could she die from this illness? \par\pard\ql \li1863
\ri3212\sb13\sl-300\slmult0 \up0 \expndtw0\charscalex100 3 She couldn\u8217?t /
mayn\u8217?t / mightn\u8217?t recover after her operation tomorrow. \up0 \expnd
tw-2\charscalex100 4 A Could the accident be fatal? B Yes, it could / be / might
. \line \up0 \expndtw-5\charscalex100 5 It \u8217?s possible / \u8217?s possibl
y / \u8217?s possible that he will not come out of the coma. \up0 \expndtw-6\ch
arscalex100 6 She may to get / get / gets worse before she gets better. \par\par
d\qj \li1863\ri1766\sb0\sl-300\slmult0 \up0 \expndtw-8\charscalex96 7 She can\u
8217?t sleep. It\u8217?s possible that she\u8217?s sick / She\u8217?s sick it\u8
217?s possible that / It\u8217?s perhaps she\u8217?s sick. \up0 \expndtw-9\chars
calex96 8 What treatment could to help / would help / help his condition? \par\p
ard\ql \li1863\sb0\sl-276\slmult0 \par\pard\ql\li1863\sb84\sl-276\slmult0 \up0 \
expndtw-5\charscalex100 \ul0\nosupersub\cf13\f14\fs24 2\ul0\nosupersub\cf7\f8\fs
24 Key words from the unit\par\pard\sect\sectd\sbknone\cols2\colno1\colw9289\co
lsr160\colno2\colw2311\colsr160\ql \li1863\sb137\sl-253\slmult0 \up0 \expndtw0\c
harscalex104 \ul0\nosupersub\cf14\f15\fs22 Complete the sentences with the words
from the list.\par\pard\ql \li1863\sb123\sl-230\slmult0\tx4353 \up0 \expndtw0\c
harscalex107 \ul0\nosupersub\cf15\f16\fs20 1 Music\tab \up0 \expndtw0\charscale
x109 can help children.\par\pard\ql \li1863\sb70\sl-230\slmult0\tx4866 \up0 \exp
ndtw0\charscalex107 2 Prepare the\tab \up0 \expndtw0\charscalex108 before the r
elatives come.\par\pard\ql \li1863\sb70\sl-230\slmult0\tx3983 \up0 \expndtw-4\ch
arscalex100 3 A\tab \up0 \expndtw0\charscalex105 can be painful to organize.\pa
r\pard\ql \li1863\sb70\sl-230\slmult0\tx5187 \up0 \expndtw0\charscalex106 4 The
patient lost\tab \up0 \expndtw0\charscalex116 at 10 a.m.\par\pard\ql \li1863\sb7
0\sl-230\slmult0\tx5514 \up0 \expndtw0\charscalex104 5 Some people prefer\tab \
up0 \expndtw0\charscalex109 to burial.\par\pard\ql \li1863\sb70\sl-230\slmult0\t
x3776 \up0 \expndtw-2\charscalex100 6\tab \up0 \expndtw0\charscalex103 does not
affect the body.\par\pard\ql \li1863\sb70\sl-230\slmult0\tx4699 \up0 \expndtw-2\
charscalex100 7 A hospice\tab \up0 \expndtw0\charscalex105 will visit your home
.\par\pard\ql \li1863\sb70\sl-230\slmult0\tx6005 \up0 \expndtw0\charscalex104 8
We have a quiet room for\tab \up0 \expndtw0\charscalex112 relatives.\par\pard\ql
\li1865\sb0\sl-322\slmult0 \par\pard\ql \li1865\sb72\sl-322\slmult0 \up0 \expnd
tw-10\charscalex100 \ul0\nosupersub\cf12\f13\fs28 Reading and vocabuLaRy\par\par
d\column \ql \li9449\sb0\sl-230\slmult0 \par\pard\ql \li20\sb38\sl-230\slmult0 \

up0 \expndtw0\charscalex115 \ul0\nosupersub\cf15\f16\fs20 dementia\par\pard\ql \


li20\ri1024\sb2\sl-240\slmult0 \up0 \expndtw0\charscalex103 consciousness \line
\up0 \expndtw0\charscalex112 cremation \line \up0 \expndtw0\charscalex112 carer\
par\pard\ql \li20\sb9\sl-230\slmult0 \up0 \expndtw0\charscalex102 grieving\par\p
ard\ql \li20\sb10\sl-230\slmult0 \up0 \expndtw0\charscalex108 funeral\par\pard\q
l \li20\sb10\sl-230\slmult0 \up0 \expndtw0\charscalex105 body\par\pard\ql \li20\
sb10\sl-230\slmult0 \up0 \expndtw0\charscalex108 therapy \par\pard\sect\sectd\sb
knone \ql \li2062\sb0\sl-230\slmult0 \par\pard\ql\li2062\sb69\sl-230\slmult0 \up
0 \expndtw-2\charscalex100 A We have to accept death and the dying process. Thi
s is why palliative care does not try to cure \par\pard\ql \li2300\sb30\sl-230\s
lmult0 \up0 \expndtw0\charscalex103 people with terminal illnesses, but tries to
relieve symptoms, alleviate pain and prepare relatives. \par\pard\qj \li2062\ri
1866\sb62\sl-240\slmult0\tx2300 \up0 \expndtw0\charscalex100 B Drugs are not th
e only way to manage pain. Hospices now use a variety of other methods. \line\ta
b \up0 \expndtw-1\charscalex100 Massage, relaxation therapy, acupuncture and mus
ic can be useful too. \par\pard\ql \li2062\ri1495\sb72\sl-250\slmult0\tx2300\tx2
300 \up0 \expndtw0\charscalex100 C It is very hard to watch someone go through a
long, painful, debilitating illness. Some grieving \line\tab \up0 \expndtw0\cha
rscalex100 relatives and other carers will help a person they love end their lif
e, if that\u8217?s what they want. \line \tab \up0 \expndtw0\charscalex100 Howev
er, in most countries this is illegal and the process of dying takes its natural
course. \par\pard\ql \li2062\ri1110\sb50\sl-250\slmult0\tx2300\tx2300 \up0 \exp
ndtw0\charscalex100 D It is not always easy to say exactly when someone is actu
ally dead, especially now that mechanical \line\tab \up0 \expndtw0\charscalex100
aides can keep patients alive artificially. But for most doctors, a person is d
ead when all brain \line \tab \up0 \expndtw-1\charscalex100 activity, breathing,
metabolism and pulse have stopped. \par\pard\ql \li2062\ri1238\sb50\sl-250\slmu
lt0\tx2300\tx2300 \up0 \expndtw0\charscalex100 E Sometimes there is an autopsy
after someone dies. But in most cases, post-mortem care involves \line\tab \up0
\expndtw0\charscalex100 making careful records and preparing the body for a fun
eral. This usually means a burial or \line \tab \up0 \expndtw-1\charscalex100 cr
emation, according to religion and belief. \par\pard\ql \li2062\sb87\sl-230\slmu
lt0 \up0 \expndtw0\charscalex102 F Bacteria and acids begin the process of deco
mposition almost immediately after death. \par\pard\qj \li2300\ri1498\sb0\sl-260
\slmult0 \up0 \expndtw-1\charscalex100 The body goes pale, its temperature drops
, and a short time later the limbs go stiff. The rate of \line \up0 \expndtw-1\
charscalex100 decomposition varies according to climate, but a body will eventua
lly disappear completely. \par\pard\ql \li2745\sb0\sl-207\slmult0 \par\pard\ql\l
i2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2
745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb102\sl-207\slmult0 \up0 \expndtw0\c
harscalex103 \ul0\nosupersub\cf11\f12\fs18 Oxford English for Careers\ul0\nosupe
rsub\cf10\f11\fs18 Nursing 1 Practice File Oxford University Press 2011
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}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
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b62\sl-207\slmult0 \up0 \expndtw0\charscalex116 \ul0\nosupersub\cf10\f11\fs18 29
Unit 10 \par\pard\ql \li1870\sb0\sl-276\slmult0 \par\pard\ql\li1870\sb180\sl-27
6\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf13\f14\fs24 3\ul0\nosup
ersub\cf7\f8\fs24 Comprehension \par\pard\ql \li1870\sb123\sl-253\slmult0 \up0
\expndtw-1\charscalex100 \ul0\nosupersub\cf14\f15\fs22 In which paragraphs (A-F)
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ult0 \up0 \expndtw0\charscalex105 following questions? Write the number of the p
aragraph next to each question. \par\pard\ql \li1870\sb126\sl-230\slmult0 \up0 \
expndtw0\charscalex103 \ul0\nosupersub\cf15\f16\fs20 1
What alternatives are
there to painkillers like morphine? \par\pard\ql \li1870\sb70\sl-230\slmult0 \up
0 \expndtw-2\charscalex100 2
What happens to a body after death? \par\pard\ql
\li1870\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex101 3 Does palliative ca
re mean giving up? \par\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw-2\char
scalex100 4 What do hospital staff do with a body? \par\pard\ql \li1870\sb70\s
l-230\slmult0 \up0 \expndtw0\charscalex100 5
How do you know when someone is
dead? \par\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex100 6
Isn\u8217?t helping someone die the same as murder? \par\pard\ql \li1870\sb0\sl276\slmult0 \par\pard\ql\li1870\sb96\sl-276\slmult0 \up0 \expndtw0\charscalex102
\ul0\nosupersub\cf13\f14\fs24 4\ul0\nosupersub\cf7\f8\fs24 Vocabulary \par\par
d\ql \li1870\sb123\sl-253\slmult0 \up0 \expndtw0\charscalex104 \ul0\nosupersub\c
f14\f15\fs22 Complete the crossword puzzle with words from the text. \par\pard\q
l \li1870\sb126\sl-230\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf1
5\f16\fs20 Across \par\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw-6\chars
calex100 1
Loss of a loved one \par\pard\ql \li1870\sb230\sl-230\slmult0 \up0
\expndtw0\charscalex108 Down \par\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \exp
ndtw-3\charscalex100 2
Treatment \par\pard\ql \li1870\ri3260\sb13\sl-300\slmu
lt0 \up0 \expndtw-3\charscalex100 3
To feel great sorrow for a dead person \l
ine \up0 \expndtw-3\charscalex100 4 To burn a dead person \par\pard\ql \li1870
\sb58\sl-230\slmult0 \up0 \expndtw-1\charscalex100 5
Ceremony for a dead pers
on \par\pard\ql \li3904\sb0\sl-161\slmult0 \par\pard\ql\li3904\sb0\sl-161\slmult
0 \par\pard\ql\li3904\sb5\sl-161\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosu
persub\cf23\f24\fs14 3 \par\pard\ql \li3974\sb0\sl-216\slmult0 \up0 \expndtw-6\c

