Module English 3

ENGLISH FOR NURSING (STIKES NGUDIA HUSADA MADURA) Page 1
KATA PENGANTAR
Alhamdulillahirobbil alamiin, segala puji hanya milik Alloh SWT, karen

atas hidayah dan RidhoNYA penulis dapat menyelesaikan Modul “Bahasa
Inggris 1II (English For Nursing)” ini dengan baik dan sesuai waktu yang
diharapkan. Shalawat dan salam semoga senantiasa tersanjungkan kepada
Rasulullah Muhammad SAW, beserta eluarga, sahabat dan para pengikut jejak
langkahnya hingga akhir jaman.
Modul yang saya susun saya beri judul “ Bahasa Inggris I1I (English
For Nursing)” ini disusun untuk dijadikan salah satu referensi bagi mahasiswa
maupun profesional kesehatan. Besar harapan buku ini akan memberian
tambahan wawasan dan pemahaman kepada pembaca tentang Bahasa Inggris
secara umum menurut ilmu kesehatan.
Penulis menyadari bahwa penulisan buku ini karena adanya dukungan dan
dorongan berbagai pihak yang dengan segala kesungguhan hati turut membantu
terselesaikannya buku ini. Penulis mengucapan terimakasih sedalam dalamnya
semoga Alloh Ar Rahman Ar Rahiim berkenan mencatatnya sebagai amal
ibadah yang kelak dapat memberatkan timbangan amal kebaikan di Yaumil
Hisab amiin Ya Robbal Alamiin. Dalam kesempatan ini ucapan terimakasih dan
doa tulus tersebut penyusun sampaikan kepada :
1. Ketua Yayasan Ngudia Husada Madura yang telah memberikan kesempatan

pada penulis untuk selalu berkarya
2. Ketua STIKes Ngudia Husada Madura yang telah memberikan dukungan dan
bimbingan selama penulisan buku ini
3. Teman teman sejawat STIKes Ngudia Husada Madura yang senantiasa
memberikan motivasi selama penyusunan buku ini
Penulis menyadari bahwa masih banyak kekurangan dalam buku ini untuk itu
masukan dan sumbang saran dari pembaca sangat diharapkan untuk perbaikan
buku ini.
Terima kasih
Bangkalan, Oktober 2020
Penulis

TABLE OF CONTENTS
Kata Pengantar. ................................................................................................ 2
Table of Contents .............................................................................................. 3
Deskripsi ............................................................................................................ 4
Tujuan Pembelajaran ...................................................................................... 4
Pokok Bahasan.................................................................................................. 4
Langkah Pembelajaran .................................................................................... 5
UNIT 1: ESTABLISHING RELATIONSHIP
Vocabulary............................................................................................ 11
Exercise………………....................................................................... 12
UNIT 2 : NURSE’S DUTY IN WARDS
Vocabulary........................................................................................ ..13
Exercise .............................................................................................. .15
UNIT 3 : TELLING TIME, DATE AND DOCTOR’S SCHEDULE
Vocabulary............................................................................................ 17
Exercise ............................................................................................... 20
UNIT 4: PART OF BODY AND HEALTH PROBLEM
Vocabulary............................................................................................ 22
Exercise………………....................................................................... 25
UNIT 5 : ASKING REPORTING HEALTH PROBLEM & DIAGNOSING
Vocabulary........................................................................................ ..27
Exercise .............................................................................................. .29
UNIT 6 : FILL IN PAIN ASSESMENT FORM
Vocabulary............................................................................................ 32
Exercise ............................................................................................... 36
UNIT 7: ADMISSION TO HOSPITAL
Vocabulary............................................................................................ 37
Exercise………………....................................................................... 38
UNIT 8: CHECKING RANGE OF MOTION
Vocabulary............................................................................................ 39
Exercise ............................................................................................... 41
UNIT 9 : CHECKING VITAL SIGN
Vocabulary............................................................................................ 42
Exercise………………....................................................................... 43
REFERENSI……………….......................................................................….45

MATA KULIAH : BAHASA INGGRIS III (English For Nursing)
JUMLAH SKS : 2 (1 T 1 P)
MATA KULIAH PRASAYARAT : -
1. DESKRIPSI MATA AJAR :
Mata kuliah ini memberikan kesempatan kepada mahasiswa untuk mampu melakukan
percakapan dalam bahasa Inggris pada saat melaksanakan asuhan keperawatan. Selain itu
mahasiswa diberi kesempatan untuk mampu membuat laporan asuhan keperawatan dalam
bahasa Inggris. Mahasiswa diberi kesempatan mempelajari teknlk percakapan, presentasi dan
praktek melalui simulasi. Proses pembelajaran meliputi kegiatan belajar yang dilakukan
melalui diskusi penugasan, dan praktika.
2. TUJUAN PEMBELAJARAN (LEARNING OUTCOME) :

1. Menghargai keanekaragaman budaya, pandangan, agama, dan kepercayaan, serta
pendapat atau temuan orisinal orang lain;
2. Bekerja sama dan memiliki kepekaan sosial serta kepedulian terhadap masyarakat
dan lingkungan;
3. Menunjukkan sikap bertanggungjawab atas pekerjaan di bidang keahliannya
secara mandiri.
4. Menguasai konsep teoretis komunikasi terapeutik;
5. Menguasai konsep dan prinsip manajemen keperawatan secara umum dan dalam
pengelolaan asuhan keperawatan kepada klien di berbagai tatanan pelayanan
kesehatan;
6. mampu melakukan komunikasi terapeutik dengan klien dan memberikan informasi
yang akurat kepada klien dan/atau keluarga /pendamping/penasehat utnuk
mendapatkan persetujuan keperawatan yang menjadi tanggung jawabnya;
7. mampu melakukan studi kasus secara teratur dengan cara refleksi, telaah kritis, dan
evaluasi serta peer review tentang praktik keperawatan yang dilaksanakannya;
8. Menerapkan komunikasi dalam keperawatan, dan menjalankan secara bertanggung
jawab dan bertanggung gugat dalam praktek keperawatan secara professional dalam
lingkup global khususnya mampu berkomunikasi dalam praktek keperawatan
menggunakan bahasa global.
3. POKOK BAHASAN DAN SUB POKOK BAHASAN
Establishing a relationship, Nurse`s duty in wards Drilling all the Practices and
the Activities, Telling time, date and Doctor`s schedule, Part of body and health
problem, Asking-reporting health problem & diagnosing, Questioning to fill in
pain assessment form, Admission to hospital, Checking range of Motion,
Checking vital signs

