CELBAN.vancouver.april2016

 CELBAN  (Vancouver  April  2016)     SPEAKING   Part  1:  Introduction   1. Can  you  tell  me  your  full  name?   2. Where  did  you  come  from?   3. How  long  you’ve  been  here  in  Canada?   4. How  do  you  like  it  here?   5. Can  you  tell  me  something  about  your   nursing  education?     Part  2:  ROLE  PLAY   *Case:  Patient  is  having  difficulty  of  sleeping  for  3-­‐ 4  months.     *Discharge  instructions  for  FOOT  WOUND  CARE.   1. Always  keep  the  wound  dry  and  clean.   *Patient  might  ask  about  taking  a  bath.   *My  answer:  You  can  take  a  bath  but  make   sure  that  you  dry  the  wound  after  you  bath   because  wet  or  damp  environment  will   harbor  bacteria  that  might  cause  infection.     2. Watch  for  signs  of  infection  such  as   swelling,  redness,  pain,  pus,  odor,  and   fever.   *Patient  will  ask  about  fever.  “Do  I  really   need  to  watch  for  fever?  What  if  I  got   fever?”   *My  answer:  Yes,  you  have  to  watch  out  for   fever.  Did  the  doctor  give  you  medication   for  fever?   *P:  No.   *M:  Okay,  I  will  talk  to  your  doctor  and  I  will   ask  him  if  he  can  give  you  medication  since   you  are  concern  about  having  fever.     3. Keep  your  foot/leg  elevated  to  reduce   swelling.   *Patient  will  say  that  she  is  working.  If  it  is   okay  not  to  elevate  the  foot/leg   *My  answer:    What  is  your  job?  Do  you   work  in  an  office?   *P:  yes  I  work  in  an  office.   *M:  Okay,  what  you  can  do  is  you  can  put   something  under  your  table  like  a  chair  and   then  you  can  put  your  foot/leg  on  it.  If  you   can  do  that,  that  would  be  good.    

Part  3:  Opinion/Comparison   1. What  are  the  problems  nurses  in  the   Philippines  are  facing?     How  are  they  dealing  with  these  issues?   2. What  is  the  difference  between  the  job  of   doctors  and  nurses?   3. What  is  your  stand  with  drinking  and   driving?   What  solution  can  you  think  to  solve  this   problem?       LISTENING     Video  1:  A  Chinese  nurse  talking  to  a  girl  patient….   (I’m  really  sorry  but  I  didn’t  understand  a  thing.  She   was  like  eating  her  words  and  she  speaks  so  fast.  It   is  really  hard  to  understand.  Try  closing  your  eyes   and  listen  very  carefully.)   Questions:  I  can’t  really  remember  the  questions   (1-­‐8).   1. What  is  the  patient’s  initial  complain?  (this   is  the  only  question  that  I  remembered  and   I  can’t  remember  the  answer)     Video  2:  Old  woman  went  to  the  clinic  complaining   of  her  troubles  regarding  arthritis.  This  video  will   be  used  in  writing  in  filling  up  the  form.   Some  of  the  questions  (not  in  order)     *In  what  kind  of  weather  do  you  feel  the  pain?   Ans:  when  the  road  is  DAMP  and  HUMID.  (not  the   exact  words)     *What  are  her  existing  health  condition/problem?   Ans:  Angina,  Parkinson’s,  Arthritis     *Parkinson’s  –  diagnosed  10  years  ago     *Arthritis  –  20  years     *What  kind  of  exercise?   Ans:  Walking  the  dog  for  about  an  hour  3  x  a  week     *What  assistive  device  is  present  to  their  house?   Ans:  Railings  in  the  bathtub/bathroom     *Activity  that  needs  the  help  of  husband?   *Hobbies?      

Video  3:  Nurse  teaching  how  to  change  wound   dressing   Questions:  These  are  all  I  can  remember.     *What  did  the  nurse  suggest  to  use  in  cleaning  the   wound?   Ans:  Soap  and  water  (although  in  the  video  she   used  normal  saline)     *What  is  the  purpose  of  the  packagings?   Ans:  To  keep  things  sterile.     *What  is  the  nurse  going  to  do  to  the  next  visit?   Ans:  Teach  the  wife  how  to  clean  the  wound.      AUDIO:  can’t  remember  this  part.     WRITING     *Filling  up  forms  (point  form)  Video  from   listening.  Old  woman  with  arthritis.     Questions  from  the  form:   *Main  Concern  of  visit:  trouble  regarding  arthritis   *Name:  CARTY  (last  name.  the  patient  will  spell  it.)   *Age:  (I  forgot..  but  its  around  70)   Just  listen  carefully  and  you  will  get  the  answer   *Health  conditions:   -­‐Angina   -­‐Parkinson’s  –  diagnosed  10  years  ago   -­‐Arthritis  –  for  10  years   *Activities  that  needs  assistance  -­‐-­‐-­‐-­‐-­‐  What  kind  of   assistance  needed   -­‐Lifting  heavy  objects  -­‐-­‐-­‐-­‐   -­‐doing  house  work  -­‐-­‐-­‐-­‐-­‐-­‐   *the  form  is  asking  for  three  answers,  I  only  got   two  so  listen  carefully  specially  the  kind  of   assistance  needed  coz  I  didn’t  got  them  all.  haha   *Assistive  device:  railings  in  the   bathtub/bathroom   *Exercise:  walking  of  the  dog  –  1  hour  –  3  x  a  week   *Special  diet:  avoiding  high  fat  foods  –  with   previous  high  cholesterol   *Hobby:  listen  carefully.  I  can’t  remember  the   answer  but  its  either  baking  or  crafts.   *Social  group  –  NAME  OF  GROUP  was  given,  listen   for  “what  they  do”   *Smoking  &  Alcohol    

  Incident  Report   Who:  MR.  X  (in-­‐patient)  I  can’t  remember  the  name   of  the  patient)   What:  Fall  (no  witnesses)   When:  Date   Where:  inside  the  bathroom  (own  room)   Contributing  factors:  (given  but  can’t  remember)   Findings:  Cut/laceration   *Went  back  to  bed  with  assistance,  complaining  of   pain.   Procedure:  suture,  ice  pack,  x-­‐ray   VS:  (given  but  can’t  remember)   *I  can’t  remember  the  other  info.     *Write  an  incident  report  including  all  the   information  given.  Don’t  add  too  much  info  that  is   not  related  or  not  included  in  the  form.       READING   Part  4:  Reading  comprehension  –  fill  in  the  blanks.   Article  is  about  Rabies.  You  can  read  about  rabies   so  you  have  ideas  regarding  the  signs  and   symptoms,  incubation  period,  treatment,  etc.       Hope  this  will  help  in  anyway.  GOOD  LUCK  and   GOD  BLESS!  J