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Part 1 Brief Introduction About Health Service in US/UK 1

Unit 1 Health-Care Settings in US/UK 1

Ⅰ．Text 1

UK Hospitals Need Foreign Nurses 1

Agency Nurses：a Sticking Plaster Solution 2

Ⅱ．Further Practice 4

Nursing Process 4

Ⅲ．Vocabulary 5

Ⅳ．CGFNS/NCLEX-RN TEST 6

Unit 2 The Health Service in The US/UK 9

Ⅰ．Text 9

The Work of Doctors and Nurses in the US/UK 9

Working Conditions 12

Health in the UK 13

Ⅱ．Further Practice 15

The NHS Versus Private Medicine 15

Ⅲ．Vocabulary 16

Ⅳ．CGFNS/NCLEX-RN TEST 17

Unit 3 Job Advertisements 19

Ⅰ．Text 19

Job Advertisements 19

An Example of a CV 20

Problems With Overseas Nurses 21

Employment in the UK 22

Ⅱ．Further Practice 23

A Resume of a Bulgarian Nurse 23

Ⅲ．Vocabulary 24

Ⅳ．CGFNS/NCLEX-RN TEST 25

Part 2 Records and Notes 27

Unit 4 The Need For Good Records 27

Ⅰ．Text 27

The Importance of Making Notes 27

Making Notes and Reading Other People's Notes 29

Patient Records：the Law 30

Ⅱ．Further Practice 32

Ⅲ．Vocabulary 34

Ⅳ．CGFNS/NCLEX-RN TEST 35

Unit 5 Attempted Suicide 37

Ⅰ．Case Study 37

Roberta Blackwood's Notes 37

Roberta Blackwood's Patient Assessment Record 38

Ⅱ．Text 40

Attempted Suicide 40

Ⅲ．Further Practice 41

The Death of Princess Diana and the Rise in the Suicide Rate 41

Overdoses of Paracetamol 42

Suicide：the Statistics in UK/US 42

Ⅳ．Vocabulary 44

Ⅴ．CGFNS/NCLEX-RN TEST 44

Unit 6 Diabetes 46

Ⅰ．Case Study 46

Ms Ethel Partridge's Patient Assessment Record 46

Mr Cathcart's Patient Care Plan 49

Mr Cathcart's Patient Admission Form 50

Ⅱ．Text 51

Diabetes 51

Ⅲ．Further Practice 53

John Docherty's Hospital Admission Form 53

Ⅳ．Vocabulary 54

Ⅴ．CGFNS/NCLEX-RN TEST 54

Unit 7 Head Injury 56

Ⅰ．Case Study 56

A Case Note on a Patient Who Has Had an Accident 56

Mr Paul's Patient Assessment Record 58

Possible Effects of Accident 58

Describing Mathematical Formulae 59

Ⅱ．Text 60

Head Injury 60

Removing Sutures 61

Describing Shapes and Positions of the Wounds 62

Ⅲ．Further Practice 62

Sandra Dawkins's Patient Admission Form 62

Ⅳ．Vocabulary 63

Ⅴ．CGFNS/NCLEX-RN TEST 64

Unit 8 Accidents and Emergencies 66

Ⅰ．Case Study 66

Report On Mrs Nolan 66

RTA Information（Circle the Appropriate Response） 68

Ⅱ．Text 68

CPR 68

Advice for the Nursing Care of Injured Patients 69

Speaking to Patients With Chest Pains 69

Beware of the Tea-Cosy 70

Ⅲ．Further Practice 71

Jacqueline Johnson's Patient Admission Form 71

Ear Syringing 71

Ⅳ．Vocabulary 72

Ⅴ．CGFNS/NCLEX-RN TEST 73

Unit 9 Pain and Pain Management 75

Ⅰ．Case Study 75

Mr Morris's Pain Assessment Form 75

Mr Thompson and Mrs Smith's Pain Assessment Form 76

Ⅱ．Text 79

Pain 79

Describing Pain 81

The McGill Pain Questionnaire 81

Pain Relief During Labour 82

Ⅲ．Further Practice 83

Man Cleared Who Used Cannabis as A Painkiller 83

Ⅳ．Vocabulary 84

Ⅴ．CGFNS/NCLEX-RN TEST 84

Unit 10 Colostomies 86

Ⅰ．Case Study 86

Mrs Pauline Greene's Colostomy 86

Mrs Greene's Patient Care Plan 87

Removing Impacted Faeces 90