4. LANGKAH-LANGKAH PEMBELAJARAN
Sub- Bentuk dan Penilaian

Bahan
Min CPMK Metode
Kajian Estim
ggu (Kemamp Pembelajaran Pengalaman Kriteria Indikat Bobot
(Materi asi Fasilitato
Ke- uan akhir [Media & Sumber Belajar Mahasiswa & or (%)
Pembelajar Wakt r
yg (Penugasan) Bentuk
an) Belajar] u
direncana
kan)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
1 mahasis Establishi Bentuk: Kuliah TM : Mahasiswa - - Dhaniel
wa akan ng a T:1 menyimak Penilaia gramma 7% Prasetyo
dapat relationsh Aktivitas di x 50” kuliah dari n r . I M.Pd
menjela ip kelas: P: dosen, Proses -fluency
skan 1x mengajukan Pengam -content
ruang  Metode: 170” pertanyaan, atan -
lingkup Lecturing, mencari contoh, aktivita perform
bahasa Discussion, mengerjakan s siswa ance
inggris Practice dan latihan, dan selama
keperaw blended diskusi. diskusi
atan
learning
dengan - Tugas
benar.  Media: mahasis
LCD Projector wa
dan Komputer merevie
w
Bahasa
Inggris
untuk
Perawat
2 Mahasis Nurse`s Bentuk: Kuliah TM : 1. Memahami - - 7% Dhaniel
wa duty in T:1 teks Penilaia Penggun Prasetyo
akan wards Aktivitas di x 50” percakapan n aan . I M.Pd
dapat : kelas: P: Proses languag
yang diberikan
menjela 1. 1x Pengam e feature
skan Showin  Metode: 170” 2. atan -
cara g the Lecturing, aktivita Penggun
menjelaskan/re
bertanya direction Discussion, s siswa aan
dan to tell dengan selama gramma
Practice dan
member location kalimat sendiri diskusi r
blended
ikan or unit -
learning 3. membuat
usulan in - Tugas fluency
atau Hospital.  Media: percakapan mahasis - content
perintah 2. LCD Projector antar perawat wa :
tentang Drilling dan Komputer ataupun Membu
asuhan all the dengan pasien at
keperaw Practices percaka
atan and the pan
kepada Activities
perawat
lain
atau
pasien
dengan
benar.
3 Mahasis 1. Telling Bentuk: Kuliah TM : 1.Membaca dan - - 7% Dhaniel
wa daily T:1 memahami Penilaia Penggun Prasetyo
akan activities Aktivitas di x 50” n aan . I M.Pd

dapat 2. Making kelas: P: teks Proses languag
menjela expressio 1x sederhana Pengam e feature
skan n,report  Metode: 170” atan -
cara related to Lecturing, 2. aktivita Penggun
bertanya nursing Discussion, Mengidentifi s siswa aan
dan activities Practice dan kasi kata selama gramma
member done for blended diskusi r
yang
ikan clients learning -Tugas -
usulan 3. menunjukkan fluency
 Media: mahasis
atau Describin expression -
LCD Projector wa
perintah g your kooperat
dan Komputer 3. Mampu
tentang activities if
asuhan related Mendeskripsi rencana - content
keperaw nursing kan rencana perawat
atan intervensi perawatan an
kepada ons terhadap terhadap
perawat 4. Writing pasien pasien
lain a care tertentu
tertentu
atau plan
pasien to a
dengan certain
benar. patients
4 Mahasis Telling Bentuk: Kuliah TM : - Mampu - - 7% Dhaniel
wa akan time, date T:1 memahami Penilaia Penggun Prasetyo
dapat and Aktivitas di x 50” teks sederhana n aan . I M.Pd
menunju Doctor`s kelas: P: dan dialog Proses languag
kkan schedule: 1x - Pengam e feature
waktu, 1. Telling Metode: 170” - Mahasiswa atan -
tanggal about Lecturing, mengungkapk aktivita Penggun
serta time Discussion,Watc an waktu, s siswa aan
daftar and date tanggal serta selama gramma
hing Video,
kegiatan related to daftar kegiatan diskusi r
Dokter patient Practice dan dokter dalam -
dengan care. blended learning menyampaika - Tugas fluency
benar. 2. n pada pasien mahasis -
Explainin  Media: wa kooperat
g about LCD Projector menulis if
doctor`s dan Komputer kan - content
schedule daftar
to the unggkap
clients an
5 Mahasis Part of Bentuk: Kuliah TM : - Mahasiswa - - 8% Dhaniel
wa akan body dan T:1 menonton Penilaia Penggun Prasetyo
dapat health Aktivitas di x 50” video patient n aan . I M.Pd
menunju problem kelas: P: dan perawat. Proses languag
kkan (1) : 1x - Mahasiswa Pengam e feature
bagian 1.Telling Metode: 170” mengidentifik atan -
tubuh about Lecturing, asi masalah aktivita Penggun
dan parts Discussion,Watc atau keluhan s siswa aan
masalah of body pasien dan selama gramma
hing Video,
keehata and bagian tubuh diskusi r
n yang problem Practice dan apa yang perlu -
terjadi. related to blended learning drawat - Tugas fluency
body. mahasis -
2.  Media: wa kooperat
Reporting LCD Projector mendem if
the onstrasi - content

symptoms dan Komputer kan
of a
health
problem
6 Mahasis Part of Bentuk: Kuliah TM : - Mampu - - 8% Dhaniel
wa akan body dan T:1 memahami Penilaia Penggun Prasetyo
dapat health Aktivitas di x 50” teks sederhana n aan . I M.Pd
menunju problem kelas: P: - Mahasiswa Proses languag
kkan (1) : 1x menonton Pengam e feature
bagian 1.Telling Metode: 170” video dan atan -
tubuh about Lecturing, mengemukaka aktivita Penggun
dan parts Discussion,Watc n percakapn s siswa aan
masalah of body yang didengar selama gramma
hing Video,
keehata and diskusi r
n yang problem Practice dan -
terjadi. related to blended learning - Tugas fluency
body. mahasis -
2.  Media: wa kooperat
Reporting LCD Projector meresu if
the dan Komputer me - content
symptoms informa
of a si yang
health diberika
problem n
7 Mahasis Asking- Bentuk: Kuliah TM : - Mahasiswa - - 7% Dhaniel
wa akan reporting T:1 diberi teks Penilaia Penggun Prasetyo
dapat health Aktivitas di x 50” percakapan n aan . I M.Pd
menghu problem kelas: P: - Mahasiswa Proses languag
bungkan & 1x menentukan Pengam e feature
cara diagnosin Metode: 170” ungkapan atan -
membua g : Lecturing, pertanyaan aktivita Penggun
t kalimat 1. Asking Discussion,Watc yang diajukan s siswa aan
pertanya about - Mahasiswa selama gramma
hing Video,
an dgn health mendiagnosa diskusi r
mendiag problem Practice dan keluhan serta -
nosa dan 2. blended learning solusinya - Tugas fluency
melapor Reporting mahasis -
kan on the  Media: wa kooperat
masalah Nursing LCD Projector meresu if
kesehata diagnose dan Komputer me - content
n dgn 3. ungakap
benar. Reporting an
the tersebut
symptoms
of a
health
problem
UJIAN TENGAN SEMESTER
8 Mahasis Questioni Bentuk: Kuliah TM : - Mampu - - 7% Dhaniel
wa akan ng to fill T:1 memahami Penilaia Penggun Prasetyo
dapat in Aktivitas di x 50” teks sederhana n aan . I M.Pd
memilih pain kelas: P: medical Proses languag
pertanya assessmen 1x history pasien Pengam e feature
an – t form Metode: 170” - Mahasiswa atan -
pertanya (3) : Lecturing, mengemukaka aktivita Penggun
an untuk 1. Discussion,Watc n ttg medical s siswa aan
formulir Talking histtory itu selama gramma

