adult learner english for your health esol · pdf fileeat more fruits and vegetables, and...

Adult LearnerESOL Program

4 • INTERACTING WITH THE HEALTHCARE PROVIDER (Part 2)

IntermediateENGLISH FOR YOUR HEALTH

Session 4Interacting with the Healthcare Provider (Part 2)

Learners will be able to:• Ask at least 3 questions about one’s medical problem.• Use clarification questions to better understand the doctor’s information.• Identify at least 2 tests the doctor might order.• Explain 3–5 things one should follow up on after a doctor’s visit.

“Ask Me 3” brochure“A Guide to Queens Health Services” brochure“After Your Doctor’s Visit” brochureBoard or chart paperMarkersCD and CD playerTrue/False cards – (Things to Follow Up on After a Visit)Worksheets: 4a (Listening Activity), 4b (Dialogue Practice), 4c (Getting a Physical

Exam), 4d (What are some tests the doctor might order?), 4e (Fill in the Blanks)Assessment (Sessions 3 & 4) – Talking to the Doctor

1. Elicit from the learners experiences that they may have with their doctor orhealthcare provider; what questions they ask; and what they say if they do notunderstand the information.

2. Ask learners what they say if they do not understand the reply. List clarificationquestions:

Please repeat.Say that again, please.Please speak slowly.I do not understand. Please give me an example.What does ____________ mean?

3. Hand out brochure, “Ask Me 3.” Give learners time to read the brochure anddiscuss the questions. Encourage learners to provide possible responses bygiving examples, such as:

What is my main problem? Your blood pressure is a bit high.What do I need to do? You need to change your diet. Eat more fruits

and vegetables, and exercise. Take this tabletonce a day after dinner. See me again in twoweeks.

Why is it important for me It will keep your blood pressure and your heartto do this? rate normal.

Objectives

Materials Needed

Activity 1Questions to

Ask the Doctor

1




4. In Session 2, learners assigned names and health information about the peoplein the laminated pictures. Use the same pictures to discuss health problems,what should one do, and why it is important to follow the doctor’srecommendation.

A “bland” diet consists of foods that are soft, low in salt, without spices and lowin fiber.Foods that should be avoided include: hot sauce, chilies; anything with bran orhigh-fiber grains; fried or greasy foods such as chips, fried chicken and frenchfries; citrus fruits and berries; raw vegetables; dairy products such as cream orcheese; processed or spiced meats such as bacon and sausage: nuts; coffee; andalcoholic beverages.Bland foods that may be eaten include: boiled or steamed white rice; cream-of-wheat; saltine crackers; pasta; mashed or steamed vegetables; applesauce orapple juice; iced milk; or plain yogurt. A bland diet can be very helpful to anyindividual with a stomach ailment, particularly with a stomach virus or anythingcausing nausea or vomiting and diarrhea.

1. Hand out Worksheet 4a. Ask learners to complete the cloze for Dialogue 1. Playthe recording again, if needed. Check as a class, and go over any newvocabulary such as “serious,” “eat lightly” and “bland.” (See Teacher Notes,above, on a “bland diet.”)Play the conversation again and ask learners to answer the 3 questions:

What’s my main problem?What do I need to do?Why is it important?

Ask them to check their answers in small groups or as a class.2. Play Conversation 2 and ask learners to answer the three questions: What’s my

main problem?, What do I need to do? and Why is it important? Ask them tocheck their answers in small groups or as a class.

3. For additional practice, hand out copies of the dialogue (Worksheet 4b) and asklearners to practice with a partner.

Teacher Notes

What is a“bland” diet?

Activity 2ListeningExercise

2




Learners brainstorm on things they may ask or do to make their doctor’s visit auseful one. Give an example to start the discussion. Write responses on the board.Add any of the ones below, if they are not mentioned.You can make your doctor’s visit most useful by:

Taking notes on what the doctor says.Asking the doctor to draw pictures to help explain things that are unclear.Telling the doctor if you need more time to talk. If the doctor can’t take timethat day, ask to speak to someone else. Or ask if you can call later and talk tosomeone.Asking for written instructions if you need them.Asking for any brochures, audiotapes, or videotapes on a topic that you wantto know more about.

Ask the learners to work in small groups to make a list of what happens during aphysical exam. Ask each group to report to class. When they finish, ask them toread Worksheet 4c, and see if there are any steps they wish to add.

1. Divide the class into groups of 4–6.2. Give each group a stack of “Follow-up” game cards.3. Ask them to take turns reading a card and deciding if the statement is true or

false. Ask them to put the True statements in one pile and the False ones inanother.

4. When each group has finished, check as a class.

Hand out the brochure “A Guide to Health Services in Queens” to learners anddiscuss with the class.

Activity 3Tips for Talking

to the Doctor

Activity 4What happens

in a physicalexam?

Activity 5What are somefollow-ups to a

visit to ahealthcareprovider?