Ⅱ．Text 91

Colostomies 91

Mrs Greene's Records 91

Ⅲ．Further Practice 92

Ⅳ．Vocabulary 93

Ⅴ CGFNS/NCLEX-RN TEST 94

Unit 11 Angina 96

Ⅰ．Case Study 96

Mr Hussein's Case Notes 96

Mr Hussein's Patient Care Plan 98

John Collingwood's：Patient Assessment Record 98

Ⅱ．Text 99

Angina 99

Wound-dressing 101

Ⅲ．Further Practice 102

Ⅳ．Vocabulary 103

Ⅴ．CGFNS/NCLEX-RN TEST 103

Unit 12 Dehydration 105

Ⅰ．Case Study 105

Mr Jameson's patient Care Plan 105

The Information in the Patient Care Plan About Mr Jameson 106

Ⅱ．Text 108

Dehydration 108

Taking Urine Samples 108

Diarrhea and Dehydration 109

Ⅲ．Further Practice 110

Further Information about Dehydration 110

Oral Rehydration Therapy 110

Ⅳ．Vocabulary 111

Ⅴ．CGFNS/NCLEX-RN TEST 112

Unit 13 Dementia 114

Ⅰ．Case Study 114

Mrs Pauline Dobson's Patient Care Plan 114

The Death of Iris Murdoch 116

Mrs Pauline Dobson's dementia 117

Patients'Record of Care 118

Ⅱ．Text 119

Dementia 119

Nursing Guidelines for Last Offices 121

Nurse's Diary：the Death of Mr Topham 121

Elderly People in the UK Today 123

Ⅲ．Further Practice 124

Gurdip Singh's Nursing Care Plan 124

Ⅳ．Vocabulary 124

Ⅴ．CGFNS/NCLEX-RN TEST 125

Unit 14 HIV and Drug Abuse 127

Ⅰ．Case Study 127

Mr Albert Jones's Patient's History 127

Case Study Reviewing 128

Mr Jones'Discharge Summary 130

Advice about HIV Infection 131

Ⅱ．Text 131

AIDS 131

Chemical Happiness 132

The UK Public's Attitude to HIV and AIDS 134

Ⅲ．Further Practice 134

Henry Macdonald's Nursing Care Plan 134

Ⅳ．Vocabulary 135

Ⅴ．CGFNS/NCLEX-RN TEST 136

Unit 15 Discharge from Hospital 138

Ⅰ．Case Study 138

Miss Anne Barton's Discharge Form 138

Miss Anne Barton's Medical Problems 140

Miss Anne Barton's Discharge 141

Mrs Martha Collins's Discharge Summary 142

Ⅱ．Text 143

Health Education before Discharge from Hospital 143

Ⅲ．Further Practice 145

Mr Peter Lawson's Discharge Summary 145

Ⅳ．Vocabulary 145

Ⅴ．CGFNS/NCLEX-RN TEST 146

Part 3 Talking and Listening 148

Unit 16 About Communicating with Patients 148

Ⅰ．Comprehension 148

Conversation 1：Listen to Patient 148

Conversation 2：Talking to Patient 152

Conversation 3：Talking is Good for You 154

Conversation 4：Talking about Incontinence 154

Ⅱ．Text 155

Vital Signs 155

Ⅲ．Further Practice 156

Conversation 5：Euphemisms 156

Ⅳ．Vocabulary 157

Ⅴ．CGFNS/NCLEX-RN TEST 157

Unit 17 Conversations in UK Standard English 159

Ⅰ．Comprehension 159

Conversation 1：Talking about a Tracheostomy 159

Conversation 2：The Gorgeous Wash 161

Conversation 3：Facing Up to Death 162

Conversation 4：The Amputation 163

Conversation 5：Counseling Roberta 164

Conversation 6：Am I Dying？ 166

Conversation 7：Problems with Mother 167

Conversation 8：What Will Tomorrow Bring？ 169

Ⅱ．Text 171

Perioperative Nursing 171

Ⅲ．Further Practice 172

Conversation in Regional Dialect—The Dangerous Cucumber—North West 172

Ⅳ．Vocabulary 172

Ⅴ．CGFNS/NCLEX-RN TEST 173

Part 4 Reference 176

Part 5 Appendix 178

Appendix Ⅰ Abbreviation 178

Appendix Ⅱ About CGFNS 179

Appendix Ⅲ Answers and Comments 180