harscalex100 \ul0\nosupersub\cf7\f8\fs24 G\par\pard\sect\sectd\sbknone\cols3\col


no1\colw4533\colsr160\colno2\colw883\colsr20\colno3\colw6174\colsr160\ql \li2708
\sb30\sl-184\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf22\f23\fs16
2\par\pard\ql \li2801\sb0\sl-192\slmult0 \up0 \expndtw-11\charscalex80 \ul0\nos
upersub\cf7\f8\fs24 T\par\pard\ql \li1924\sb0\sl-184\slmult0 \par\pard\ql \li192
4\sb0\sl-184\slmult0 \par\pard\ql \li1924\sb0\sl-184\slmult0 \par\pard\ql \li192
4\sb0\sl-184\slmult0 \par\pard\ql \li1924\sb68\sl-184\slmult0 \up0 \expndtw-2\ch
arscalex100 \ul0\nosupersub\cf22\f23\fs16 1\par\pard\ql \li2003\sb0\sl-192\slmul
t0 \up0 \expndtw-11\charscalex95 \ul0\nosupersub\cf7\f8\fs24 B\par\pard\column \
ql \li20\sb51\sl-161\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf23\
f24\fs14 4\par\pard\ql \li108\sb0\sl-192\slmult0 \up0 \expndtw-5\charscalex100 \
ul0\nosupersub\cf7\f8\fs24 C\par\pard\ql \li814\sb31\sl-161\slmult0 \up0 \expndt
w-3\charscalex100 \ul0\nosupersub\cf23\f24\fs14 5\par\pard\column \ql \li5586\sb
0\sl-192\slmult0 \par\pard\ql \li5586\sb0\sl-192\slmult0 \par\pard\ql \li5586\sb
0\sl-192\slmult0 \par\pard\ql \li20\sb11\sl-192\slmult0 \up0 \expndtw0\charscale
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l-276\slmult0 \par\pard\ql\li1870\sb0\sl-276\slmult0 \par\pard\ql\li1870\sb0\sl276\slmult0 \par\pard\ql\li1870\sb0\sl-276\slmult0 \par\pard\ql\li1870\sb0\sl-27
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slmult0 \par\pard\ql\li1870\sb113\sl-276\slmult0 \up0 \expndtw0\charscalex101 \u
l0\nosupersub\cf13\f14\fs24 5\ul0\nosupersub\cf7\f8\fs24 Further vocabulary pra
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t one is done for you.\par\pard\ql \li1870\sb148\sl-230\slmult0\tx5639 \up0 \exp
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There is no cure - the c
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He is now unconscious and in a\par
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W
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He\tab \up0 \expndtw-1\charscalex100 at four o\u8
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The\tab \up0 \expndtw0\charscalex107 examination is this afternoon.\par
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\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par
\pard\ql \li2745\sb0\sl-218\slmult0 \par\pard\ql \li2745\sb0\sl-218\slmult0 \par
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{\shp {\*\shpinst\shpleft9302\shptop13937\shpright9302\shpbottom12076\shpfhdr0\s
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}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
g32}{\bkmkend Pg32}\par\pard\ql \li1870\sb0\sl-207\slmult0 \par\pard\ql\li1870\s

b62\sl-207\slmult0 \up0 \expndtw0\charscalex117 \ul0\nosupersub\cf10\f11\fs18 30


Unit 10 \par\pard\ql \li1872\sb0\sl-322\slmult0 \par\pard\ql\li1872\sb136\sl-32
2\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf12\f13\fs28 WRiting \p
ar\pard\ql \li1870\sb176\sl-276\slmult0 \up0 \expndtw0\charscalex100 \ul0\nosupe
rsub\cf13\f14\fs24 6\ul0\nosupersub\cf7\f8\fs24 Writing a summary of a death ce
rtificate \par\pard\qj \li1870\ri3037\sb118\sl-260\slmult0 \up0 \expndtw0\charsc
alex104 \ul0\nosupersub\cf14\f15\fs22 Read the example summary of Death Certific
ate 1. Use the information \up0 \expndtw0\charscalex105 in Death Certificate 2 t
o write a similar summary. \par\pard\ql \li2097\sb0\sl-230\slmult0 \par\pard\ql\
li2097\sb115\sl-230\slmult0 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf15\f1
6\fs20 Death Certificate 1 \par\pard\li2097\sb132\sl-230\slmult0\fi0\tx6450 \up0
\expndtw0\charscalex106 Name: \ul0\nosupersub\cf21\f22\fs20 Fatima Aswad\tab \u
p0 \expndtw0\charscalex106 \ul0\nosupersub\cf15\f16\fs20 Age: \ul0\nosupersub\cf
21\f22\fs20 64\par\pard\li2097\sb67\sl-230\slmult0\fi0\tx6450 \up0 \expndtw0\cha
rscalex106 \ul0\nosupersub\cf15\f16\fs20 Date of death: \ul0\nosupersub\cf21\f22
\fs20 14th March\tab \up0 \expndtw0\charscalex106 \ul0\nosupersub\cf15\f16\fs20
Hour of death:\ul0\nosupersub\cf21\f22\fs20 02.00\par\pard\ql \li2097\ri3576\sb
0\sl-300\slmult0 \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf15\f16\fs20 Plac
e of death: \ul0\nosupersub\cf21\f22\fs20 Patient\u8217?s home \line \up0 \expnd
tw0\charscalex103 \ul0\nosupersub\cf15\f16\fs20 Attended by: \ul0\nosupersub\cf2
1\f22\fs20 Mrs A Sidiq (carer) \par\pard\ql \li2097\ri5750\sb0\sl-293\slmult0 \u
p0 \expndtw0\charscalex107 \ul0\nosupersub\cf15\f16\fs20 Primary cause of death:
\ul0\nosupersub\cf21\f22\fs20 Multiple organ failure \up0 \expndtw0\charscalex1
11 \ul0\nosupersub\cf15\f16\fs20 Due to: \ul0\nosupersub\cf21\f22\fs20 Terminal
brain tumour (2 months) \line \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf1
5\f16\fs20 Next of kin: \ul0\nosupersub\cf21\f22\fs20 1 brother and 1 sister \li
ne \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf15\f16\fs20 Post-mortem: none
\par\pard\ql \li1870\sb0\sl-230\slmult0 \par\pard\ql\li1870\sb190\sl-230\slmult
0 \up0 \expndtw0\charscalex102 Death Certificate 1 - Example Summary \par\pard\q
l \li1870\sb130\sl-230\slmult0 \up0 \expndtw0\charscalex100 Mrs Aswad was diagno
sed with a terminal illness two months ago and she finally died at home \par\par
d\qj \li1870\ri1159\sb2\sl-240\slmult0 \up0 \expndtw-1\charscalex100 yesterday a
t 2.00 a.m. Her carer, Mrs Sidiq, who visited Mrs Aswad every day, was with her
at her death. \up0 \expndtw-2\charscalex100 Her two siblings have been contacted
. There will not be a post-mortem. \par\pard\ql \li2097\sb0\sl-230\slmult0 \par\
pard\ql\li2097\sb179\sl-230\slmult0 \up0 \expndtw0\charscalex102 Death Certifica
te 2 \par\pard\li2097\sb0\sl-230\slmult0\par\pard\li2097\sb39\sl-230\slmult0\fi0
\tx6450 \up0 \expndtw0\charscalex104 Name: \ul0\nosupersub\cf21\f22\fs20 Yusef A
bu Yasu\tab \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf15\f16\fs20 Age: \ul0
\nosupersub\cf21\f22\fs20 59\par\pard\li2097\sb66\sl-230\slmult0\fi0\tx6450 \up0
\expndtw0\charscalex104 \ul0\nosupersub\cf15\f16\fs20 Date of death: \ul0\nosup
ersub\cf21\f22\fs20 15th March\tab \up0 \expndtw0\charscalex104 \ul0\nosupersub\
cf15\f16\fs20 Hour of death: \ul0\nosupersub\cf21\f22\fs20 06.30\par\pard\ql \li
2097\ri3722\sb0\sl-300\slmult0 \up0 \expndtw0\charscalex105 \ul0\nosupersub\cf15
\f16\fs20 Place of death: \ul0\nosupersub\cf21\f22\fs20 City hospital \line \up0
\expndtw0\charscalex102 \ul0\nosupersub\cf15\f16\fs20 Attended by: \ul0\nosuper
sub\cf21\f22\fs20 Dr F. Kahn \par\pard\qj \li2097\ri5583\sb0\sl-300\slmult0 \up0
\expndtw0\charscalex106 \ul0\nosupersub\cf15\f16\fs20 Primary cause of death: \
ul0\nosupersub\cf21\f22\fs20 Congestive heart failure \up0 \expndtw0\charscalex1
07 \ul0\nosupersub\cf15\f16\fs20 Due to: \ul0\nosupersub\cf21\f22\fs20 Heart dis
ease (5 months) \par\pard\ql \li2097\ri3760\sb0\sl-300\slmult0 \up0 \expndtw0\ch
arscalex102 \ul0\nosupersub\cf15\f16\fs20 Next of kin: \ul0\nosupersub\cf21\f22\
fs20 none on record \line \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf15\f16\
fs20 Post-mortem: \ul0\nosupersub\cf21\f22\fs20 none \par\pard\ql \li1870\sb0\sl
-230\slmult0 \par\pard\ql\li1870\sb166\sl-230\slmult0 \up0 \expndtw0\charscalex1
02 \ul0\nosupersub\cf15\f16\fs20 Death Certificate 2 - Summary \par\pard\ql \li2
745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li274
5\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\
sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb
0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\

sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl


-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-2
07\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207
\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\s
lmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slm
ult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmul
t0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0
\par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \
par\pard\ql\li2745\sb94\sl-207\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosuper
sub\cf11\f12\fs18 Oxford English for Careers\ul0\nosupersub\cf10\f11\fs18 Nursi
ng 1 Practice File Oxford University Press 2011
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}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
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b62\sl-207\slmult0 \up0 \expndtw0\charscalex139 \ul0\nosupersub\cf10\f11\fs18 31
Unit 11 \par\pard\ql \li2143\sb0\sl-690\slmult0 \par\pard\ql\li2143\sb144\sl-69
0\slmult0 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf20\f21\fs60 11 Hygien
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\par\pard\ql\li1865\sb10\sl-322\slmult0 \up0 \expndtw-8\charscalex100 \ul0\nosu
persub\cf12\f13\fs28 Language \par\pard\ql \li1863\sb196\sl-276\slmult0 \up0 \ex
pndtw0\charscalex111 \ul0\nosupersub\cf13\f14\fs24 1\ul0\nosupersub\cf7\f8\fs24
Grammar \par\pard\ql \li1863\sb123\sl-253\slmult0 \up0 \expndtw0\charscalex106
\ul0\nosupersub\cf14\f15\fs22 Choose the correct option to complete the sentence
s. \par\pard\ql \li1863\ri3550\sb49\sl-300\slmult0 \up0 \expndtw0\charscalex103
\ul0\nosupersub\cf15\f16\fs20 1 Visitors have / must / has wash their hands bef
ore entering the ward. \up0 \expndtw0\charscalex100 2 Cleaners has / have / don
\u8217?t have to wash the floors four times a day. \up0 \expndtw-5\charscalex100
3 Need I to / Do I need to / I need use a sterile swab. \par\pard\qj \li1863\r
i2897\sb0\sl-300\slmult0 \up0 \expndtw-2\charscalex100 4 You don\u8217?t have to
/ You mustn\u8217?t / You needn\u8217?t touch patients with dirty hands. \up0 \
expndtw-3\charscalex100 5 You have to / must / need clean the door handles? \pa
r\pard\qj \li1863\ri3888\sb0\sl-300\slmult0 \up0 \expndtw0\charscalex100 6 You m
ust / mustn\u8217?t / have to use this medication with this patient. \up0 \expnd
tw-1\charscalex100 7 The rubbish needs to collect / collect / collecting. \par\
pard\ql \li1863\sb58\sl-230\slmult0 \up0 \expndtw0\charscalex100 8 The doctor ne
ed / needs / must to see this patient as quickly as possible. \par\pard\ql \li18
63\sb0\sl-276\slmult0 \par\pard\ql\li1863\sb96\sl-276\slmult0 \up0 \expndtw-5\ch
arscalex100 \ul0\nosupersub\cf13\f14\fs24 2\ul0\nosupersub\cf7\f8\fs24 Key word