pengkaji about hing Video, - Mahasiswa diskusi r
an the Practice dan membuat list -
rasa patient`s blended learning pertanyaan - Tugas fluency
nyeri pain dalam Bahasa mahasis -
pasien 2.  Media: Inggris yang wa kooperat
Expressin LCD Projector nantinya kan intervie if
g the disampaikan w pasien - content
dan Komputer
location pada saat atau
of pain in interview perawat
the body lain
9 Questio Admissio Bentuk: Kuliah TM : - Mahasiswa - - 7% Dhaniel
ning to n to T:1 mendengarkan Penilaia Penggun Prasetyo
fill in hospit Aktivitas di x 50” percakapan n aan . I M.Pd
pain al kelas: P: yang diberikan Proses languag
assessm : 1x tentang Pengam e feature
ent form 1. Asking Metode: 170” pendaftaran atan -
(3) : person Lecturing, pasien aktivita Penggun
1. al Discussion,Watc - Mahasiswa s siswa aan
Talking data. menuliskan selama gramma
hing Video,
about 2. ungkapan diskusi r
the Gainin Practice dan tersebut -
patient`s ga blended learning - Mahasiswa - Tugas fluency
pain person membuat mahasis -
2. al  Media: percakapan wa kooperat
Expressi data from LCD Projector meresu if
ng the the dan Komputer me - content
location patients. informa
of pain 3. Using si yang
in the diberika
the body questi n
on
to fill the
admis
sion
form.
10 Questio Admis Bentuk: Kuliah TM : - Mampu - - 7% Dhaniel
ning to sion to T:1 memahami Penilaia Penggun Prasetyo
fill in hospit Aktivitas di x 50” teks sederhana n aan . I M.Pd
pain al kelas: P: - Mahasiswa Proses languag
assessm : 1x diperlihatkan Pengam e feature
ent form 1. Metode: 170” video perawat atan -
(3) : Askin Lecturing, dan pasien aktivita Penggun
1. g Discussion,Watc yang s siswa aan
Talking person mengeluh selama gramma
hing Video,
about al diskusi r
the data. Practice dan -
patient`s 2. blended learning - Tugas fluency
pain Gainin mahasis -
2. g a  Media: wa kooperat
Expressi person LCD Projector meresu if
ng the al dan Komputer me - content
location data informa
of pain from si yang
in the diberika
the body patient n
s.
3.

Using
the
questi
on
to fill
the
admis
sion
form.
11 Mahasis Checking Bentuk: Kuliah TM : - Mahasiswa - - 7% Dhaniel
wa akan range of T:1 diberi Penilaia Penggun Prasetyo
mampu motion : Aktivitas di x 50” instruksi n aan . I M.Pd
menunju 1.Giving kelas: P: Proses languag
dengan
kkan instructio 1x Pengam e feature
hubunga n Metode: 170” gerakan fisik atan -
n antara on Lecturing, aktivita Penggun
- Mahasiswa
gejala physical Discussion,Watc s siswa aan
penyakit motion menjelaskan selama gramma
hing Video, ttg ROM
dengan 2.Explaini diskusi r
position ng the Practice dan -
dari implemen blended learning - Tugas fluency
pasien tation of mahasis -
dengan the wa kooperat
benar. ROM,Che membua if
cking t catatn - content
3. Giving atau
instructio map
ns tentang
related to hubunga
ROM,Che n
cking penyakit
dan
posisi
pasien
12 Mahasis atient`s Bentuk: Kuliah TM : -Mahasiswa - - 7% Dhaniel
wa akan positiono T:1 memahami Penilaia Penggun Prasetyo
mampu ng : Aktivitas di x 50” isi teks tulis n aan . I M.Pd
menunju 1. kelas: P: Proses languag
kkan Explainin 1x - mencari kata- Pengam e feature
hubunga g  Metode: 170” kata sulit atan -
n antara Interventi Diskusi aktivita Penggun
medis
posisi on to the kelompok dan s siswa aan
pasien patients blended selama gramma
- mahasiswa
dan about learning diskusi r
mobilita patients` membuat -
snya positionin  Media: kalimat baru - Tugas fluency
dengan g. LCD Projector dengan kata mahasis -
benar. 2. Giving dan Komputer medis wa kooperat
Instructio tersebut meresu if
n me - content
to
physical
motion
and gives
Substituti
on if
neccesarr

y
13 Mahasis Checking Bentuk: Kuliah TM : - Mahasiswa - - 7% Dhaniel
wa akan vital signs T:1 membaca Penilaia Penggun Prasetyo
mampu : Aktivitas di x 50” instruksi n aan . I M.Pd
tentang
kkan Explainin 1x Pengam e feature
komuni g Metode: 170” pemeriksaan atan -
kasi interventi Lecturing, vital sign aktivita Penggun
mengen on Discussion,Watc s siswa aan
ai about - Mahasiswa selama gramma
hing Video, bermain role
cara checking diskusi r
penguku vital sign Practice dan play dengan -
ran TTV of the blended learning menerapkan - Tugas fluency
kepada patiens. konsep mahasis -
pasien 2. Giving  Media: wa kooperat
LCD Projector pemeriksaan
dengan instructio bermain if
benar. ns to dan Komputer vital sign peran - content
the pasien
14 Mahasis Checking Bentuk: Kuliah TM : - Membaca dan - - 7% Dhaniel

wa akan vital signs T:1 memahami Penilaia Penggun Prasetyo
mampu : Aktivitas di x 50” teks n aan . I M.Pd
sederhana
kkan Explainin 1x Pengam e feature
komuni g Metode: 170” -
Mahasiswa atan -
kasi interventi Lecturing, aktivita Penggun
mengidentifi
mengen on Discussion,Watc s siswa aan
ai about kasi selama gramma
hing Video, informasi
cara checking diskusi r
penguku vital sign Practice dan detail dari -
ran TTV of the blended learning teks tersebut - Tugas fluency
kepada patiens. mahasis -
pasien 2. Giving  Media: wa kooperat
dengan instructio LCD Projector meresu if
benar. ns to dan Komputer me - content
the pasien informa
si yang
diberika
n
UJIAN AKHIR SEMESTER
Penilaian
1) UTS = 20%
2) UAS = 20%
3) Tugas = 30%
4) Presentasi/dialog/role play = 30%

UNIT 1
ESTABLISHING A RELATIONSHIP
Vocabulary
Case history
Mrs. Julia had a stroke (cerebrovascular accident) about 18 months ago. Her family looks
after her at home. Nurse from home care help her with a twice a day visit. She has come into
the care home while her family has a short holiday. The stroke has left Mrs. Julia with left‐
sided paralysis and poor balance. She doesn‟t have dysphasia. But because the left side of her
face is also paralysis, she also has slurred speech and dribbled saliva. She has a problem with
non‐verbal communication because her facial expression is affected.
Useful Expressions

ACTIVITY – TASK 1
Do this in pairs. Ask your partner more about her/his personal

information. Use this questionnaire. After asking your partner, take
turn to answer his/her question. Use the same.
ACTIVITY – TASK 2
Introducing yourself to a colleague

Fill in the blanks with suitable expressions, and then practice with your
partner
Nurse Mellissa : Hi, what‟s your name?
New Nurse : …………………………………………………………………………
Nurse Mellissa : I‟m Mellissa. I haven‟t see you before
New Nurse : …………………………………………………………………………
Nurse Mellissa : Where are you from?
New Nurse : …………………………………………………………………………
Nurse Mellissa : How long have you been in this country?
New Nurse : …………………………………………………………………………
Nurse Mellissa : How do you like this country?
New Nurse : …………………………………………………………………………
Nurse Mellissa : Nice to meet you.
New Nurse : …………………………………………………………………………

UNIT 2
NURSE’S DUTY IN WARDS
Vocabulary
Surrounded by Right Dead end Turn
In the middle of Left One way U‐turn
Directly opposite Intersection Straight ahead Corridor
On the right-hand side of Parallel to Roundabout Sidewalk
On the left-hand side of Corner Close to
Useful Expressions
Visitor/Patient: How to ask for direction
Could you tell me how to

get to .................................. ? Can you tell me where is?
I‟m looking for ........ How can i get there?
Excuse me, can you tell me the way to ......... , please?

