Additional grammar and vocabulary exercises:

1.Translatethe following wordcombinations and make up sentences of yourown.

A flock of birds; aherd ofcattle; a pack of dogs; a school of fish; a pride of lions;

2. Put questions to the italicized parts.

1. Theflowers have beenkept without water for a week. 2. The walls in the wards are being covered with green paint. 3. The disabled patients are not always taken good care of by social workers at home.4. The patient will not be discharged home until the analysesare good. 5. Two days later the operation was performed. 6. He was considered to take the post of a medical director at hospital.

3.Put the following sentences into Passive Voice.

1. We shall finish the examination of the patients not later than in the afternoon. 2. Somebody has invited the head of the department into the reception ward. 3. Did they give you all necessary books? 4. The junior doctor showed the history-taking to the consultant. 5. The GP made a provisional diagnosis and filled in the patient’s card. 6. The nurse has just given all injections. 7. The surgeon is operating the patient now. 8. Have you sent for the X-ray image? 9. Two young but experienced nurses assisted the surgeon during the operation.

4. Underlinethe correctword or phrasein each sentence.

1. It’s a long time since/when I last saw my doctor. 2. Have you spoken to your physician beforehand/already? 3. He has seen his physician quite often lately/ from time to time. 4. Nothing new has beenhappening by now/ so far. 5. My brother bought a newCD player lastweek and hehas beenlistening to music ever since/ for a while. 6. Sorry,but I haven’t gotthat case-history finished already/yet. 7. The hospitalhas boughta newCT (computertomography) two years ago/ since then.

5. Match each of the medical terms with a term which a patient would easily understand.

1. paraesthesia a) swelling, puffiness

2. productive cough b) indigestion

3. anaesthesia c) coughing up phlegm or spit

4. retrosternal chest pain d) trouble holding your water

5. orthopnea e) cramp in the leg muscles which comes and goes

6. stress incontinence f) numbness

7. dysmenorrhoea g)sleeplessness

8. dyspepsiah) out of breath, out of puff, breathlessness

9. oedema i) painful periods

10. intermittent claudication j) pain behind the breast bone

11. insomnia k) pins and needles

12. dyspnoea l)shortness of breathwhen you lie down

UNIT 3

Nurses in the uk

N ursing performs autonomous and collaborative care of patients of all ages, families, groups and communities, sick or well and in all settings. Nurses also promote health, prevent illness, and the care of ill, disabled and dying people. Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management, and education are also key nursing roles.

Grades of nurses

Nurses working in a hospital of UK, they have the following titles:

student nurse	she/ he is still in training
staff nurse	she/he has completed the training course
charge nurse	she/he is a more experienced nurse who is in charge of, or responsible for, a ward or department
nurse manager	she/he is in charge of several wards

Support workers

There are support workers, nursing auxiliary and clerks in the UK. They assist nursing staff in hospitals and other medical institutions. The clinical support worker usually does a short course and obtains basic qualification. The nursing auxiliary is usually unqualified. There may also be ward clerks, they up to date information about patients and answer the telephone.

Having a specialization

Like doctors, nurses can improve their specialty:

• From the beginning a midwife specializes in a course of midwifery, they manage pregnancy and childbirth.

• District nurses usually visit patients in their homes.

• Health visitors also work in the community, they give advice on the promotion of health and the prevention of illness.

The role of nurses in the community

The nurse's role has changed considerably in recent years. In addition to general patient care, the nurse checks temperatures, pulse rates and blood pressures, changes dressings, gives injections and removes sutures, nurses now do some of the things which have previously been belonged to doctors, such as prescribing drugs, and ordering laboratory tests. More responsibilities for nurses are planned, as it is shown below.

Nurses in Scotland are trained to perform minor surgery in an effort to cut patients’ waiting times.

Nurses who have passed a new course at Glasgow Caledonian University are now qualified to carry out such procedures as the removal of small lesions, benign moles and cysts.

Overseas Nurses Programme (ONP)

The need for trained nurses in the UK is still high.

Thousands of foreign trained nurses are recruited into the UK yearly.

If you want to work in the UK, however:

• You need to be accredited by the Nursing and Midwifery Council (NMC) of the United Kingdom

• You need to apply for and get a Permit Free Visa in order to proceed to the next step

• You need to undertake a 20 - day overseas nurses programme

• You may need to undergo a supervised placement in a nursing home or other accredited health facility

• You need to obtain a work permit

NMC Registration

• You need to be registered with the Nurses and Midwife Council (NMC) of the United Kingdom straightforward.

• In order to be eligible for registration you need to show that you are able to communicate effectively in English language and are of good character, as well as have the relevant experience and qualifications demanded.

• It is required to have an overall score of at least 6.5 in the IELTS (International English Language Testing System) with a minimum of 5.5 in listening and reading, and 6.0 in writing and speaking.

Once an applicant has passed its IELTS, he/she needs to download and put in the application form with evidence of past experience and good character. The applicant also needs to pay an application fee. The NMC will inform about its decision by a letter.