s from the unit\par\pard\sect\sectd\sbknone\cols2\colno1\colw9351\colsr160\colno


2\colw2249\colsr160\ql \li1863\sb137\sl-253\slmult0 \up0 \expndtw0\charscalex104
\ul0\nosupersub\cf14\f15\fs22 Complete the sentences with the words from the li
st.\par\pard\ql \li1863\sb123\sl-230\slmult0 \up0 \expndtw0\charscalex103 \ul0\n
osupersub\cf15\f16\fs20 1 The common cold is not caused by\par\pard\ql \li1863\
sb70\sl-230\slmult0 \up0 \expndtw-1\charscalex100 2 VRSA means Vancomycin\par\p
ard\ql \li1863\sb70\sl-230\slmult0\tx3776 \up0 \expndtw-2\charscalex100 3\tab \u
p0 \expndtw0\charscalex106 can spread by hand.\par\pard\ql \li1863\sb70\sl-230\s
lmult0\tx3776 \up0 \expndtw-2\charscalex100 4\tab \up0 \expndtw0\charscalex108 a
gents kill micro-organisms.\par\pard\ql \li1863\sb70\sl-230\slmult0 \up0 \expndt
w-4\charscalex100 5 A virus is a type of\par\pard\ql \li1863\sb70\sl-230\slmult
0\tx3983 \up0 \expndtw0\charscalex110 6 A\tab \up0 \expndtw0\charscalex106 house
is actually too clean.\par\pard\ql \li1863\sb70\sl-230\slmult0\tx5790 \up0 \exp
ndtw0\charscalex100 7 The young and old are\tab \up0 \expndtw0\charscalex105 to
illness.\par\pard\ql \li1863\sb70\sl-230\slmult0\tx4143 \up0 \expndtw0\charscal
ex111 8 The\tab \up0 \expndtw0\charscalex107 needs disinfecting.\par\pard\ql \li
1865\sb0\sl-322\slmult0 \par\pard\ql \li1865\sb72\sl-322\slmult0 \up0 \expndtw-1
0\charscalex100 \ul0\nosupersub\cf12\f13\fs28 Reading and vocabuLaRy\par\pard\co
lumn \ql \li9511\sb0\sl-230\slmult0 \par\pard\ql \li20\sb38\sl-230\slmult0 \up0
\expndtw0\charscalex104 \ul0\nosupersub\cf15\f16\fs20 bin\par\pard\ql \li20\sb10
\sl-230\slmult0 \up0 \expndtw0\charscalex105 resistant\par\pard\ql \li20\sb10\sl
-230\slmult0 \up0 \expndtw0\charscalex114 bacteria\par\pard\ql \li20\sb10\sl-230
\slmult0 \up0 \expndtw0\charscalex102 spotless\par\pard\qj \li20\ri1213\sb2\sl-2
40\slmult0 \up0 \expndtw0\charscalex107 susceptible \up0 \expndtw0\charscalex106
infection\par\pard\ql \li20\sb9\sl-230\slmult0 \up0 \expndtw0\charscalex110 pat
hogen\par\pard\ql \li20\sb10\sl-230\slmult0 \up0 \expndtw0\charscalex108 antimic
robial \par\pard\sect\sectd\sbknone \ql \li2062\sb0\sl-230\slmult0 \par\pard\ql\
li2062\sb69\sl-230\slmult0 \up0 \expndtw0\charscalex100 A When the microscope w
as invented it became possible for scientists to see microscopic \par\pard\qj \l
i2300\ri1125\sb22\sl-240\slmult0 \up0 \expndtw0\charscalex100 organisms. For the
first time they were able to confirm that it was pathogens and not smelly gases
\up0 \expndtw-1\charscalex100 that caused illness. They developed the Germ Theo
ry of disease. \par\pard\ql \li2062\ri1169\sb50\sl-253\slmult0\tx2300\tx2300\tx2
300 \up0 \expndtw0\charscalex100 B Germ Theory changed attitudes to hygiene. It
has made towns very different from the dirty places \line\tab \up0 \expndtw0\cha
rscalex100 they were before. In hospitals, Florence Nightingale applied Germ The
ory to nursing practices and \line \tab \up0 \expndtw0\charscalex103 made new hy
giene rules. She showed that clean sewers, ventilation and disinfected wards wer
e \line \tab \up0 \expndtw0\charscalex103 equally as important as the treatment
of patients. \par\pard\ql \li2062\ri1141\sb50\sl-250\slmult0\tx2300\tx2300 \up0
\expndtw0\charscalex100 C Once they knew that germs existed, scientists could wo
rk on ways to kill them. Germ Theory led to \line\tab \up0 \expndtw0\charscalex1
00 medicines which were called antibiotics. One of the first antibiotics was pen
icillin. Methicillin is a \line \tab \up0 \expndtw-1\charscalex100 modern develo
pment of penicillin \par\pard\qj \li2062\ri1518\sb79\sl-240\slmult0\tx2300 \up0
\expndtw0\charscalex102 D Although antibiotics kill bacteria, they don\u8217?t k
ill all bacteria. Some bacteria are drug-resistant. \line\tab \up0 \expndtw0\cha
rscalex102 They can survive the antibiotics and they also produce more bacteria
that are also resistant. \par\pard\ql \li2062\sb69\sl-230\slmult0 \up0 \expndtw1\charscalex100 E One problem is that antibiotics are used too much. Firstly, t
hey have been used to treat viral \par\pard\qj \li2300\ri1341\sb22\sl-240\slmult
0 \up0 \expndtw-1\charscalex100 illnesses, even though antibiotics do not kill v
iruses. They are also used in farming and we take a \up0 \expndtw-2\charscalex10
0 lot of antibiotics into our bodies through our food. \par\pard\ql \li2062\sb89
\sl-230\slmult0 \up0 \expndtw-2\charscalex100 F One bacterium that can resist m
ethicillin is MRSA, otherwise known as Methicillin Resistant \par\pard\qj \li230
0\ri1127\sb0\sl-260\slmult0 \up0 \expndtw-3\charscalex100 Staphylococcus Aureus.
When MRSA is present in a hospital full of sick people with weak immune \up0 \e
xpndtw-3\charscalex100 systems it can cause deaths. \par\pard\ql \li2745\sb0\sl207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb16\sl-2

07\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf11\f12\fs18 Oxford Eng


lish for Careers\ul0\nosupersub\cf10\f11\fs18 Nursing 1 Practice File Oxford U
niversity Press 2011
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}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
g34}{\bkmkend Pg34}\par\pard\ql \li1870\sb0\sl-207\slmult0 \par\pard\ql\li1870\s
b62\sl-207\slmult0 \up0 \expndtw0\charscalex129 \ul0\nosupersub\cf10\f11\fs18 32
Unit 11 \par\pard\ql \li1870\sb0\sl-276\slmult0 \par\pard\ql\li1870\sb180\sl-27
6\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf13\f14\fs24 3\ul0\nosup
ersub\cf7\f8\fs24 Comprehension \par\pard\ql \li1870\sb123\sl-253\slmult0 \up0
\expndtw0\charscalex104 \ul0\nosupersub\cf14\f15\fs22 Match the following topics
1-6 with the correct paragraph A-F. \par\pard\ql \li1870\sb126\sl-230\slmult0 \
up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf15\f16\fs20 1
The history of a
ntibiotics. \par\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw-3\charscalex1
00 2
The misuse of antibiotics. \par\pard\ql \li1870\ri3600\sb13\sl-300\slmul
t0 \up0 \expndtw0\charscalex100 3
The problem with antibiotics. \line \up0 \e
xpndtw0\charscalex109 4 A drug-resistant bacterium. \line \up0 \expndtw0\charsca

lex101 5 The true cause of illness. \line \up0 \expndtw0\charscalex102 6 A theo


ry that changed lives. \par\pard\ql \li1870\sb0\sl-276\slmult0 \par\pard\ql\li18
70\sb84\sl-276\slmult0 \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf13\f14\fs2
4 4\ul0\nosupersub\cf7\f8\fs24 Vocabulary \par\pard\qj \li1870\ri2731\sb118\sl260\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf14\f15\fs22 Write \u
8216?P\u8217? next to the things that prevent the spread of bacteria and \u8216?
H\u8217? next \up0 \expndtw-2\charscalex100 to the things that help bacteria spr
ead. The first one is done for you. \par\pard\ql \li1870\sb125\sl-230\slmult0\tx
4167 \dn2 \expndtw0\charscalex101 \ul0\nosupersub\cf15\f16\fs20 1
Antibiotic
resistance. \tab \up0 \expndtw0\charscalex103 H \par\pard\ql \li1870\ri7268\sb33
\sl-300\slmult0 \up0 \expndtw-6\charscalex100 2
Spillage of bodily fluids. \l
ine \up0 \expndtw0\charscalex102 3
An anti-microbial agent. \line \up0 \expnd
tw-1\charscalex100 4 A disinfected ward. \line \up0 \expndtw0\charscalex108 5
Contaminated dressings. \line \up0 \expndtw0\charscalex110 6 The immune system.
\line \up0 \expndtw0\charscalex103 7 Susceptibility to infection. \par\pard\ql
\li1870\sb0\sl-276\slmult0 \par\pard\ql\li1870\sb84\sl-276\slmult0 \up0 \expndt
w0\charscalex101 \ul0\nosupersub\cf13\f14\fs24 5\ul0\nosupersub\cf7\f8\fs24 Fur
ther vocabulary practice \par\pard\qj \li1870\ri4328\sb118\sl-260\slmult0 \up0 \
expndtw0\charscalex105 \ul0\nosupersub\cf14\f15\fs22 Match the beginnings of the
sentences 1-7 with the ends. \up0 \expndtw0\charscalex100 The first one is done
for a-g. \par\pard\li1870\sb126\sl-230\slmult0\fi0\tx6890 \up0 \expndtw0\charsc
alex101 \ul0\nosupersub\cf15\f16\fs20 1
The waste disposal bag\tab \up0 \expn
dtw0\charscalex101 a must be kept full.\par\pard\li1870\sb70\sl-230\slmult0\fi0
\tx6890 \up0 \expndtw0\charscalex101 2
Fill a bucket\tab \up0 \expndtw0\chars
calex101 b of disposable gloves.\par\pard\li1870\sb70\sl-230\slmult0\fi0\tx6890
\up0 \expndtw0\charscalex101 3
You must use a mop to\tab \up0 \expndtw0\char
scalex101 c need to be replaced.\par\pard\li1870\sb70\sl-230\slmult0\fi0\tx6890
\up0 \expndtw0\charscalex101 4 The paper towels are gone and\tab \up0 \expndt
w0\charscalex101 d needs emptying.\par\pard\li1870\sb70\sl-230\slmult0\fi0\tx68
90 \up0 \expndtw0\charscalex101 5
You need two pairs\tab \up0 \expndtw0\chars
calex101 e clean up any spillage.\par\pard\li1870\sb70\sl-230\slmult0\fi0\tx689
0 \up0 \expndtw0\charscalex101 6 The liquid soap dispenser\tab \up0 \expndtw0\
charscalex101 f detergent for the floor.\par\pard\li1870\sb70\sl-230\slmult0\fi
0\tx6890 \up0 \expndtw0\charscalex101 7
We need a strong\tab \up0 \expndtw0\c
harscalex101 g with clean hot water.\par\pard\ql \li2745\sb0\sl-207\slmult0 \pa
r\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\
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rd\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard
\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\q
l\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\
li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li
2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li27
45\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745
\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\s
b0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0
\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\s
l-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb39\sl-2
07\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf11\f12\fs18 Oxford Eng
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pard\ql \li1863\sb70\sl-230\slmult0\tx5660 \up0 \expndtw-1\charscalex100 7 Stud
ent nurses go on\tab \up0 \expndtw0\charscalex111 to learn.\par\pard\ql \li1863\
sb70\sl-230\slmult0\tx4650 \up0 \expndtw0\charscalex105 8 She had a\tab \up0 \ex
pndtw0\charscalex110 experience and became depressed.\par\pard\ql \li1865\sb0\sl
-322\slmult0 \par\pard\ql \li1865\sb72\sl-322\slmult0 \up0 \expndtw-10\charscale
x100 \ul0\nosupersub\cf12\f13\fs28 Reading and vocabuLaRy\par\pard\column \ql \l
i9250\sb0\sl-230\slmult0 \par\pard\ql \li20\sb38\sl-230\slmult0 \up0 \expndtw0\c
harscalex100 \ul0\nosupersub\cf15\f16\fs20 side effects\par\pard\qj \li20\ri1445
\sb2\sl-240\slmult0 \up0 \expndtw0\charscalex112 placements \up0 \expndtw0\chars
calex106 bipolar\par\pard\qj \li20\ri1522\sb0\sl-240\slmult0 \up0 \expndtw0\char
scalex112 traumatic \line \up0 \expndtw0\charscalex103 psychiatric \line \up0 \e
xpndtw0\charscalex101 tics\par\pard\qj \li20\ri1638\sb0\sl-240\slmult0 \up0 \exp
ndtw0\charscalex103 psychotic \up0 \expndtw0\charscalex105 suicide \par\pard\sec
t\sectd\sbknone \ql \li2056\sb0\sl-230\slmult0 \par\pard\ql\li2056\sb68\sl-230\s
lmult0 \up0 \expndtw0\charscalex103 Just because a person behaves differently fr
om others does not mean that they are \ul0\nosupersub\cf21\f22\fs20 mentally ill
\ul0\nosupersub\cf15\f16\fs20 . \par\pard\qj \li2056\ri1248\sb14\sl-250\slmult0
\up0 \expndtw0\charscalex100 There is no objective way to make a diagnosis of a
mental disorder and the line between normality \up0 \expndtw0\charscalex102 and
illness is not always clear. However, when strange behaviour \ul0\nosupersub\cf2
1\f22\fs20 is distressing\ul0\nosupersub\cf15\f16\fs20 , it usually means that \
up0 \expndtw0\charscalex102 psychiatric care is needed. \par\pard\ql \li2056\sb6
7\sl-230\slmult0 \up0 \expndtw0\charscalex104 The \ul0\nosupersub\cf21\f22\fs20
onset\ul0\nosupersub\cf15\f16\fs20 of a \ul0\nosupersub\cf21\f22\fs20 mental di
sorder\ul0\nosupersub\cf15\f16\fs20 can be brought about by some form of chemic
al imbalance or a \par\pard\qj \li2056\ri1221\sb0\sl-250\slmult0 \up0 \expndtw0\
charscalex102 traumatic event such as war or the death of a partner. There are 4
00 named mental disorders and to \up0 \expndtw0\charscalex102 diagnose them, psy
chiatric medicine uses descriptions of symptoms, observations of behaviour and \
up0 \expndtw0\charscalex100 scores in psychological tests. \par\pard\ql \li2056\
ri1298\sb68\sl-246\slmult0 \up0 \expndtw0\charscalex104 In some long-term \ul0\n
osupersub\cf21\f22\fs20 psychotic\ul0\nosupersub\cf15\f16\fs20 illnesses like s