Activity 6Medical

Services forNew Yorkers

3




1. Review this session by asking learners the following questions:• What happens during a routine visit?• What does one do to prepare for a doctor’s visit?• What tests might the doctor order?• What things should you follow up on after a visit?

2. Ask the learners to:• Write 3 or more sentences about what they learned, which they think will

help them at the doctor’s office or clinic.• Write or say why it is important to have a regular check-up.

Administer the “Talking to the Doctor” quiz. Check as a class.

Worksheet 4d (What are some tests the doctor might order?)Worksheet 4e (Fill in the blanks)Optional: Hand out brochure on following up with the doctor (“After YourDoctor’s Visit…”)

If paying for healthcare is an important issue for your learners, you may next wishto do Session 14: Paying for Health Care, and Session 15: Health Insurance.

Activity 7Review andEvaluation

Assessment

Homework

Note to Teacher

4



Worksheet 4a-1 – Listening

Teacher’s Version

Listen to Arshia talking to Dr. Davis. Fill in the missing words.

Dr. Davis: All, right – we’re all set, you can get dressed.

Arshia: Can I ask you a question before you go?

Dr. Davis: Sure

Arshia: Just to make sure I understand, what’s my main problem?

Dr. Davis: You have a stomach virus. It’s nothing serious.

Arshia: And what do I need to do?

Dr. Davis: Try to eat lightly for a few days, and follow a bland diet. Here is some information

about the diet.

Arshia: Could you tell me why that is important?

Dr. Davis: It will help you feel better.

Answer these questions:

1. What is Arshia’s main problem?

She has a stomach virus

2. What does she need to do?

Eat lightly and follow a bland diet.

3. Why is that important?

It will help her feel better.

5



Worksheet 4a-2 – Listening

Teacher’s Version

Listen to Muza talking to the doctor. Then, answer the questions.

1. What is Muza’s main problem?

She has asthma and is allergic to cats and shellfish.

2. What does she need to do?

She needs to not eat shellfish, stay away from cats and use his inhaler if he needs

3. Why is that important?

It is important, so that she doesn’t have an asthma attack or an allergy attack.

6



Worksheet 4b – Dialogue Practice

Dialogue 1: Arshia and Dr. Davis

Dr. Davis: All right, we’re all set. You can get dressed.

Arshia: Can I ask you a question before you go?

Dr. Davis: Sure.

Arshia: Just to make sure I understand, what’s my main problem?

Dr. Davis: You have a stomach virus. It’s nothing serious.

Arshia: And what do I need to do?

Dr. Davis: Try to eat lightly for a few days, and follow a bland diet. Here is some information

about the diet.

Arshia: Could you tell me why that is important?

Dr. Davis: It will help you feel better.

Dialogue 2: Muza and Dr. Davis

Muza: So my main problem is that I have asthma. Is that right?

Dr. Davis: Yes, you have asthma, and you are severely allergic to cats and shellfish.

Muza: And what do I need to do?

Dr. Davis: Don’t eat any shellfish—and stay away from cats. If you start to wheeze, use your

inhaler.

Muza: Right, I understand what I should do. But just to be sure, why is it important?

Dr. Davis: Staying away from cats and not eating shellfish will help you avoid an asthma

attack. Using an inhaler will help you breathe in an emergency.

Muza: Thanks for taking the time to explain it. It’s really clear now.

Dr. Davis: You’re welcome. I’ll see you again in three weeks.

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Worksheet 4c – Physical Exam

Getting a Physical Exam

A physical exam may be part of a routine doctor’s visit. Durinthe exam, the doctor may do some of the following:

Measure height and weight.

Check blood pressure to make sure your heart is pumping

blood through your body.

Check your body temperature. (Normal temperature is 97 to

99.5 degrees Fahrenheit or 36.1 to 37.5 degrees Celsius)

Check body parts such as:

o Heart and lungs

o Eyes, ears, and nose

o Teeth

o Rectum

o Abdomen

o Skin

o Spine

During the routine visit, the doctor might also check:

Reflexes (how certain joints react to sudden force) Hearing Vision

The doctor might tell you to take a blood test. For this, a nurse or medical assistant will draw your blood from your finger or arm with a needle. The doctor might want to give you an immunization, which is a kind of shot. The shot could help protect you from diseases such as the flu or measles.

8



Worksheet 4d – Tests the Doctor Might Order

What are some tests the doctor might order?

You have already given your doctor your medical history and he did the

physical exam. Sometimes the doctor may ask for more information to

check how your health is or to find the reason for your medical problem.

For this, the doctor might ask for lab tests or medical imaging.

A Lab Test may include taking a sample of blood, urine or something

else from your body. The sample is usually taken while you are at the

doctor’s office. Then the sample is sent to the lab for testing. The results

from the tests may be used to record changes in your health. It can also

help the doctor plan your treatment.

Medical Imaging Tools are like a camera, and take pictures of the inside

of your body. Some types of imaging include: x-rays, CT scans, MRIs,

and ultrasound.

• X-rays provide pictures of bones and thick tissue. Mammogram is

a type of x-ray.