Material : Showing the direction
1. The easiest / quickest way is..

2. Common verbs used
- right, left, down, up , through
- Turn right , left
- Road name
- Stay on + road name + distance or time
3. Use Transition Words
- After that, next, then …
Giving direction is one of competence that nurse and midwife must be posed.
Nursing intervention needs the direction, clearly, accurately, and relevance. For
example:
1. You’d better sit down, madam
2. After that, you need to do the pre admission test.
3. Before the test you must be fasting
4. When you get the results, please come back here.
5. The laboratory is down the hallway.
Practice the dialogue
(1) In the laboratory
P: Good morning, I’m Rini. This is the note from the registration office
N: Thank you Mister…

P: Rini… Rini Dahlan
N: Mr Dahlan… Right. Now, Mr. Dahlan… you take this (note)
to the gentleman in that room
P: I see
N: You will have a urine test. When it’s done, you’ll go to the
lady in the opposite room.
P: Alright. What did I do there?
N: She will do the blood test
P: Thank you
N: you’re Welcome / anytime/ do not mention it

ACTIVITY – TASK 1
Refer to the site map above. Make a communication exchange to show the direction.
The starting points are as follows.
1. The security to maternity unit

2. The nurse station in ICU to the canteen
3. The security to the toilet (between dispensary and radiology)
4. The emergency room to the lift
5. The polyclinic to the pediatric ward (on the 2nd floor)
6. The waiting room to the children playground (on the 2nd floor)
7. The operation room to ICU (opposite the physiotherapy unit)
8. The entrance to the Class 1
9. The nurse station (near the lift on 2nd floor) to the laboratory
10. The emergency room to admission

UNIT 3
Telling Time, date and doctor’s schedule
Asking or clarification doctors’ schedule is one of the patient administration to make

consultation. The following materials are for making or asking time, date and doctors’
schedule.
It’s five to two. (It’s on fifty-five Pukul dua kurang lima)

It’s two o’clock Pukul dua
It’s two o’clock sharp Pukul dua tepat
It’s exactly two o’clock
It’s one o’clock in the morning It’s one a.m.

It’s nine o’clock in the morning It’s nine a.m.
It’s twelve noon/midday
It’s three o’clock in the afternoon It’s three p.m.
Translate into English.

Pukul satu pagi
Pukul sembilan pagi
Pukul duabelas siang (tengah hari)
Pukul tiga siang
It’s six o’clock in the evening It’s six p.m.

It’s eleven o’clock at night It’s eleven p.m.
It’s twelve o’clock midnight
*a.m. = ante merediem (Latin), before moon-sebelum
jam 12 siang
p.m. = ante merediem (Latin), after noon - sesudah jam
12 siang
Translate into English.

Pukul enam petang
Pukul sebelas malam
Pukul duabelas malam (tengah malam)

 VOCABULARY
Questions Words.
When ? Kapan ?
Yesterday Kemarin
Today Hari ini
Tomorrow besok
The day before yesterday Kemarin dulu
The day after tomorrow Besok lusa
A moment ago Baru saja
In a moment Sebentar lagi
In a little while Sebentar lagi
A long time ago Sudah lama yang lalu
Not a long ago Belum lama yang lalu
Recently, lately Baru-baru ini
A little while ago, a moment ago Tadi, baru saja
This morning Pagi ini
Yesterday morning Kemarin pagi
Tomorrow morning Besok pagi
This afternoon Siang ini
Yesterday afternoon Kemarin siang
Tomorrow afternoon Besok siang
This evening Sore ini
Yesterday evening Kemarin sore
Tomorrow evening Besok sore
Tonight Malam ini
Last night Kemarin malam
Tomorrow night Besok malam
This week, this month, this year Minggu ini, bulan ini, tahun ini
A week ago last Friday Satu minggu yang lalu pada hari jum’at
A week form Friday Seminggu dari hari Jum’at akan datang
At the end of the month Pada akhir bulan
Every day Setiap hari
All day Sepanjang hari
All night Sepanjang malam
Overnight (to stay overnight) Waktu satu malam (bermalam)
During the day, during the night Selama siang hari, selama malam hari
Usually Biasanya
Generally Umumnya
Seldom, rarely Jarang, jarang sekali
Often, frequently Sering
Always Senantiasa, selalu
Never Tidak pernah

The days of the week Hari-hari
Sunday Minggu
Monday Senin
Tuesday Selasa
Wednesday Rabu
Thursday Kamis
Friday Jum’at
Saturday Sabtu
The months of the year Bulan-bulan

January Januari
February Pebruari
March Maret
April April
May Mei
June Juni
July Juli
August Agustus
September September
October Oktober
November Nopember
December Desember
Dates Tanggal
When were you born? Kapan anda dilahirkan?
I was born on May the second*, nineteen fifty eight Saya dilahirkan tanggal 2 Mei 1958
My birthday is May the second Ulang tahun saya tanggal 2 Mei

*Tanggal May 2, 1958 dapat dibaca:
May the second atau the second of May. Juli 27:
July the twenty-seventh atau the twenty-seventh of July
1. He was born on Friday, July the twenty seventh, nineteen fifty six
Dia dilahirkan pada hari Jum’at, 27 Juli 1956
2. Indonesia’s Independence Day is August the seventeenth
Hari kemerdekaan Indonesia jatuh pada tanggal 17 Agustus
3. Indonesia declared its independence on Indonesia August the seventeen, nineteen
fortyfive kemerdekaannya pada tanggal 17 Agustus 1945

4. America was discovered in fourteen ninety-two
America ditemukan pada tahun 1492
5. We have been working here for six years
Kita sudah enam tahun bekerja disini
Marriage, pass away

To be born Dilahirkan
I was born in 1920 Saya dilahirkan pada tahun 1920
He was born in 1962 Dia dilahirkan pada tahun 1962
When were you born? Kapan anda dilahirkan?
What is the date of your birth? Tanggal berapa tanggal lahir anda?
They were born in Kalimantan Mereka dilahirkan di Kalimantan
Is she married? Yes, She is Apakah dia sudah menikah? Ya, sudah
Is he married? Apakah dia sudah menikah
No, he is still a bachelor Belum, dia masih bujanganHe was married in
1950 He got married in 1950 Dia menikah tahun 1950 They were
He didn’t marry until he was forty Dia baru menikah pada umur empatpuluh tahun
She married a Frenchman Dia menikah dengan seorang Perancis
We are going to their wedding. Kami mau ke perkawinan mereka
Age
How old are you? Berapa umur anda?
I’m twenty-seven Umur saya duapuluh tujuh
I’m twenty-seven years old Umur saya duapuluh tujuh tahun
He is twenty-seven years of age Umurnya duapuluh tujuh tahun.
They are the same age Umurnya sama
a bachelor – bujangan
FIANCE – tunangan pria
FIANCEE – tunangan wanita
a widow – janda
a widower – duda
a divorce, adivorce man – pria yang bercerai, duda
a divorcee, divorced women – wanita yang bercerai, janda
To die Meninggal
To be dead Mati (keadan)