chizophrenia, delusions are a major symptom - patients \up0 \expndtw0\charscalex


103 are often irrational and uncommunicative. They may have hallucinations - see
ing or hearing \line \up0 \expndtw0\charscalex100 things that are not present. L
ess serious is a \ul0\nosupersub\cf21\f22\fs20 neurotic illness\ul0\nosupersub\c
f15\f16\fs20 such as obsessive compulsive disorder -\line \up0 \expndtw0\charsc
alex100 although it is distressing, this condition does not involve delusions or
hallucinations. \par\pard\qj \li2056\ri1701\sb71\sl-250\slmult0 \up0 \expndtw0\
charscalex100 The work of a psychiatric nurse involves contributing to assessmen
ts and designing treatment \up0 \expndtw0\charscalex103 programmes - often it is
the nurses who know the patients best. They develop a \ul0\nosupersub\cf21\f22\
fs20 therapeutic \up0 \expndtw0\charscalex103 relationship\ul0\nosupersub\cf15\f
16\fs20 which provides security and enables patients to talk openly. \par\pard\
ql \li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\q
l\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\
li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li
2745\sb64\sl-207\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf11\f12\f
s18 Oxford English for Careers\ul0\nosupersub\cf10\f11\fs18 Nursing 1 Practice
File Oxford University Press 2011
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}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
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Unit 12 \par\pard\ql \li1870\sb0\sl-276\slmult0 \par\pard\ql\li1870\sb180\sl-27
6\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf13\f14\fs24 3\ul0\nosup
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0 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf14\f15\fs22 Complete these sent
ences with the words or phrases in bold from \up0 \expndtw-1\charscalex100 the t
ext. The first one is done for you. \par\pard\li1870\sb159\sl-230\slmult0\fi0\tx
8559 \dn3 \expndtw0\charscalex102 \ul0\nosupersub\cf15\f16\fs20 1
When someon
e behaves differently from you they are not necessarily\tab \up0 \expndtw0\chars
calex101 mentally ill\par\pard\li1870\sb70\sl-230\slmult0\fi0\tx5015 \up0 \expnd
tw0\charscalex101 2
To diagnose a\tab \up0 \expndtw0\charscalex101 is difficu
lt because there are no objective tests.\par\pard\li1870\sb70\sl-230\slmult0\fi0
\up0 \expndtw0\charscalex101 3
Psychiatric care is required when a person\u8
217?s behaviour\par\pard\sect\sectd\sbknone\cols2\colno1\colw5193\colsr60\colno2
\colw6507\colsr160\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex102 4
Trauma may cause the\par\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw-5\
charscalex100 5
Schizophrenia is a\par\pard\ql \li1870\sb70\sl-230\slmult0 \u
p0 \expndtw0\charscalex100 6 Someone with a\par\pard\ql \li1870\sb70\sl-230\sl
mult0 \up0 \expndtw-3\charscalex100 7
Patients find security in a\par\pard\ql
\li1870\sb0\sl-276\slmult0 \par\pard\ql \li1870\sb93\sl-276\slmult0 \up0 \expnd
tw0\charscalex102 \ul0\nosupersub\cf13\f14\fs24 4\ul0\nosupersub\cf7\f8\fs24 Vo
cabulary\par\pard\ql \li1870\sb123\sl-253\slmult0 \up0 \expndtw-1\charscalex100
\ul0\nosupersub\cf14\f15\fs22 Find words in the text that mean:\par\pard\ql \li1
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s20 1
emotionally painful.\par\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \expn
dtw0\charscalex100 2 very shocking.\par\pard\column \ql \li582\sb70\sl-230\slm
ult0 \up0 \expndtw0\charscalex102 of a disorder.\par\pard\ql \li183\sb70\sl-230\
slmult0 \up0 \expndtw0\charscalex110 illness.\par\pard\ql \li20\sb70\sl-230\slmu
lt0 \up0 \expndtw0\charscalex107 does not have hallucinations.\par\pard\ql \li84
2\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex106 with their nurses. \par\pard\
sect\sectd\sbknone \ql \li1870\ri3296\sb5\sl-300\slmult0 \up0 \expndtw-1\charsca
lex100 3
type of illness with severe delusions. \line \up0 \expndtw0\charscal
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not talking with others. \line \up0 \expndtw-1\charscalex100 6 healing. \par
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s24 Further vocabulary practice \par\pard\ql \li1870\sb123\sl-253\slmult0 \up0
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hat are correct. The first one is done for you. \par\pard\li1870\sb152\sl-230\sl
mult0\fi0\tx6082 \dn2 \expndtw-1\charscalex100 \ul0\nosupersub\cf15\f16\fs20 1
blink to close and open the eyes very fast\tab \up0 \expndtw-1\charscalex100 \
ul0\nosupersub\cf24\f25\fs20 \u10003?\par\pard\ql \li1870\sb64\sl-230\slmult0 \u
p0 \expndtw-4\charscalex100 \ul0\nosupersub\cf15\f16\fs20 2
stutter to speak
very loudly \par\pard\qj \li1870\ri4393\sb13\sl-300\slmult0 \up0 \expndtw-1\cha
rscalex100 3
make an offensive gesture to greet someone or show respect \up0
\expndtw-2\charscalex100 4 spit to shoot saliva out of the mouth \par\pard\ql
\li1870\ri3041\sb0\sl-300\slmult0 \up0 \expndtw-1\charscalex100 5
scratch to
rub the skin with the fingernails \line \up0 \expndtw-1\charscalex100 6 swear
to use rude words \par\pard\ql \li1870\sb58\sl-230\slmult0 \up0 \expndtw-2\char
scalex100 7
lick to make noises with your mouth \par\pard\ql \li2745\sb0\sl-2
07\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207
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t0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0
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par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \pa


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\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\q
l\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\
li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li
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}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
g38}{\bkmkend Pg38}\par\pard\ql \li1870\sb0\sl-207\slmult0 \par\pard\ql\li1870\s
b62\sl-207\slmult0 \up0 \expndtw0\charscalex120 \ul0\nosupersub\cf10\f11\fs18 36
Unit 12 \par\pard\ql \li1872\sb0\sl-322\slmult0 \par\pard\ql\li1872\sb136\sl-32
2\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf12\f13\fs28 WRiting \p
ar\pard\ql \li1870\sb176\sl-276\slmult0 \up0 \expndtw0\charscalex102 \ul0\nosupe
rsub\cf13\f14\fs24 6\ul0\nosupersub\cf7\f8\fs24 Responding to an advertisement
\par\pard\qj \li1870\ri3617\sb118\sl-260\slmult0 \up0 \expndtw0\charscalex101 \u
l0\nosupersub\cf14\f15\fs22 Write a response to this advertisement. Use either r
eal or invented \up0 \expndtw0\charscalex102 information about yourself. \par\pa
rd\ql \li5142\sb0\sl-230\slmult0 \par\pard\ql\li5142\sb0\sl-230\slmult0 \par\par

d\ql\li5142\sb5\sl-230\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf1


5\f16\fs20 Nightingale Nursing Agency \par\pard\ql \li2097\sb230\sl-230\slmult0
\up0 \expndtw0\charscalex102 Temporary nurse wanted. Four week placement, excell
ent pay plus foreign travel. \par\pard\qj \li2097\ri1264\sb122\sl-240\slmult0 \u
p0 \expndtw0\charscalex100 A nurse is needed to cover for annual leave. The succ
essful applicant will accompany the family of \up0 \expndtw0\charscalex100 a wel
l-known public figure on a Caribbean holiday, and care for his eleven-year-old s
on who suffers \up0 \expndtw0\charscalex100 from depression and behavioural prob
lems. \par\pard\qj \li2097\ri1653\sb100\sl-240\slmult0 \up0 \expndtw0\charscalex
102 Energy, imagination and patience are more important than previous experience
. This is a good \up0 \expndtw0\charscalex102 opportunity for a student nurse to
get experience in a very attractive setting. \par\pard\ql \li2097\sb129\sl-230\
slmult0 \up0 \expndtw0\charscalex102 Please write to request an application form
giving brief details about your background. \par\pard\ql \li2745\sb0\sl-207\slm
ult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmul
t0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0
\par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \
par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \pa
r\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\
pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pa
rd\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard
\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\q
l\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\
li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li
2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li27
45\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745
\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\s
b0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0
\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\s
l-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-20
7\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\
slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\sl
mult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmu
lt0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult
0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0
\par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \p
ar\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par
\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb132\sl-207\slmult0 \up0
\expndtw0\charscalex103 \ul0\nosupersub\cf11\f12\fs18 Oxford English for Career
s\ul0\nosupersub\cf10\f11\fs18 Nursing 1 Practice File Oxford University Press
2011
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ar\pard\ql \li1863\sb123\sl-230\slmult0 \up0 \expndtw-5\charscalex100 \ul0\nosup
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A fever causes\par\pard\ql \li1863\sb70\sl-230\slmult0
\up0 \expndtw-2\charscalex100 2
You measure heart rate in\par\pard\ql \li1863
\sb70\sl-230\slmult0\tx5252 \up0 \expndtw-9\charscalex100 3
There is a lack o
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xpndtw-6\charscalex100 5
Blood pressure is a\par\pard\ql \li1863\sb70\sl-230\
slmult0\tx3776 \up0 \expndtw-2\charscalex100 6\tab \up0 \expndtw0\charscalex102
are monitored by an ECG.\par\pard\ql \li1863\sb70\sl-230\slmult0 \up0 \expndtw-1
\charscalex100 7 A scan can show up an\par\pard\ql \li1863\sb70\sl-230\slmult0\
tx4143 \up0 \expndtw0\charscalex111 8 The\tab \up0 \expndtw0\charscalex108 helps
him breathe.\par\pard\ql \li1865\sb0\sl-322\slmult0 \par\pard\ql \li1865\sb72\s
l-322\slmult0 \up0 \expndtw-10\charscalex100 \ul0\nosupersub\cf12\f13\fs28 Readi
ng and vocabuLaRy\par\pard\column \ql \li9534\sb0\sl-230\slmult0 \par\pard\ql \l
i20\sb38\sl-230\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf15\f16\f
s20 vital sign\par\pard\qj \li20\ri1324\sb2\sl-240\slmult0 \up0 \expndtw0\charsc
alex108 ventilator \line \up0 \expndtw0\charscalex101 shivering\par\pard\qj \li2
0\ri1180\sb0\sl-240\slmult0 \up0 \expndtw0\charscalex107 brainwaves \line \up0 \
expndtw0\charscalex110 bpm\par\pard\qj \li20\ri999\sb0\sl-240\slmult0 \up0 \expn
dtw0\charscalex110 abnormality \line \up0 \expndtw0\charscalex107 ultrasound \li
ne \up0 \expndtw0\charscalex108 co-ordination \par\pard\sect\sectd\sbknone \ql \