• CT or CAT Scan is a special x-ray. It takes pictures of different

structures inside the body and gives the doctor information about

your organs (for example: liver, heart, kidneys), blood vessels

(which carry the blood through the body), bones, or brain.

• MRI, or Magnetic Resonance Imaging, helps to find tumors (or

swelling of a part of your body), infection, and other types of soft

tissue disease or damage.

• Ultrasound can find tumors, and can also help a pregnant woman

to see the growth of her baby inside her uterus.

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Worksheet 4e – Fill In the Blanks

Teacher’s Version

Read the sentences and circle the correct answer.

1. Ultrasound help a pregnant woman to see how the is growing inside her.

a. may a. heart

b. go b. liver

c. are c. baby

d. do d. kidney

2. If you _____________ a bad fall, your doctor may order an __________________________.

a. have a. bandage

b. are b. blood pressure

c. give c. lab

d. prescribe d. X ray

3. Mrs. Smith was feeling very tired for weeks, so her doctor asked her to get some _________ tests.

a. medicine a. body

b. in b. prescribe

c. contact c. check

d. several d. blood

4. Sometimes the doctor needs to do some more lab ________ to find out what is __________ with you.

a. X-rays a. right

b. MRI’s b. left

c. tests c. true

d. CT scan d. wrong

10



Assessment – Sessions 3 & 4

Location__________________________

Date _____________________________

Talking to the Doctor

Check True or Not True for these questions:

1 Check-ups are important only for sick people.

True Not True

2. Do not ask your doctor questions. Just listen to what he or she says.

True Not True

3. Bring your medicine to any medical appointment.

True Not True

4. Tell your doctor if you have a bad reaction to any medicine.

True Not True

5. An x-ray helps the doctor check for broken bones.

True Not True

Name______________________________

ID # _______________________________

11



“Ask Me 3” Brochure – 1

Good Questionsfor YourGood Health

Every time you talk with a doctor, nurse, or pharmacist, use the Ask Me 3 questions to better understand your health.

What is my main problem?

What do I need to do?

Why is it important for me to do this?

AskMe3TM

When to Ask Questions You can ask questions when:

You see your doctor, nurse, or pharmacist.You prepare for a medical test or procedure.You get your medicine.

•

•

•

What If I Ask and Still Don’t Understand?

Let your doctor, nurse, or pharmacist know if you still don’t understand what you need to do.You might say, “This is new to me. Will you please explain that to me one more time?”

•

•

Who Needs to Ask 3? Everyone wants help with health information. You are not alone if you find things confusing at times. Asking questions helps youunderstand how to stay well or toget better.

The Ask Me 3 questions are designed to help you take better care of your health. To learn more, visit www.npsf.org/askme3

12



“Ask Me 3” Brochure – 2

Your Doctor, Nurse, and Pharmacist Want to Answer 3Are you nervous to ask your health provider questions? Don’t be. You may be surprised to learn that your medical team wants you to let them know that you need help.Like all of us, doctors have busy schedules. Yet your doctor wants you to know:

All you can about your condition.Why this is important for your health.Steps to take to keep your condition under control.

•••

Bring your medicines with you the next time you visit your doctor or pharmacist. Or, write the names of the medicines you take on the lines below.

Like many people, you may see more than

one doctor. It is important that your doctors know all the medicines you are

taking so that you can stay healthy.

Write Your Doctor’s Answers to the 3 Questions Here:

What is my main problem?

What do I need to do?

Why is it important for me to do this?

Ask Me 3TM is an educational program provided by the Partnership for Clear Health Communication at the National Patient Safety FoundationTM – a coalition of national organizations that are working together to promote awareness and solutions around the issue of low health literacy and its effect on safe care and health outcomes.

Partnership forClear Health Communication

at the National Patient Safety FoundationTM

www.npsf.org/askme3

Asking these questions can help me: ~ Take care of my health ~ Prepare for medical tests ~ Take my medicines the right way

I don’t need to feel rushed or embarrassed if I don’t understand something. I can ask my doctor again.When I Ask 3, I am prepared. I know what to do for my health.

•

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17



True/False Cards – 1

If you have any questions about

your doctor’s visit, you should call

your mother.

false

It is okay to call the doctor’s office

to ask questions.

true

If you do not understand the test

results, ask someone to explain

what they mean.

true

You should not call your

pharmacist if you have problems

with your medication.

false

The doctor may refer you to a

specialist.

true

The doctor’s office has not called

you about your test results. You

should wait until the doctor’s office

calls you.

false

Teacher’s Version

18



Teacher’s Version

True/False Cards – 2

You do not need a prescription for

a blood test.

false

The doctor’s receptionist can write

a prescription for you.

false

Your doctor recommends surgery.

It is okay to get a second opinion

from another doctor.

true

You may ask the doctor’s office to

make an appointment for you to see

a specialist.

true

There is a problem with your

medication. You should wait until

your next doctor’s appointment to

tell your doctor.

false

If you can’t understand your

prescription label, ask your

pharmacist.

true

19

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