Attention:
1) Jangan mengatakan he was dead.
Seharusnya: He is dead atau He died.
(mati, telah meninggal)
atau lebih halus: He passed away
2) He was buried yesterday. (dikubur)
We went to the funeral. (pemakaman)
EXERCISE 1
Sekarang cobalah jawab pertanyaan -pertanyaan di bawah ini:

1. When is your birthday?
2. When is the date of your birthday?
3. When is your mother’ birthday?
4. What’s today’s date?
5. What’s tomorrow’s date?
6. What day was it yesterday?
7. What date was it yesterday? / What was yesterday’s date?
8. This year is Jakarta’s __________ anniversary.
Dan terjemahkanlah kalimat-kalimat ini:

1. Mereka akan menikah tahun depan.
2. Tuan A meninggal dunia kemarin.
3. Saudara saya belum menikah. Masih bujangan.
4. Mereka bertunangan dan akan menikah bulan Juni yang akan datang.
5. Besok adalah hari ulang tahun pernikahan kami yang kedua
EXERCISE 2
Making a telephone call

For example:
1. I’m calling to find out…
2. I’m calling to enquire about the problems you have
3. The reason I’m calling is…
4. I’m calling about…
5. I’d like to ask if…
6. I was wondering if you could tell me
7. I’d like to talk to somebody from th e Finance Department, please

EXERCISE 3
Practice the dialogue:

(1) Asking information
N: Hello…It’s Ira from Ward C ( seperti IRNA C/ B)
S: What can I do for you, Ira?
N: I need details about diet recommendation for Mrs. Supiyah, please.
S: Sure…I’ll go and check for you.
N: Thanks…..(wait)
S : Are you there, Ira ?
N: I’m listening.
S : I’m afraid it is Nil by Mouth this morning
Then she can start the regular diet at lunch time
N: Thank you very much
S : Welcome
Order the following sentences telephone

For example:
1. Dr. Soetomo Hospital, Ira speaking.
2. Nurse Ira’s surgery, may I help you?
3. Could you hold on second
4. May I ask who is calling, please?
5. Could you call again later?
6. Thank you for calling.
7. Sorry, Doctor Joni is not in at the moment.
8. Can I take a message?
9. Yes, ma’am, what can I do to help
10. Maternity ward, may I help you?
Practice the dialogue

(1) To help patient who needs informationN: Good morning
Dr Soetomo Hospital, Can I help you?
P: Good morning
I have an enquiry about the bill, please
N: I see
I think you need to refer you to somebody else
P: Thank you
N: And... May I know your name, Sir?
P: Joni… Joni Wijaya
N: And your phone number please, Sir?
P: 383976
N: Very well, Sir Somebody will give you a call/ ring very soon.
P: Thank you. Bye

N: Bye, Sir

UNIT 4
PART OF BODY DAN HEALTH PROBLEM
Vocabulary
 Bruising (bruise) an injury which makes a mark on the skin (blue or

black) but does not break the skin.
 Rash red spots on the skin. A sign of certain illness such as measles.
 Swelling a part of the body which has become enlarged by disease or
injury e.g. a sprained ankle. The adjective is swollen. Swollen glands are
a sign of mumps.
 Nausea feeling sick or wanting to vomit. The adjective is nauseated.
 Insomnia inability to sleep
 Ache an ache is a kind of pain. The term ache cannot be used for a pain
in every part of the body, but only some, e.g. backache, earache,
stomachache, toothache, headache.
 Irregular pulse or respiration the pulse or respiration rate varies from
fast to slow.
 Dizziness vertigo; the feeling that everything is turning around you, and
that you will lose your balance.
 Haematemesis blood in the vomit
 Pallor lack of color in the skin. The adjective is pale or pallid
 Diarrhea frequent loose stools, passed through the bowels
 Jaundice the skin and eyes of a patient with jaundice look yellow
 Dyspnoea difficulty in breathing
 Constipation (constipated) when a patient cannot open his bowels, or
only with difficulty, he has constipation or he is constipated
 Cyanosis blue skin caused by insufficient oxygen in the blood. The
adjective is cyanosed
 Anorexia lack of appetite
 Laceration a cut with broken edges. The adjective is lacerated
 Abrasion rubbed or torn skin
 Inflammation a red, hot, swollen, painful place on the skin. The
adjective is inflamed
 Shallow pulse or respiration a light, faint pulse
 Respiration breathing
 Rapid quick
 Oedema swelling caused by excessive fluid in the tissues

Description of “ache, pain, hurt, injured, throb and itch”
ache (v): merasa sakit yang tidak terlalu, tetapi berlangsung terus menerus
Examples:
• I‟m aching all over
• Her eyes ache from lack of sleep
ache (n): rasa sakit
Examples:
• Mom, I‟ve got a tummy ache
• Muscular aches and pains can be soothed by a relaxing massage
• Bellyache/stomachache: sakit perut
Pain (n): suatu rasa yang dialami tubuh akibat suatu

penyakit atau luka atau tindakan tertentu
Examples:
• She was clearly in a lot of pain
• He felt a sharp pain in his knee

• Patients suffering from acute pain
• The booklet contains information on pain relief during labor
• This cream should help to relieve the pain
painful (adj): terasa sakit
Examples:
• Is your back still painful?
• My ankle is still too painful to walk on
hurt (v): menyebabkan terasa sakit secara fisik, terluka

Examples:
• He hurt his back playing squash
• Did you hurt yourself?
• My back is really hurting me today
• Strong light hurts my eyes
Injured (adj): melukai, luka, menyebabkan luka
Examples:
• He injured his knee when playing hockey
• She injured herself during training
throb (v): terasa sakit berdenyut‐denyut
Examples:
• His head throbbed painfully
• My feet were throbbing after the long walk home

throb (n): sakit yang berdenyut
Examples:
• My headache faded to a dull throbbing
sore (adj): sakit, perih (bias karena infeksi atau gerakan yang berlebihan)
Examples:
• I have a sore throat
• His feet were sore after the long walk
• My stomach is still sore after the operation
Itch (v): gatal
Examples:
• I itch all over
• Does the rash itch?
• This sweater really itches
Useful expression
Would/Can you show me/point at the

location of your pain? Show me where the
location of your pain is?
Where is the pain?
Is it (your pain) in your +
(part of the body)? Do
you feel pain in your +
(part of the body)?
UNDERSTANDING SIGNS AND SYMPTOMS (Adapted from Kerr & Smith, 1982)
A sign of disease is something that a nurse can see or feel for herself ( nurse can observe it)
A symptom of disease is something that only the patient knows about (The patient tells the
nurses about it).
 Here are some common signs:

Bruising; rash; swelling; weight loss
 Some common symptoms are:
Nausea, insomnia, all kinds of pain.
Now look at these common complaints: some are signs and some are symptoms..
Irregular pulse, dull pain, stomachache, dizziness, hematemesis,
hunger, pallor, diarrhea, jaundice, thirst, dyspnea, constipation
 headache, cyanosis, anorexia, laceration, abrasion, inflammation,

EXERCISE 1
a) The technical term for difficulty in breathing is……….

b) The technical term for fluid in the tissues is……….
c) Blue lips or nails are a sign of……….
d) A patient whose face looks yellow has……….
e) The technical term for a cut is a……….
f) A pulse which is not regular is……….
g) The technical term for blood in the vomit is……….
h) A pulse which is difficult to feel is………
EXERCISE 2
Translate into communicative English using the words given below

1. (pain) Saya merasakan sakit sekali di lutut saya
2. (hurt) Pergelangan kaki saya nyeri
3. (throb) Kepala saya pusing berdenyut‐denyut
4. (itch) Punggung saya terasa gatal
5. (injured) Jari tangan saya terluka
6. (sore) Tenggorokan saya sakit
7. (hurt) Sinar yang sangat terang akan menyakitkan mata
8. (ache) Kaki saya sakit karena terlalu banyak berlari
9. (pain) Saya merasa sakit disini
10. (painful) Punggung saya terasa sakit sekali

ACTIVITY – TASK 3
Make a conversation between a nurse and a patient

UNIT 5
ASKING-REPORTING HEALTH PROBLEM & DIAGNOSING
Vocabulary
Break Waterworks In a bad shape Dribble
Bother Constipation Not in any shape Clammy
Bowel movement Lassitude Bloated
Useful expression
Nurse‟s questions to check the patient‟s complaint/condition
Patient‟s expressions about symptoms and physical problem

Nurse‟s report/diagnose/how to report about patient‟s condition/complaint
UNDERSTANDING LOCATION to be located / situated: terletak di
at the top of: dibagian paling atas

at the bottom: di bagian paling bawah
at the sides of: disamping
between: antara
Among : diantara banyak
above: diatas
below: dibawah
Complete these sentences:

a) The thorax is situated ………….. the neck and the abdomen
b) The sternum is located ………. the heart
c) The ribs are situated ……. the thorax
d) The clavicles are …….. the sternum
e) The diaphragm is located ……. the ribs and sternum
ACTIVITY – TASK 1
Case.
A patient suspected with a gastric peptic ulcer. The symptoms are burning
and gnawing felt in the upper part of the abdomen. The pain confines in the
lower chest. The pains come and go.

Make a conversation between a nurse and a patient
Conversation 1
Conversation 2
DIAGNOSING
UNDERSTANDING OF CAUSE AND EFFECT
1. Look at this table. It shows what happens when a splinter gets into your
finger and causes local inflammation:
Cause Sign or symptom

A lack of fluid in the body
The pressure of fluid on Dry mucus membrane
nerve endings pain
The body’s attempt to Loss of function
keep the finger still
Look at this example:

Why do you notice redness when a splinter gets into your finger?
Because redness is caused by an increase in circulation. Or because an
increase in circulation redness.
2. Write six sentences from this table describing the causes of the
symptoms and signs:
Anxiety coughing.
A lack of oxygen in weakness.
result in
the blood vomiting.
Loss of appetite anemia.
An eye disturbance
Insufficient food
Irritation of the
respiratory
cyanosis
loss of
tract appetite.
cause
An obstruction of the may can fatigue.
lead to
alimentary tract headache
loss of
weight.
KEY POINTS IN NURSING DIAGNOSIS

A Prioritized list of nursing diagnosis is on the plan of care. Each nursing diagnosis describes an
actual or risk client health problem that independent nursing intervention can prevent or resolve.
Each nursing diagnosis: Is derived from an accurate and validated interpretation of cluster of
significant client data or “cues” contains a precise problem statement describing what is
unhealthy about the client and what needs to change – suggests client goals. Identifies factors
contributing to the problem (etiology) – these suggest nursing interventions. Uses nonjudgmental
language and is written using legally advisable terms. Old nursing diagnoses are deleted from the
plan of care once resolved and new diagnosis is added as soon identified.

UNIT 6
Questioning to fill in pain assessment form
CASES STUDY
1. PAEDIATRIC
Mrs. King brings 2,5 years-old Billy to the pediatrician’s office because he has “been irritable
and feverish since last night”. Further history reveals that Billy also had a runny nose and cough
for two days, and that his appetite and fluid intake have decreased since the fever started. Billy is
otherwise healthy, this is the first episodic illness. His physical examination reveals slight,
irritable, 2,5 years-old girl, pulling at ears, temperature of 102 F, nasal congestion with clear
discharge, tympanic membranes red and bulging bilaterally, pharynx slightly red without
exudates. Chest clear, abdomen soft without hepatosplenomegali (HSM) and no meningeal signs.
The Pediatrician diagnoses an upper respiratory infection (URI) and bilateral otitis media (BOM)
and order amoxicillin 250 mg t.d.s for 10 days. You the office nurse are to perform the parent
teaching for Billy’s home care. During your discussion with Mrs. King she tells you that she is
concerned that Billy is jealous of his new baby sister because he has occasional tantrums when
she holds the baby. She is concerned about Billy’s development because he recently started to
refuse using the potty, a skill that is newly acquired Mrs. King is very attentive to both new baby
and Billy throughout the interview, and she asks you for suggestions in how to help Billy cope to
the new arrival. While doing so, she points out that her husband has been extra attentive to Billy
since his sister was born.
2. MEDICAL SURGICAL
Mrs. Jody 78 years old, has history of insulin -dependent diabetes (IDDM). When you weigh her
during your weekly home visit, you note that she weighs 98 pounds. Which is 12 pounds less
then she weighed at your last visit. You try to weigh her at the same time of day each week-0930.
She usually has breakfast at 0630 and takes her morning NPH insulin, 40 units at 0730. Today
she tells you that she has been urinating “a lot” and that she feels like she has had the flu for
about three days, with nay sea and “just a little vomiting”. She says she has not been eating well
but ads, “I’m keeping my blood sugar up by drinking orange juice.” On assessment, you note that
she has soft, sunken eyeball and her tongue is dry and furrowed. Her blood pressure is 104/86
(usual is 150/88), her pulse is 92 and respiration are 22. The temperature is 99.4 F. Her finger
stick blood glucose (FSBG) is 468 mg/dl (usual is 250 – 300). Mrs. Jody refuses to check her
finger stick blood glucose herself. When asked what she did not call the nurse or the doctor when
she became ill, she stated, “I didn’t think it was that serious- “I didn’t have a high temperature”
3. MATERNITY
Mrs. Erny is a 28-year-old woman, gravid 3, Para 2, who presents to the clinic today for her
initial prenatal examination. She state that her last menstrual period (LMP) is 9/15/98. She has
not received prenatal care before today because lack of transportation. However, she does
verbalize the importance of early prenatal care to ensure the well -being of her newborn. She
states that things have gone well so far. She eats fast food and drink soda frequently. She lives
with her husband and two sons in a two -bedroom trailer on land owned by her in-law, who are
very supportive. Her husband works full time at a fast-food chain store. He is looking for another
job that pay more money. She states that it is hard to make financial ends meet at time. She
stayed home with the children. The past medical history is unremarkable except for the two
pregnancies, which were both term gestation, delivered vaginally. During the last pregnancy, she
was diagnosed pregnancy -induced hypertension and gestational diabetes and was induced at 38