li2056\sb0\sl-230\slmult0 \par\pard\ql\li2056\sb68\sl-230\slmult0 \up0 \expndtw0


\charscalex100 Nurses see patients more often than other specialists and are in
the best position to monitor \par\pard\qj \li2056\ri1327\sb14\sl-250\slmult0 \up
0 \expndtw0\charscalex100 them. They look out for any problems and assess the pa
tient\u8217?s progress and response to treatment. \line \up0 \expndtw0\charscale
x100 Basically, by careful monitoring and recording, a nurse answers the questio
n: what is happening to \line \up0 \expndtw0\charscalex100 this patient? \par\pa
rd\qj \li2056\ri1117\sb54\sl-246\slmult0 \up0 \expndtw-2\charscalex100 Monitorin
g body functions by checking vital signs helps to answer this question. The vita
l signs are: \up0 \expndtw0\charscalex103 body temperature, heart rate, blood pr
essure and respiratory rate. Changes or abnormalities in vital \up0 \expndtw0\ch
arscalex102 signs indicate changes in the patient\u8217?s condition. However, th
ey are not 100% reliable and stable vital \up0 \expndtw-2\charscalex100 signs do
not always mean that everything is OK. \par\pard\ql \li2056\sb88\sl-230\slmult0
\up0 \expndtw-1\charscalex100 Bodily fluids, including blood and urine, can be
analysed, usually in a laboratory. And it is now \par\pard\ql \li2056\sb10\sl-23
0\slmult0 \up0 \expndtw-1\charscalex100 possible to get images of what is going
on inside the body using technological aids like X-rays and \par\pard\qj \li2056
\ri1199\sb22\sl-240\slmult0 \up0 \expndtw0\charscalex100 ultrasound scans. For m
ore detailed information, there are endoscopes which are used to look inside \up
0 \expndtw0\charscalex100 the body, and biopsies where tissue is removed for exa
mination. \par\pard\qj \li2056\ri1226\sb76\sl-246\slmult0 \up0 \expndtw0\charsca
lex102 Some patients with chronic illnesses like heart disease, diabetes and ast
hma can self-monitor. They \up0 \expndtw0\charscalex102 communicate with doctors
and nurses by phone and online. Patients can also be monitored from a \up0 \exp
ndtw0\charscalex102 distance using satellite technology and the internet. This h
as major advantages; the patient doesn\u8217?t \up0 \expndtw-2\charscalex100 hav
e to keep visiting a hospital and it saves a lot of money. \par\pard\ql \li2745\
sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb
0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\
sl-207\slmult0 \par\pard\ql\li2745\sb32\sl-207\slmult0 \up0 \expndtw0\charscalex
103 \ul0\nosupersub\cf11\f12\fs18 Oxford English for Careers\ul0\nosupersub\cf10
\f11\fs18 Nursing 1 Practice File Oxford University Press 2011
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}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
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Unit 13 \par\pard\ql \li1870\sb0\sl-276\slmult0 \par\pard\ql\li1870\sb180\sl-27
6\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf13\f14\fs24 3\ul0\nosup
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0 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf14\f15\fs22 Use the information
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rect answer, a, b or c. \par\pard\ql \li1870\ri3520\sb67\sl-300\slmult0\tx2097 \
up0 \expndtw0\charscalex100 \ul0\nosupersub\cf15\f16\fs20 1 Nurses are in a go
od position to \line\tab \up0 \expndtw0\charscalex100 a monitor patients. \par\p
ard\ql \li2097\sb58\sl-230\slmult0 \up0 \expndtw0\charscalex117 b specialize. \p
ar\pard\ql \li2097\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex105 c get to kn
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w0\charscalex102 2\tab \up0 \expndtw0\charscalex102 \u8216?What is happening to
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r. \line \up0 \expndtw0\charscalex105 c nurses must ask. \par\pard\ql \li1870\s
b118\sl-230\slmult0 \up0 \expndtw0\charscalex100 3 Stable vital signs mean \pa
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40\sl-300\slmult0\tx2097 \up0 \expndtw0\charscalex104 4 Technological aids give
information about \line\tab \up0 \expndtw0\charscalex105 a internal organs. \pa
r\pard\ql \li2097\ri4214\sb0\sl-300\slmult0 \up0 \expndtw0\charscalex108 b bodil
y fluids. \line \up0 \expndtw0\charscalex105 c vital signs. \par\pard\ql \li187
0\sb118\sl-230\slmult0 \up0 \expndtw-2\charscalex100 5 An endoscopy gives \par
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information than an X-ray. \line \up0 \expndtw0\charscalex110 b more detail than
a scan. \line \up0 \expndtw0\charscalex104 c less information than a biopsy. \
par\pard\ql \li1870\sb118\sl-230\slmult0 \up0 \expndtw-1\charscalex100 6 Selfmonitoring is \par\pard\ql \li2097\ri3591\sb13\sl-300\slmult0 \up0 \expndtw0\cha
rscalex102 a done by doctors and nurses. \line \up0 \expndtw0\charscalex103 b
done at a hospital. \par\pard\ql \li2097\sb58\sl-230\slmult0 \up0 \expndtw0\char
scalex107 c cheap and convenient. \par\pard\ql \li1870\sb0\sl-276\slmult0 \par\
pard\ql\li1870\sb96\sl-276\slmult0 \up0 \expndtw0\charscalex102 \ul0\nosupersub\
cf13\f14\fs24 4\ul0\nosupersub\cf7\f8\fs24 Vocabulary \par\pard\qj \li1870\ri22
60\sb118\sl-260\slmult0 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf14\f15\fs
22 Label these signs and symptoms according to their type. Write \u8216?C\u8217?
for cognitive, \line \up0 \expndtw-7\charscalex100 \u8216?M\u8217? for motor, \
u8216?I\u8217? for internal and \u8216?E\u8217? for external. The first one is d

one for you. \par\pard\ql \li1870\sb125\sl-230\slmult0\tx6330 \dn3 \expndtw0\cha


rscalex102 \ul0\nosupersub\cf15\f16\fs20 1
The ultrasound is showing no abnor
malities. \tab \up0 \expndtw-2\charscalex100 I \par\pard\ql \li1870\sb90\sl-230\
slmult0 \up0 \expndtw-3\charscalex100 2
The ECG readout shows stable bpm. \pa
r\pard\ql \li1870\ri5488\sb13\sl-300\slmult0 \up0 \expndtw-1\charscalex100 3
Sometimes she is unable to walk and falls over. \up0 \expndtw-3\charscalex100 4
The EEG shows that the patient is waking up. \up0 \expndtw0\charscalex100 5
He is irrational and seems confused. \line \up0 \expndtw-4\charscalex100 6 Sh
e is very pale. \par\pard\ql \li1870\sb58\sl-230\slmult0 \up0 \expndtw-3\charsca
lex100 7
Her arm is paralysed. \par\pard\ql \li2745\sb0\sl-207\slmult0 \par\p
ard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\par
d\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\
ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql
\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\l
i2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2
745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li274
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sb24\sl-207\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf11\f12\fs18 O
xford English for Careers\ul0\nosupersub\cf10\f11\fs18 Nursing 1 Practice File
Oxford University Press 2011
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{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn li
neWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft5300\shptop12446\shpright5860\shpbottom12446\shpfhdr0\s
hpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz527\shplid10{\sp{\sn shapeType
}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn l
ineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft3516\shptop12746\shpright4077\shpbottom12746\shpfhdr0\s
hpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz544\shplid11{\sp{\sn shapeType
}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn l
ineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft3981\shptop13046\shpright4541\shpbottom13046\shpfhdr0\s
hpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz561\shplid12{\sp{\sn shapeType
}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn l
ineWidth}{\sv 7550}}
}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
g41}{\bkmkend Pg41}\par\pard\ql \li1870\sb0\sl-207\slmult0 \par\pard\ql\li1870\s
b62\sl-207\slmult0 \up0 \expndtw0\charscalex122 \ul0\nosupersub\cf10\f11\fs18 39
Unit 13 \par\pard\ql \li1870\sb0\sl-276\slmult0 \par\pard\ql\li1870\sb180\sl-27
6\slmult0 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf13\f14\fs24 5\ul0\nosup
ersub\cf7\f8\fs24 Further vocabulary practice\par\pard\sect\sectd\sbknone\cols2
\colno1\colw9011\colsr160\colno2\colw2589\colsr160\ql \li1870\sb135\sl-253\slmul
t0 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf14\f15\fs22 Complete sentences
1-7 using the words or phrases in the box.\par\pard\ql \li1870\sb7\sl-253\slmul
t0 \up0 \expndtw-2\charscalex100 The first one is done for you.\par\pard\ql \li1
870\sb123\sl-230\slmult0 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf15\f16\f
s20 1
The patient is having a hypoglycaemic episode\par\pard\ql \li2097\sb95\
sl-230\slmult0 \up0 \expndtw0\charscalex101 and his blood glucose level is \up0
\expndtw0\charscalex106 abnormally low\par\pard\qj \li1870\ri1887\sb13\sl-300\sl
mult0\tx2097 \up0 \expndtw0\charscalex100 2
You may observe that the patient
is nervous and anxious \line\tab \up0 \expndtw0\charscalex107 which makes her\pa
r\pard\ql \li1870\sb58\sl-230\slmult0\tx5472 \up0 \expndtw-1\charscalex100 3
Sometimes he may\tab \up0 \expndtw0\charscalex101 , so he seems to be drunk.\par
\pard\column \ql \li9171\sb0\sl-230\slmult0 \par\pard\ql \li20\sb32\sl-230\slmul
t0 \up0 \expndtw0\charscalex101 paralysis\par\pard\qj \li20\ri996\sb2\sl-240\slm
ult0 \up0 \expndtw0\charscalex105 lack co-ordination \up0 \expndtw0\charscalex10
0 pale skin\par\pard\ql \li20\sb9\sl-230\slmult0 \up0 \expndtw0\charscalex106 ir
rational\par\pard\qj \li20\ri1110\sb2\sl-240\slmult0 \up0 \expndtw0\charscalex10
6 abnormally low \line \up0 \expndtw0\charscalex100 shake and shiver \line \up0
\expndtw0\charscalex104 slurred \par\pard\sect\sectd\sbknone \li1870\sb69\sl-230
\slmult0\fi0\tx5829 \up0 \expndtw0\charscalex101 4 You may observe some\tab \u
p0 \expndtw0\charscalex101 with the patient unable to move his limbs.\par\pard\s
ect\sectd\sbknone \li1870\sb70\sl-230\slmult0\fi0\tx5107 \up0 \expndtw0\charscal
ex101 5
They will have\tab \up0 \expndtw0\charscalex101 which is cold to the
touch.\par\pard\ql \li1870\sb56\sl-230\slmult0 \up0 \expndtw0\charscalex100 6
It is difficult to understand her because her speech is very \par\pard\li1870\sb
84\sl-230\slmult0\fi0\tx9498 \up0 \expndtw0\charscalex103 7
There may be pers
onality changes, they may exhibit strange and\tab \up0 \expndtw0\charscalex103 b
ehaviour.\par\pard\ql \li1872\sb0\sl-322\slmult0 \par\pard\ql\li1872\sb58\sl-322
\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf12\f13\fs28 WRiting \pa
r\pard\ql \li1870\sb196\sl-276\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupe

rsub\cf13\f14\fs24 6\ul0\nosupersub\cf7\f8\fs24 Instructions \par\pard\qj \li18


70\ri1940\sb118\sl-260\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf14
\f15\fs22 Study these instructions for taking a patient\u8217?s pulse and write
similar instructions \up0 \expndtw0\charscalex103 for how to measure either temp
erature or blood pressure. \par\pard\ql \li2097\sb0\sl-230\slmult0 \par\pard\ql\
li2097\sb115\sl-230\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf15\f
16\fs20 Example Instructions \par\pard\qj \li2097\ri1170\sb122\sl-240\slmult0 \u
p0 \expndtw-1\charscalex100 First wash your hands. Support the patient\u8217?s a
rm with the palm of the hand downwards. Press three \up0 \expndtw0\charscalex100
fingers against the radius bone until you feel the place where the artery expan
ds and contracts with \up0 \expndtw0\charscalex100 the heartbeat. Do not use you
r thumb because it has its own pulse. Count the beats for 30 seconds \up0 \expnd
tw0\charscalex100 and multiply the number by two to get the heart rate for one m
inute. \par\pard\ql \li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\sl
mult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmu
lt0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult
0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0
\par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \p
ar\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par
\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\p
ard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\par
d\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\
ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql
\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\l
i2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2
745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li274
5\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\
sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb
0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\
sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl
-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-2
07\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb2\sl-207
\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf11\f12\fs18 Oxford Engli
sh for Careers\ul0\nosupersub\cf10\f11\fs18 Nursing 1 Practice File Oxford Uni
versity Press 2011
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pbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz274\shplid7{\sp{\sn shapeType}{
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ineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft1870\shptop15855\shpright10828\shpbottom15855\shpfhdr0\
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}}
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e}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn
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}}
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e}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn
lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop11400\shpright10493\shpbottom11400\shpfhdr0\
shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz330\shplid16{\sp{\sn shapeTyp
e}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn
lineWidth}{\sv 7550}}
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{\shp {\*\shpinst\shpleft2206\shptop11813\shpright10493\shpbottom11813\shpfhdr0\
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lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop12226\shpright10493\shpbottom12226\shpfhdr0\
shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz342\shplid18{\sp{\sn shapeTyp
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lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop12640\shpright10493\shpbottom12640\shpfhdr0\
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e}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn
lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop13053\shpright10493\shpbottom13053\shpfhdr0\
shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz354\shplid20{\sp{\sn shapeTyp
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lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop13467\shpright10493\shpbottom13467\shpfhdr0\
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e}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn
lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop13880\shpright10493\shpbottom13880\shpfhdr0\
shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz366\shplid22{\sp{\sn shapeTyp
e}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn
lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop14293\shpright10493\shpbottom14293\shpfhdr0\
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e}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn
lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop14707\shpright10493\shpbottom14707\shpfhdr0\
shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz378\shplid24{\sp{\sn shapeTyp
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lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop15120\shpright10493\shpbottom15120\shpfhdr0\
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lineWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft2206\shptop15534\shpright10493\shpbottom15534\shpfhdr0\
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}}
{\shp {\*\shpinst\shpleft1890\shptop6909\shpright10823\shpbottom8486\shpfhdr0\sh
pbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz393\shplid27
{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{
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}
{\sp{\sn pVerticies}{\sv 8;4;(0,1577);(8933,1577);(8933,0);(0,0)}}
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{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocumen

t}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}


}}
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eWidth}{\sv 7550}}
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{\shp {\*\shpinst\shpleft9053\shptop1614\shpright10823\shpbottom3441\shpfhdr0\sh
pbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz397\shplid29
{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{
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{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 167772
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1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}
}}
{\shp {\*\shpinst\shpleft9171\shptop2774\shpright10516\shpbottom2774\shpfhdr0\sh
pbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz428\shplid30{\sp{\sn shapeType}
{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn li
neWidth}{\sv 7550}}
}}
{\shp {\*\shpinst\shpleft9053\shptop1614\shpright10823\shpbottom3441\shpfhdr0\sh
pbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz446\shplid31
{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{
\sn geoRight}{\sv 1770}}{\sp{\sn geoBottom}{\sv 1827}}{\sp{\sn shapePath}{\sv 4}
}
{\sp{\sn pVerticies}{\sv 8;4;(0,1827);(1770,1827);(1770,0);(0,0)}}
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t}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}
}}
{\shp {\*\shpinst\shpleft9053\shptop3441\shpright9053\shpbottom1614\shpfhdr0\shp
bxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz446\shplid32{\sp{\sn shapeType}{
\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lin
eWidth}{\sv 7550}}
}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
g42}{\bkmkend Pg42}\par\pard\ql \li1870\sb0\sl-207\slmult0 \par\pard\ql\li1870\s
b62\sl-207\slmult0 \up0 \expndtw0\charscalex116 \ul0\nosupersub\cf10\f11\fs18 40
Unit 14 \par\pard\ql \li2143\sb0\sl-690\slmult0 \par\pard\ql\li2143\sb144\sl-69
0\slmult0 \up0 \expndtw0\charscalex99 \ul0\nosupersub\cf20\f21\fs60 14 Medicat
ion \par\pard\ql \li1865\sb0\sl-322\slmult0 \par\pard\ql\li1865\sb0\sl-322\slmul
t0 \par\pard\ql\li1865\sb10\sl-322\slmult0 \up0 \expndtw-8\charscalex100 \ul0\no
supersub\cf12\f13\fs28 Language \par\pard\ql \li1863\sb196\sl-276\slmult0 \up0 \
expndtw0\charscalex111 \ul0\nosupersub\cf13\f14\fs24 1\ul0\nosupersub\cf7\f8\fs2
4 Grammar \par\pard\ql \li1863\sb123\sl-253\slmult0 \up0 \expndtw0\charscalex10
6 \ul0\nosupersub\cf14\f15\fs22 Choose the correct option to complete the senten
ces. \par\pard\qj \li1863\ri2873\sb49\sl-300\slmult0 \up0 \expndtw0\charscalex10
0 \ul0\nosupersub\cf15\f16\fs20 1 I \u8217?m going to prepare / preparing / \u8
217?m preparing a prescription at the moment. \up0 \expndtw-4\charscalex100 2 I
think this going / going to / is going to hurt a little. \par\pard\ql \li1863\s
b58\sl-230\slmult0 \up0 \expndtw-4\charscalex100 3 Next, I \u8217?m going to gi
ve / give you / \u8217?m giving you an injection. \par\pard\qj \li1863\ri2272\sb
13\sl-300\slmult0 \up0 \expndtw0\charscalex100 4 I\u8217?ve checked the X-ray, y
ou won\u8217?t / aren\u8217?t needing / aren\u8217?t going to need an operation.
\up0 \expndtw-7\charscalex100 5 A Are you going to go to hospital? B Yes, I

are / going / am. \par\pard\qj \li1863\ri2897\sb0\sl-300\slmult0 \up0 \expndtw1\charscalex100 6 Do you think there is going / is going to be / is going to ano
ther flu pandemic? \up0 \expndtw-5\charscalex100 7 She is not going / is going
to / not is going to get better soon. \par\pard\ql \li1863\sb58\sl-230\slmult0 \
up0 \expndtw0\charscalex100 8 I\u8217?m studying / going to study / study Physio
therapy when I finish my basic training. \par\pard\ql \li1863\sb0\sl-276\slmult0
\par\pard\ql\li1863\sb96\sl-276\slmult0 \up0 \expndtw-5\charscalex100 \ul0\nosu
persub\cf13\f14\fs24 2\ul0\nosupersub\cf7\f8\fs24 Key words from the unit\par\p
ard\sect\sectd\sbknone\cols2\colno1\colw9431\colsr160\colno2\colw2169\colsr160\q
l \li2016\sb137\sl-253\slmult0 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf14
\f15\fs22 Complete the sentences with the words from the list.\par\pard\ql \li18
63\sb123\sl-230\slmult0 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf15\f16\fs
20 1 Antibiotics kill\par\pard\ql \li1863\sb70\sl-230\slmult0\tx5429 \up0 \expn
dtw0\charscalex102 2 The doctor made a\tab \up0 \expndtw0\charscalex109 on the
patient.\par\pard\ql \li1863\sb70\sl-230\slmult0\tx4748 \up0 \expndtw0\charscale
x101 3 The doctor\tab \up0 \expndtw0\charscalex110 the wrong medication.\par\pa
rd\ql \li1863\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex103 4 Take a laxative
for\par\pard\ql \li1863\sb70\sl-230\slmult0\tx3948 \up0 \expndtw-5\charscalex10
0 5 A\tab \up0 \expndtw0\charscalex106 will increase body activity.\par\pard\ql
\li1863\sb70\sl-230\slmult0\tx5352 \up0 \expndtw0\charscalex102 6 This is the c
orrect\tab \up0 \expndtw0\charscalex108 for the medication.\par\pard\ql \li1863\
sb70\sl-230\slmult0\tx4437 \up0 \expndtw-6\charscalex100 7 Flu can\tab \up0 \ex
pndtw0\charscalex107 very quickly.\par\pard\ql \li1863\sb70\sl-230\slmult0\tx481
5 \up0 \expndtw-9\charscalex92 8
A virus can\tab \up0 \expndtw0\charscalex11
2 and change.\par\pard\ql \li1865\sb0\sl-322\slmult0 \par\pard\ql \li1865\sb72\s
l-322\slmult0 \up0 \expndtw-10\charscalex100 \ul0\nosupersub\cf12\f13\fs28 Readi
ng and vocabuLaRy\par\pard\column \ql \li9591\sb0\sl-230\slmult0 \par\pard\ql \l
i20\sb38\sl-230\slmult0 \up0 \expndtw0\charscalex107 \ul0\nosupersub\cf15\f16\fs
20 germs\par\pard\qj \li20\ri1027\sb2\sl-240\slmult0 \up0 \expndtw0\charscalex10
6 constipation \up0 \expndtw0\charscalex117 mutate\par\pard\qj \li20\ri1288\sb0\
sl-240\slmult0 \up0 \expndtw0\charscalex102 diagnosis \up0 \expndtw0\charscalex1
07 spread\par\pard\ql \li20\sb9\sl-230\slmult0 \up0 \expndtw0\charscalex107 dose
\par\pard\qj \li20\ri1208\sb2\sl-240\slmult0 \up0 \expndtw0\charscalex106 prescr
ibed \line \up0 \expndtw0\charscalex109 stimulant \par\pard\sect\sectd\sbknone \
qj \li2056\sb0\sl-253\slmult0 \par\pard\qj\li2056\ri1184\sb26\sl-253\slmult0\fi0
\up0 \expndtw0\charscalex100 There are some plants that can ease pain and cure
illness. For thousands of years, they have been the \up0 \expndtw0\charscalex102
basis of medical treatment. In the 19\ul0\super\cf22\f23\fs24 th\ul0\nosupersub
\cf15\f16\fs20 century scientific discoveries improved our understanding of \up
0 \expndtw0\charscalex103 the natural world, including our knowledge of medicine
. Important discoveries in chemistry meant \up0 \expndtw0\charscalex103 that sci
entists could produce synthetic medicines in laboratories. \par\pard\qj \li2056\
ri1362\sb50\sl-250\slmult0\fi34 \up0 \expndtw0\charscalex100 Most synthetic drug
s are very similar to the medicinal parts of plants. One example is the opioid \
up0 \expndtw0\charscalex100 group. To make opioids like morphine and codeine, sc
ientists use part of real opium poppies. Other \up0 \expndtw0\charscalex100 opio
ids, like methadone, are synthetic - they are man-made copies of the natural dru
g. \par\pard\ql \li2056\sb67\sl-230\slmult0 \up0 \expndtw0\charscalex102 Synthet
ic medicines have been very successful, although they can have bad side effects,
and \par\pard\qj \li2056\ri1250\sb22\sl-240\slmult0 \up0 \expndtw0\charscalex10
5 sometimes cause patient dependence. Anaesthetics, vaccines, antibiotics and co
ntraceptives have \line \up0 \expndtw0\charscalex100 had a huge effect on our li
ves. At the same time, they have made a lot of money for drug companies. \par\pa
rd\qj \li2056\ri1124\sb76\sl-246\slmult0 \up0 \expndtw0\charscalex102 Drugs norm
ally have two names, a general name and a brand name. For example, the drug with
the \up0 \expndtw0\charscalex102 general name Paracetemol is sold under the bra
nd names Panadol, Calpol and Anadin. Some drugs \up0 \expndtw0\charscalex100 are
available to buy over the counter (in a shop or pharmacy). Other, usually more
powerful drugs, are \up0 \expndtw-1\charscalex100 only available with prescripti
on from a doctor. \par\pard\ql \li2056\sb68\sl-230\slmult0 \up0 \expndtw0\charsc