week’s gestation. She states that she gained 60 pounds and that her son weighed 9 pounds 2
ounces.
4. FAMILY
The Corn family has returned to the clinic for help with dealing with Dan’s recent diagnosis and
treatment for type I diabetes mellitus. Dan is a 17 - years-old senior high school who is not
following the diet -exercise-insulin protocol prescribed for the diabetes diagnosis 4 month ago.
The physician refers the Corn family to the nurse to help the family discuss how to address the
identified problem of Dan’s refusal to follow the protocol. Because the diet and foot preparation
affect the whole family, Sister Jenny attends the family session as well.
Nursing Notes
Inspection, palpation, percussion and auscultation are examination techniques that
enable the nurse to collect a broad range of physical data about patients.
1. Inspection
The process of observation, a visual examination of the patient’s
body parts to detect normal characteristic or significant physical
signs
2. Palpation
Involves the use of the sense of touch. Giving gentle pressure or
deep pressure using your hand is the main activity of palpation
3. Percussion
Involves tapping the body with fingertips to evaluate the size,
borders, and consistency of body organs and discover fluids in
body cavities.
4. Auscultation
Listening to sounds produced by the body
Task 1
Mention what activity you do for each case listed below.
No Activity Technique
1 Examining patient’s respiratory
2 Inspecting the mouth and throat
3 Asking patient to stand up to find whether there is
scoliosis or
Not

4 Pressing her middle finger of non‐dominant hand firmly
against the patient’s back. With palm and fingers
remaining off the skin, the tip of the middle finger of the
dominant hand strikes
the other, using quick, sharp stroke
5 Observing the color of the eyes
6 Observing the movement of air through the lungs
7 Testing deep tendon reflexes using hammer
8 Checking the tender areas with her hand
9 Pressing abdomen deeply to check the condition of underlying
Organ
10 Preparing a good lighting, then he observes the body parts
Task 2. What kind of examination technique?

Useful Expressions
Implementation step
cheeks
Instruction
hairpieces

Task 3. Whole class and pair work
 Practice these instructions
 Listen to teacher’s instruction and act them out
 Then, practice these in pairs
1. Raise your eyebrows

2. Close your eyes tightly
3. Frown
4. Smile
5. Puff your cheeks
6. Shrug your shoulder
7. Flex your neck with chin toward
8. Bend your neck, with ear toward shoulder
9. Take a sip of water from this glass
Task 4. Pair work

o Make a complete conversation on acts of assessing head, face and neck
o Use the expression above

UNIT 7
ADMISSION TO HOSPITAL
If you plan to go into hospital, it usually involves a doctor or specialist giving you
a referral. Urgent (‘unplanned’) admission to hospital involves a sudden health issue that
needs you to go to an emergency department or call an ambulance. When you get to a public
hospital, you will be asked whether you would like to be a public patient or a private
patient. Ask your doctor about your options so you can make the right choices.
How you are admitted into hospital will vary depending on whether your visit is planned or
unplanned.
Planned admission
If your hospital admission is planned, how you are admitted depends on whether you are
going to a public or private hospital, what kind of treatment you are receiving and how
urgent your treatment is.
Before going into hospital, your doctor will usually give you a referral to see a specialist,
and you will need to contact the specialist clinic and make an appointment. The specialist
will assess you and may send you for further tests to assess your health issue, before
deciding what kind of treatment you require and whether you need to go into hospital for
treatment or surgery. At this stage, you will also be told how long you will have to wait for
treatment.
In public hospitals, your waiting time for elective surgery depends on how urgent your
condition is, which is determined by the specialist who admits you to hospital. In a public
hospital, you may not be able to choose your treating specialist.
In private hospitals, you will generally not have to wait as long for treatment and you can
choose who your doctor is, but there are costs for this type of treatment.
Sometimes, even if you plan to go into a private hospital, the best place for your treatment
may actually be in a public hospital. This is because the public hospital may have the best
equipment, facilities and specialists for a particular health problem or treatment.
Once in hospital, you will stay in a hospital ward. How long you stay in hospital will depend
on the treatment you need. For minor procedures, you may only need to stay for a day, but
for ongoing treatment or major surgery, you will need to stay for longer.
Unplanned (urgent) admission

You may arrive at hospital in your own transport or in an ambulance. This is known as an
‘unplanned presentation’.
If your condition is unexpected and you need urgent treatment, you will be admitted
through the emergency department on arrival at hospital – this is done through a process
known as ‘triage’
A specialist emergency nurse, called the triage nurse, will assess your condition, provide
first aid and work out how quickly you need treatment.
You may be asked to wait in the waiting room. How long you have to wait depends on how
busy the emergency department is at the time and whether there are other patients with
more serious and urgent conditions than you.
Choosing to be a public or private patient

You may choose to be a public or private patient when you go into hospital.
If you are a public patient in a public hospital, there will be no cost for hospital or medical
services. If you are a private patient in a public hospital, you or your health insurance
company will have to pay for some services. Your health service should explain any costs
involved in your care.
Questions to ask before starting hospital treatment

It is important to ask your doctor the right questions about your medical treatment so you
can make informed choices when the time comes to go into hospital.
When you are talking with your doctor, be sure to ask:

 Can I choose my specialist and if so, who will it be?
 Which hospital am I going to?
 How long am I likely to be there?
 What are my treatment options and the benefits and risks of each option?
 What are the likely consequences of not having treatment?
 How long am I likely to have to wait for my treatment?

UNIT 8
CHECKING RANGE OF MOTION
 Definition of Range of Motion
Range of Motion is the measurement of movement around a specific joint or body part. Let's say
a soccer player named Jane has torn a ligament in her knee and is working with a physical
therapist to try and regain her range of motion. Initially, she was rather limited in her movement,
but since performing the stretching exercises regularly, the therapist has confirmed that her range
of motion has been getting closer to her pre-injury level of functioning.
 Types of Range of Motion
There are three primary types of exercises specific to range of motion. Passive range of motion
is typically practiced on a joint that is inactive. The physical therapist may use this exercise on a
client who is paralyzed or unable to mobilize a specific joint. This type of exercise can help
prevent stiffness from occurring. During this exercise the patient does not perform any
movement, while the therapist stretches the patient's soft tissues.
Active-assistive range of motion exercises are more progressive, intended for the client to
perform movement around the joint with some manual assistance from the physical therapist or
from a strap or band. These exercises can often feel painful, and the muscles can feel weak.
Increasing range of motion with these exercises should be a gradual advancement.
Active range of motion exercises are highly independent, performed solely by the client. The
physical therapist's role may be simply to provide verbal cues.
Key facts about the movements in the human body

Flexion Bending
Extension Straightening
Abduction Moving away from the reference axis
Adduction Bringing closer to the reference axis
Protrusion Forward
Retrusion Backward
Elevation Superiorly to the reference axis
Depression Inferiorly to the reference axis
Lateral
Rotation away from the midline
rotation
Medial
Rotation toward the midline
rotation
Medial rotation of the radius, resulting in the palm of the hand facing posteriorly
Pronation
(if in anatomical position) or inferiorly (if elbow is flexed)
Supination Lateral rotation of the radius, resulting in the palm of the hand facing anteriorly