alex100 Drug companies are always working to develop new drugs, but also on new
ways to administer \par\pard\qj \li2056\ri1185\sb22\sl-240\slmult0 \up0 \expndtw
0\charscalex102 them. One of the most recent ways to deliver a drug is the trans
dermal patch, which releases minute \up0 \expndtw0\charscalex100 quantities of t
he drug through the skin of the patient. \par\pard\ql \li2745\sb0\sl-207\slmult0
\par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \
par\pard\ql\li2745\sb147\sl-207\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupe
rsub\cf11\f12\fs18 Oxford English for Careers\ul0\nosupersub\cf10\f11\fs18 Nurs
ing 1 Practice File Oxford University Press 2011
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}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
g43}{\bkmkend Pg43}\par\pard\ql \li1870\sb0\sl-207\slmult0 \par\pard\ql\li1870\s
b62\sl-207\slmult0 \up0 \expndtw0\charscalex126 \ul0\nosupersub\cf10\f11\fs18 41
Unit 14 \par\pard\ql \li1870\sb0\sl-276\slmult0 \par\pard\ql\li1870\sb180\sl-27
6\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf13\f14\fs24 3\ul0\nosup
ersub\cf7\f8\fs24 Comprehension \par\pard\qj \li1870\ri2717\sb35\sl-360\slmult0
\up0 \expndtw0\charscalex100 \ul0\nosupersub\cf14\f15\fs22 Decide whether sente

nces 1-6 are true (T) or false (F) according to the text. \up0 \expndtw0\charsca
lex100 \ul0\nosupersub\cf15\f16\fs20 1 The natural world changed in the 19\ul0\
super\cf22\f23\fs24 th\ul0\nosupersub\cf15\f16\fs20 century. \par\pard\ql \li18
70\sb48\sl-230\slmult0 \up0 \expndtw0\charscalex106 2 Medicines became scientif
ic in the 19\ul0\super\cf22\f23\fs24 th\ul0\nosupersub\cf15\f16\fs20 century. \
par\pard\qj \li1870\ri4054\sb13\sl-300\slmult0\fi0 \up0 \expndtw0\charscalex105
3 Medicinal plants are completely different from synthetic drugs. \up0 \expndtw
0\charscalex106 4 Methadone is taken from opium poppies. \par\pard\ql \li1870\sb
58\sl-230\slmult0 \up0 \expndtw0\charscalex104 5 Panadol, Calpol and Anadin are
the same thing. \par\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw0\charsca
lex104 6 The transdermal patch is a new way to deliver drugs. \par\pard\ql \li18
70\sb0\sl-276\slmult0 \par\pard\ql\li1870\sb96\sl-276\slmult0 \up0 \expndtw0\cha
rscalex102 \ul0\nosupersub\cf13\f14\fs24 4\ul0\nosupersub\cf7\f8\fs24 Vocabular
y\par\pard\sect\sectd\sbknone\cols2\colno1\colw9261\colsr160\colno2\colw2339\col
sr160\ql \li1870\sb129\sl-253\slmult0 \up0 \expndtw0\charscalex106 \ul0\nosupers
ub\cf14\f15\fs22 Complete the sentences 1-7 with words from the list.\par\pard\q
l \li1870\sb7\sl-253\slmult0 \up0 \expndtw-2\charscalex100 The first one is done
for you.\par\pard\ql \li1870\sb148\sl-230\slmult0\tx3340\tx4550 \up0 \expndtw-9
\charscalex95 \ul0\nosupersub\cf15\f16\fs20 1
You give\tab \up0 \expndtw0\cha
rscalex109 antiviral\tab \up0 \expndtw0\charscalex104 medicine to fight a virus.
\par\pard\ql \li1870\sb70\sl-230\slmult0\tx4413 \up0 \expndtw-9\charscalex93 2
Use an\tab \up0 \expndtw0\charscalex107 to treat a bacterial infection.\par\pa
rd\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw-2\charscalex100 3
She has bip
olar disorder and is on a powerful\par\pard\ql \li1870\sb70\sl-230\slmult0\tx419
5 \up0 \expndtw-9\charscalex92 4 This\tab \up0 \expndtw0\charscalex110 will ma
ke you immune.\par\pard\ql \li1870\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex
100 5
Your diet is deficient in essential vitamins - you need\par\pard\ql \li
2097\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex104 to take a\par\pard\ql \li1
870\sb70\sl-230\slmult0\tx5368 \up0 \expndtw-5\charscalex100 6 This is a power
ful\tab \up0 \expndtw0\charscalex107 - it should block the pain immediately.\par
\pard\ql \li1870\sb70\sl-230\slmult0\tx3783 \up0 \expndtw-9\charscalex87 7\tab \
up0 \expndtw0\charscalex104 drugs are for allergies.\par\pard\ql \li1870\sb0\sl276\slmult0 \par\pard\ql \li1870\sb92\sl-276\slmult0 \up0 \expndtw0\charscalex10
1 \ul0\nosupersub\cf13\f14\fs24 5\ul0\nosupersub\cf7\f8\fs24 Further vocabulary
practice\par\pard\ql \li1870\sb123\sl-253\slmult0 \up0 \expndtw0\charscalex107
\ul0\nosupersub\cf14\f15\fs22 Use the information in the medication chart to com
plete the patient notes.\par\pard\column \ql \li9421\sb0\sl-230\slmult0 \par\par
d\ql \li20\sb32\sl-230\slmult0 \up0 \expndtw0\charscalex107 \ul0\nosupersub\cf15
\f16\fs20 analgesic\par\pard\qj \li20\ri1256\sb2\sl-240\slmult0 \up0 \expndtw0\c
harscalex106 inoculation \line \up0 \expndtw0\charscalex108 supplement \line \up
0 \expndtw0\charscalex103 antiviral\par\pard\qj \li20\ri1006\sb0\sl-240\slmult0
\up0 \expndtw0\charscalex107 antihistamine \up0 \expndtw0\charscalex106 antidepr
essant \up0 \expndtw0\charscalex105 antibiotic \par\pard\sect\sectd\sbknone \li1
955\sb0\sl-230\slmult0\par\pard\li1955\sb79\sl-230\slmult0\fi0\tx2574\tx4240\tx5
906\tx7571\tx9237 \up0 \expndtw0\charscalex101 Bed\tab \up0 \expndtw0\charscalex
101 Name of drug\tab \up0 \expndtw0\charscalex101 Type of drug\tab \up0 \expndtw
0\charscalex101 Quantity\tab \up0 \expndtw0\charscalex101 Method of\tab \up0 \ex
pndtw0\charscalex101 Frequency\par\pard\sect\sectd\sbknone \li1955\sb10\sl-230\s
lmult0\fi5615 \up0 \expndtw0\charscalex101 administration\par\pard\sect\sectd\sb
knone \li1955\sb78\sl-230\slmult0\fi0\tx2574\tx4240\tx5906\tx7571\tx9237 \up0 \e
xpndtw0\charscalex101 1\tab \up0 \expndtw0\charscalex101 Senokot\tab \up0 \expnd
tw0\charscalex101 Laxative\tab \up0 \expndtw0\charscalex101 2 tablets\tab \up0 \
expndtw0\charscalex101 oral\tab \up0 \expndtw0\charscalex101 nightly\par\pard\li
1870\sb0\sl-230\slmult0\par\pard\li1870\sb88\sl-230\slmult0\fi85\tx2574\tx4240\t
x5906\tx7571\tx9237 \up0 \expndtw0\charscalex102 2\tab \up0 \expndtw0\charscalex
102 Heparin\tab \up0 \expndtw0\charscalex102 Anti-\tab \up0 \expndtw0\charscalex
102 1000 units per\tab \up0 \expndtw0\charscalex102 infusion\tab \up0 \expndtw0\
charscalex102 continuous\par\pard\li1870\sb10\sl-230\slmult0\fi2369\tx5906 \up0
\expndtw0\charscalex102 coagulant\tab \up0 \expndtw0\charscalex102 hour\par\pard
\li1870\sb0\sl-230\slmult0\par\pard\li1870\sb72\sl-230\slmult0\fi0 \up0 \expndtw