(if in anatomical position) or superiorly (if elbow is flexed)
Circumduction Combination of: flexion, abduction, extension, adduction
Deviation Ulnar and radial abduction of the wrist
Opposition Bringing the thumb in contact to a finger
Reposition Separating the thumb from the digits
Inversion Plantar side toward the medial plane
Eversion Plantar side away from the medial plane
What is a movement?
Without going into complicated physics explanations and equations, movement involves an
entity moving from point A to point B. The movement is carried out around a fixed axis or
fulcrum and has a direction.
1. Flexion/extension
The opposing movements of flexion and extension take place in sagittal directions around
transverse axes. Flexion, or bending, involves decreasing the angle between the two entities
taking part in the movement (bones or body parts).
 Direction: During flexion, the head and neck move anteriorly and downwards (in full
flexion). Essentially, you are looking down. During extension, it moves posteriorly and
slightly downwards.
2. Abduction/adduction
The movements of abduction and adduction are intimately related to the median plane. They both
generally occur in the frontal plane and are happening around an anteroposterior axis.
 Direction: During abduction, you are moving your arm/leg away from the median plane.
During adduction, you are moving them towards the median plane. To picture these
movements, imagine a child jumping and flailing his/her arms very excitedly in order to
grab your attention.
3. Lateral/medial rotation
Rotation happens in the transverse plane around a superoinferior (longitudinal) axis that happens
relative to the median plane. Medial rotation involves bringing the anatomical structure closer to
the median plane, while lateral rotation involves moving it further away.
 Direction: These two movements happen by changing the position the nose is pointing to.
Turning your head laterally corresponds to lateral rotation, while turning it back to look
straight ahead corresponds to medial rotation.

4. Deviation
Deviation is a special type of movement that is restricted to the wrist joint. The movement
happens in a longitudinal plane through the wrist relative to an axis passing from palmar to dorsal
through the wrist. It occurs as follows:
 Direction: Radial deviation involves the movement of the wrist towards the “thumb
side”. Ulnar deviation consists of the moving the wrist towards the side of the little finger
(fifth digit). As the angle between the hand and the forearm are reduced, deviation can be
referred to as radial/ulnar flexion.
5. Pronation/supination
Strictly speaking, pronation and supination are considered as two special types of rotation. They
are restricted to the forearm and involve the radius twisting over the ulna
 Direction: Supination is a lateral rotation of the radius, resulting in the palm of the hand
facing anteriorly (if in anatomical position) or superiorly (if elbow is flexed). In contrast,
pronation is a medial rotation of the radius, with the palm ending in opposite directions
compared to supination. You are supinating and pronating when you hold a bowl of soup
and when you empty it, respectively.
EXERCISE 1.
1. Make a group and practice with your partner about body movements based on explanation
above!
2. Mention the the meaing and function each part of body that you practice!

UNIT 9
CHECKING VITAL SIGN
Vocabulary
Pulse rate
Rhythm or regularity
Tension
Beats per minute
Patient’s chart
Normal pulse rhythm
Bradycardia
Tachycardia
Bounding
Thread/weak
Medical Terms Colloquial expression

Dyspnea Breathlessness, out of breath, short of
breath, fighting for breath
Expectorate To bring up/cough up phlegm/spit
Expiration Breathing out
Inspiration Breathing in
Respiration Breathing
Sputum Phlegm
Useful Expression
Task 1. Explaining the procedure

Task 2. Giving instructions and expressions during the implementation
Task 3. Nurse response
*) change the following verb into V‐ing from
Task 4. Pair Work

 The illustration below show the implementation of checking vital signs
 Choose one picture then, make a conversation exchange and give
appropriate instructions when you want to check patient’s vital signs
according to the illustration
 Take only one kind implementation of vital signs checking

REFERENSI
Bosher, SD. 2008. English for Nursing, Academic Skills (Michigan Series in English for
Academic & Professional Purposes). Michigan: USA
Hull, Melodie. 2010. Medical English Clear & Simple: A Practice‐Based Approach to
English for ESL Healthcare Professionals.
Greenan and Grice. 2009. Oxford English for Careers: Nursing 2: Nursing 2: Student's
Book. Oxford University Press, USA
Hogue, Ann. 1996. First Step in Academic Writing. New York: Addison‐Wesley
Publishing Company.
Magnall and Arakelian. 2006. Hospital English: Brilliant Learning Workbook for
International Nurses
Meehan and Grice. 2009. Oxford English for Careers: Nursing 1: Student's Book. Oxford
University Press, USA
Oxford University Press. 2000. Oxford Learners Pocket Dictionary. UK

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ENGLISH FOR NURSING (STIKES NGUDIA HUSADA MADURA) Page 1

Alhamdulillahirobbil alamiin, segala puji hanya milik Alloh SWT, karen

1. Ketua Yayasan Ngudia Husada Madura yang telah memberikan kesempatan

Bangkalan, Oktober 2020

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2. TUJUAN PEMBELAJARAN (LEARNING OUTCOME) :

3. POKOK BAHASAN DAN SUB POKOK BAHASAN

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Sub- Bentuk dan Penilaian

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ENGLISH FOR NURSING (STIKES NGUDIA HUSADA MADURA) Page 9

14 Mahasis Checking Bentuk: Kuliah TM : - Membaca dan - - 7% Dhaniel

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Do this in pairs. Ask your partner more about her/his personal

Introducing yourself to a colleague

Nurse Mellissa : Hi, what‟s your name?

New Nurse : …………………………………………………………………………

Nurse Mellissa : I‟m Mellissa. I haven‟t see you before

New Nurse : …………………………………………………………………………

Nurse Mellissa : Where are you from?

New Nurse : …………………………………………………………………………

Nurse Mellissa : How long have you been in this country?

New Nurse : …………………………………………………………………………

Nurse Mellissa : How do you like this country?

New Nurse : …………………………………………………………………………

Nurse Mellissa : Nice to meet you.

New Nurse : …………………………………………………………………………

ENGLISH FOR NURSING (STIKES NGUDIA HUSADA MADURA) Page 12

Surrounded by Right Dead end Turn

In the middle of Left One way U‐turn

Directly opposite Intersection Straight ahead Corridor

On the right-hand side of Parallel to Roundabout Sidewalk

On the left-hand side of Corner Close to

Visitor/Patient: How to ask for direction

Could you tell me how to

I‟m looking for ........ How can i get there?

Excuse me, can you tell me the way to ......... , please?

ENGLISH FOR NURSING (STIKES NGUDIA HUSADA MADURA) Page 14

1. The easiest / quickest way is..

1. You’d better sit down, madam

2. After that, you need to do the pre admission test.

3. Before the test you must be fasting

4. When you get the results, please come back here.

5. The laboratory is down the hallway.

Practice the dialogue

(1) In the laboratory

N: Thank you Mister…

ENGLISH FOR NURSING (STIKES NGUDIA HUSADA MADURA) Page 15

1. The security to maternity unit

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Asking or clarification doctors’ schedule is one of the patient administration to make

It’s five to two. (It’s on fifty-five Pukul dua kurang lima)

It’s one o’clock in the morning It’s one a.m.

Translate into English.

It’s six o’clock in the evening It’s six p.m.

Translate into English.

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The months of the year Bulan-bulan