0\charscalex102 Patient notes\par\pard\li1870\sb127\sl-230\slmult0\fi0\tx9001 \u


p0 \expndtw0\charscalex102 The patient in bed number 1 has constipation so he ne
eds a (a)\tab \up0 \expndtw0\charscalex102 . Give him\par\pard\li1870\sb70\sl-23
0\slmult0\fi0\tx3830 \up0 \expndtw0\charscalex102 (b)\tab \up0 \expndtw0\charsca
lex102 of Senokot once a (c)\par\pard\ql \li1870\sb61\sl-230\slmult0 \up0 \expnd
tw0\charscalex100 The patient in bed number 2 with angina is on an IV drip. He\u
8217?s receiving a continuous \par\pard\li1870\sb79\sl-230\slmult0\fi0\tx3831\tx
6257 \up0 \expndtw-7\charscalex100 (d)\tab \up0 \expndtw-7\charscalex100 of an (
e)\tab \up0 \expndtw-7\charscalex100 Check that he\u8217?s getting (f)\par\pard\
ql \li1870\sb61\sl-230\slmult0 \up0 \expndtw0\charscalex104 of Heparin per hour.
\par\pard\ql \li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0
\par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \p
ar\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par
\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\p
ard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\par
d\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\
ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql
\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\l
i2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2
745\sb63\sl-207\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf11\f12\fs
18 Oxford English for Careers\ul0\nosupersub\cf10\f11\fs18 Nursing 1 Practice F
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}\pard\sb0\sl-240{\bkmkstart Pg44}{\bkmkend Pg44}\par\pard\ql \li1870\sb0\sl-207
\slmult0 \par\pard\ql\li1870\sb62\sl-207\slmult0 \up0 \expndtw0\charscalex118 \u
l0\nosupersub\cf10\f11\fs18 42 Unit 14 \par\pard\ql \li1872\sb0\sl-322\slmult0 \
par\pard\ql\li1872\sb136\sl-322\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosup
ersub\cf12\f13\fs28 WRiting \par\pard\ql \li1870\sb176\sl-276\slmult0 \up0 \expn
dtw-3\charscalex100 \ul0\nosupersub\cf13\f14\fs24 6\ul0\nosupersub\cf7\f8\fs24
Writing a report \par\pard\ql \li1870\sb123\sl-253\slmult0 \up0 \expndtw0\charsc
alex100 \ul0\nosupersub\cf14\f15\fs22 Study the chart and read a report of the e
ffect of saline (unbroken line) \par\pard\qj \li1870\ri2633\sb2\sl-260\slmult0 \
up0 \expndtw0\charscalex104 on the respiration rate of an infant with acute bron
chiolitis. Write a similar \up0 \expndtw0\charscalex102 report on the effect of
3ml of adrenaline (dotted line). \par\pard\ql \li5391\sb0\sl-322\slmult0 \par\pa
rd\ql\li5391\sb107\sl-322\slmult0 \up0 \expndtw0\charscalex101 \ul0\nosupersub\c
f25\f26\fs28 Respiration rate \par\pard\ql \li2781\sb196\sl-276\slmult0 \up0 \ex
pndtw0\charscalex114 \ul0\nosupersub\cf7\f8\fs24 60 \par\pard\qj \li2791\ri8647\
sb22\sl-400\slmult0\fi25 \up0 \expndtw0\charscalex113 58 \line \up0 \expndtw0\ch
arscalex115 56 \line \up0 \expndtw0\charscalex113 54 \line \up0 \expndtw0\charsc
alex113 54 \line \up0 \expndtw0\charscalex111 50 \line \up0 \expndtw0\charscale
x115 48 \line \up0 \expndtw0\charscalex116 46 \par\pard\li3767\sb0\sl-216\slmult
0\fi0\tx4916\tx5997\tx7152\tx8248\tx9414 \up0 \expndtw0\charscalex117 0\tab \up0
\expndtw0\charscalex117 5\tab \up0 \expndtw0\charscalex117 10\tab \up0 \expndtw
0\charscalex117 15\tab \up0 \expndtw0\charscalex117 20\tab \up0 \expndtw0\charsc
alex117 25\par\pard\ql \li6300\sb107\sl-276\slmult0 \up0 \expndtw0\charscalex100
Minutes \par\pard\ql \li2097\sb0\sl-230\slmult0 \par\pard\ql\li2097\sb0\sl-230\
slmult0 \par\pard\ql\li2097\sb62\sl-230\slmult0 \up0 \expndtw-3\charscalex100 \u
l0\nosupersub\cf15\f16\fs20 Example Saline Report \par\pard\qj \li2097\ri1441\sb
122\sl-240\slmult0 \up0 \expndtw0\charscalex100 We administered a single 3ml dos
e of saline to an infant with acute bronchiolitis. At the point we \up0 \expndtw
0\charscalex100 administered the saline, the subject\u8217?s respiration rate wa
s 55 breaths per minute. For the first ten \up0 \expndtw0\charscalex102 minutes
the rate increased slightly to 57. After 10 minutes the respiration rate steadil
y decreased \up0 \expndtw0\charscalex102 to 52. It dropped a little more to 51 a
nd stayed steady at that rate. \par\pard\ql \li2195\sb0\sl-230\slmult0 \par\pard
\ql\li2195\sb0\sl-230\slmult0 \par\pard\ql\li2195\sb149\sl-230\slmult0 \up0 \exp
ndtw0\charscalex100 Adrenaline Report \par\pard\ql \li2745\sb0\sl-207\slmult0 \p
ar\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par
\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\p
ard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\par
d\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\
ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql
\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\l
i2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2
745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li274
5\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\

sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb


0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\
sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl
-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-2
07\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb46\sl-20
7\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf11\f12\fs18 Oxford Engl
ish for Careers\ul0\nosupersub\cf10\f11\fs18 Nursing 1 Practice File Oxford Un
iversity Press 2011 \par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\s
l-240{\bkmkstart Pg45}{\bkmkend Pg45}\par\pard\ql \li1870\sb0\sl-207\slmult0 \pa
r\pard\ql\li1870\sb62\sl-207\slmult0 \up0 \expndtw0\charscalex121 \ul0\nosupersu
b\cf10\f11\fs18 43 Unit 15 \par\pard\ql \li2143\sb0\sl-690\slmult0 \par\pard\ql\
li2143\sb144\sl-690\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf20\f2
1\fs60 15 Alternative treatments \par\pard\ql \li1865\sb0\sl-322\slmult0 \par\
pard\ql\li1865\sb0\sl-322\slmult0 \par\pard\ql\li1865\sb10\sl-322\slmult0 \up0 \
expndtw-8\charscalex100 \ul0\nosupersub\cf12\f13\fs28 Language \par\pard\ql \li1
863\sb196\sl-276\slmult0 \up0 \expndtw0\charscalex111 \ul0\nosupersub\cf13\f14\f
s24 1\ul0\nosupersub\cf7\f8\fs24 Grammar \par\pard\ql \li1863\sb123\sl-253\slmu
lt0 \up0 \expndtw0\charscalex106 \ul0\nosupersub\cf14\f15\fs22 Choose the correc
t option to complete the sentences. \par\pard\ql \li1863\ri3237\sb49\sl-300\slmu
lt0 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf15\f16\fs20 1 Acupuncture is
used to curing / cure / the cure of a number of conditions. \up0 \expndtw-1\cha
rscalex100 2 Cupping is used for to suck / suck / sucking bad energy from the b
ody. \up0 \expndtw-1\charscalex100 3 I believe in it - that\u8217?s why / becau
se / so that faith healing works for me. \up0 \expndtw0\charscalex102 4 Scientis
ts study animals, for / to / so they can find alternative treatments. \up0 \exp
ndtw-2\charscalex100 5 Use an ice pack for / so / to reduce swellings. \par\par
d\qj \li1863\ri4139\sb0\sl-300\slmult0 \up0 \expndtw0\charscalex102 6 Traditiona
l medicine is a treatment to / for / so the whole body. \up0 \expndtw-2\charscal
ex100 7 She had a massage because / so / far her back hurt. \par\pard\ql \li186
3\sb58\sl-230\slmult0 \up0 \expndtw0\charscalex106 8 Nothing conventional worked
, because / so / so that he had alternative treatment. \par\pard\ql \li1863\sb0\
sl-276\slmult0 \par\pard\ql\li1863\sb96\sl-276\slmult0 \up0 \expndtw-5\charscale
x100 \ul0\nosupersub\cf13\f14\fs24 2\ul0\nosupersub\cf7\f8\fs24 Key words from
the unit\par\pard\sect\sectd\sbknone\cols2\colno1\colw9340\colsr160\colno2\colw2
260\colsr160\ql \li1863\sb137\sl-253\slmult0 \up0 \expndtw0\charscalex104 \ul0\n
osupersub\cf14\f15\fs22 Complete the sentences with the words from the list.\par
\pard\ql \li1863\sb123\sl-230\slmult0\tx6158 \up0 \expndtw0\charscalex107 \ul0\n
osupersub\cf15\f16\fs20 1 Traditional medicine has a\tab \up0 \expndtw0\charsca
lex115 approach.\par\pard\ql \li1863\sb70\sl-230\slmult0 \up0 \expndtw0\charscal
ex102 2 Some herbs are\par\pard\ql \li1863\sb70\sl-230\slmult0\tx3776 \up0 \exp
ndtw-2\charscalex100 3\tab \up0 \expndtw0\charscalex104 affects the skin.\par\pa
rd\ql \li1863\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex100 4 A witch doctor
is a kind of\par\pard\ql \li1863\sb70\sl-230\slmult0\tx5257 \up0 \expndtw0\chars
calex104 5 Some people are\tab \up0 \expndtw0\charscalex105 of faith healing.\p
ar\pard\ql \li1863\sb70\sl-230\slmult0 \up0 \expndtw0\charscalex104 6 Dogs eat g
rass to clear stomach\par\pard\ql \li1863\sb70\sl-230\slmult0 \up0 \expndtw0\cha
rscalex105 7 Herbalists prescribe herbal\par\pard\ql \li1863\sb70\sl-230\slmult
0\tx4667 \up0 \expndtw-9\charscalex92 8
An initial\tab \up0 \expndtw0\charsc
alex107 takes 45 minutes.\par\pard\ql \li1865\sb0\sl-322\slmult0 \par\pard\ql \l
i1865\sb72\sl-322\slmult0 \up0 \expndtw-10\charscalex100 \ul0\nosupersub\cf12\f1
3\fs28 Reading and vocabuLaRy\par\pard\column \ql \li9500\sb0\sl-230\slmult0 \pa
r\pard\ql \li20\sb38\sl-230\slmult0 \up0 \expndtw0\charscalex110 \ul0\nosupersub
\cf15\f16\fs20 medicinal\par\pard\ql \li20\sb10\sl-230\slmult0 \up0 \expndtw0\ch
arscalex106 worms\par\pard\ql \li20\sb10\sl-230\slmult0 \up0 \expndtw0\charscale
x118 eczema\par\pard\qj \li20\ri1074\sb2\sl-240\slmult0 \up0 \expndtw0\charscale
x108 supplements \line \up0 \expndtw0\charscalex107 consultation \line \up0 \exp
ndtw0\charscalex102 holistic\par\pard\ql \li20\sb9\sl-230\slmult0 \up0 \expndtw0
\charscalex108 sceptical\par\pard\ql \li20\sb10\sl-230\slmult0 \up0 \expndtw0\ch
arscalex115 healer \par\pard\sect\sectd\sbknone \ql \li2056\sb0\sl-230\slmult0 \
par\pard\ql\li2056\sb69\sl-230\slmult0 \up0 \expndtw0\charscalex100 We use the w

ord \u8216?alternative\u8217? to describe types of treatment that are not part o


f conventional \par\pard\qj \li2056\ri1434\sb14\sl-250\slmult0 \up0 \expndtw0\ch
arscalex105 western medicine. Herbalism, homeopathy, yoga and faith healing are
all alternative treatments. \up0 \expndtw0\charscalex100 Some alternative treatm
ents come from countries like China and India. Others are simply very old \up0 \
expndtw0\charscalex100 methods of treatment and have been replaced by syringes,
scans and tablets. \par\pard\ql \li2056\sb67\sl-230\slmult0 \up0 \expndtw0\chars
calex103 Many scientists say that alternative treatments are not scientifically
tested, and that alternative \par\pard\ql \li2056\sb10\sl-230\slmult0 \up0 \expn
dtw0\charscalex102 practitioners are often unqualified people who put patients i
n danger by interfering with \par\pard\ql \li2056\sb30\sl-230\slmult0 \up0 \expn
dtw0\charscalex103 conventional treatment. Alternative practitioners say that sc
ience does not know all the answers. \par\pard\qj \li2056\ri1118\sb0\sl-260\slmu
lt0 \up0 \expndtw0\charscalex100 They say that alternative medicine takes a holi
stic approach, which means it treats the whole person: \up0 \expndtw0\charscalex
100 body, mind and spirit. They say that conventional medicine does not do this.
\par\pard\qj \li2056\ri1474\sb35\sl-250\slmult0 \up0 \expndtw0\charscalex103 So
me people use alternative treatments when conventional medicine offers no hope o
f recovery. \up0 \expndtw0\charscalex100 Some terminally ill patients don\u8217?
t care what treatment they use if it seems to work, and it doesn\u8217?t \up0 \e
xpndtw0\charscalex100 harm them. In addition, they get a lot of attention from t
he practitioner. \par\pard\ql \li2056\ri1263\sb70\sl-250\slmult0\fi34 \up0 \expn
dtw0\charscalex102 Many scientists believe that when alternative treatments like
homeopathy seem to work, this is \line \up0 \expndtw-1\charscalex100 because of
a \u8216?placebo effect\u8217?. This is when something completely inactive like
water, is given to a \line \up0 \expndtw0\charscalex100 patient. If the patient
believes it is a medicine and expects it to work, their condition may actually
\line \up0 \expndtw0\charscalex102 improve. The placebo effect shows that mental
attitude and the patient\u8217?s belief in a treatment are a \line \up0 \expndt
w0\charscalex102 major part of any cure. \par\pard\ql \li2745\sb0\sl-207\slmult0
\par\pard\ql\li2745\sb0\sl-207\slmult0 \par\pard\ql\li2745\sb0\sl-207\slmult0 \
par\pard\ql\li2745\sb185\sl-207\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupe
rsub\cf11\f12\fs18 Oxford English for Careers\ul0\nosupersub\cf10\f11\fs18 Nurs
ing 1 Practice File Oxford University Press 2011
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