MODULE 4
Discussing Treatment
Making Recommendations
Learning Outcomes Assessment Plan
Module Description and Content Goals:
Given topics on depression and treatment explanation to patients; texts that are varied and of a specialized and medical
nature, which include information presented from dialogues and other sources (e.g. photographs, drawings, reference
text /research information), the participant will use English with 70 % accuracy to:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Identify and pronounce correctly vocabulary related to depression and its treatment. (Vocabulary)
Identify and use gerunds.(Grammar)
Identify and use phrasal verbs and adjectives followed by prepositions. (Grammar, Speaking)
Listen for main ideas and details. (Listening)
Identify and use expressions to give advice. (Vocabulary, Speaking and Writing)
Identify and use the modal verbs of advisability. (Grammar, Speaking, Writing)
Make recommendations about lifestyle changes. (Speaking, Writing)
Identify lay terms that are used for some common medical terms. (Vocabulary)
Identify and describe various depression treatments. (Reading)
Identify dysthymia, its signs, symptoms and treatments. (Reading)
Resources Required:



pen
paper
Listening recording for Assessment 4, Part 1
Instructions for Tutors:
Students should complete Module 4 (H4:1 through H4:6) before taking this assessment. The assessment activity should
be completed within 45 minutes.
For Part 1, play the recording twice.
Part 1 – Listen to the case history twice and fill in the gaps [10 pts.]:
PATIENT: KATHERINE CANDELLA
CHIEF COMPLAINT:
DOB
4/30/70
AGE: _______
SEX: FEMALE
________________________________________________________________________________
__________________________________________________________________________________________________
VITAL SIGNS:
T: 98.6 F
P: 72 bpm
R: 20
BP: 110/90
Ht: 5’6”
Wt: 130 lb
SUBJECTIVE:

c/o of sadness and decreased energy____________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________
OBJECTIVE: appeared _______________________________________________________________________________
spoke __________________________________________________________________________________
ASSESSMENT:
1. Asendin – __________________________________________________________________________________
2. ___________________________________________________________________________________________
3. ___________________________________________________________________________________________
Part 2 – Fill in the blanks with the words in the box [10 points]:
tremors
blurred vision
kill two birds with one stone
have a lot on your plate
perk up
side effects
in a better mood
attainable
to get rid of
magic cure
1. The newest type of antidepressants has generally fewer ____________________________ (1), but they may still
cause dizziness, ______________________________ (2) and _____________________________ (3).
2. There is no __________________________________ (4) for chronic migraines. A systematic, holistic approach is
recommended in order _________________________________ (5) them.
3. If you take this medicine, you will ___________________________________________________ (6) : it will help
you with your headaches and will relieve the symptoms of PMS.
4. If you exercise, your energy level will _____________________ (7) and you will be _____________________ (8).
5. You already ____________________________________ (9). Be realistic and set goals that are
__________________________(10).
Part 3 – Correct the errors. [10 pts]
1. I am not good in maintaining a healthy diet.
2. I tried to quit smoking several times but was unable to give up it.
3. I am suffering of migraines.
4. I can’t remember from the top of my head, but I think the name of the medicine I take is Elavil.
5. Doctor, are there any natural remedies for this condition? I don’t want to be dependent of drugs.
6. The medicine may cause blurry vision and drowsiness.
7. You had better to stay in bed and rest.
8. You ought to not skip meals. It is not good for your sugar level.
9. Why don’t you taking up a new hobby? It may take your mind off your problems.
10. How about go out for dinner once or twice a week instead of every day?
Part 4 - Advise a patient with high blood pressure about physical activity and lifestyle changes. Use the following
structures in your recommendations [10 pts; 1.25 each]:
1. Why don’t you _________________________________________________________________
2. You should ____________________________________________________________________
3. You had better__________________________________________________________________
4. You shouldn’t ___________________________________________________________________
5. How about _____________________________________________________________________
6. I recommend you ______________________________________________________________
7. One thing you could do is __________________________________________________________
8. Try ____________________________________________________________________________
Hints: increase physical activity; do moderate exercise; avoid heavy weight lifting; eat a low cholesterol diet; maintain
a healthy weight; eat less sodium and salt; stop smoking, take medication prescribed by your doctor; eat a diet rich in
fruit and vegetables; drink alcohol in moderation; monitor your blood pressure regularly.
Part 5 – Match the medical terms with the ordinary English words. [10 pts]
1. Polydipsia
______
excessive hunger
2. Diuretics
______
not due to cancer or infection
3. Dyspnea
_____
stroke
4. Patella
_____
water pills
5. Nocturia
______
excessive thirst
6. Hypoglycemia
______
difficult breathing
7. Myocardial infraction
_____
kneecap
8. Benign
____
heart attack
9. Polyphagia
_____
low blood sugar
10. Cerebrovascular accident
_____
excessive urination at night
MODULE 4 ASSESSMENT ANSWER KEY
Part 1 – Listen to the case history twice and fill in the gaps [10 pts.]:
PATIENT: KATHERINE CANDELLA
CHIEF COMPLAINT:
DOB
4/30/70
AGE: 38
SEX: FEMALE
persistent sadness, decreased energy, loss of interest, loss of appetite and difficulty concentrating
and remembering
VITAL SIGNS:
T: 98.6 F
P: 72 bpm
R: 20
BP: 110/90
Ht: 5’6”
Wt: 130 lb
SUBJECTIVE:

c/o of sadness and decreased energy

describes loss of interest in eating, social activities, sex and even talking with friends

finds herself crying for no apparent reason and doesn’t really enjoy doing much of anything

has lost 11 pounds for the last 2 months

has difficulty concentrating and can’t remember where she put anything
OBJECTIVE: appeared cheerless, distressed and distracted
spoke in a soft, low voice with little enthusiasm
ASSESSMENT:
1. Asendin – 25 mg, bid for 6 months.
2. Referral to a counselor.
3. A follow-up visit in 6 weeks.
Part 1 Script: A 38-year-old female, Katherine Rivera, presented complaining of sadness and decreased energy. She
describes loss of interest in eating, social activities, sex and even talking with friends. She states that she finds herself
crying for no apparent reason and doesn’t really enjoy doing much of anything. She can stay in bed for the whole day
and has lost 11 pounds for the last 2 months. She has difficulty concentrating and can’t remember where she put
anything. She has never felt like this before and feels scared. She appeared cheerless, distressed and distracted and
spoke in a soft, low voice with little enthusiasm. To rule out any physical cause of her symptoms, a medical history was
taken and a PE was performed. A physical cause of depression was ruled out. She was prescribed Asendin, 25 mg twice a
day for six months and referred to see a counselor. A follow up visit was scheduled in six weeks.
Part 2 – Fill in the blanks with the words in the box:
tremors
kill two birds with one stone
blurred vision have a lot on your plate
perk up
side effects
in a better mood
attainable
to get rid of
magic cure
1. The newest type of antidepressants has generally fewer side effects (1), but they may still cause dizziness,
blurred vision (2) and tremors (3).
2. There is no magic cure (4) for chronic migraines. A systematic, holistic approach is recommended in order to get
rid of (5) them.
3. If you take this medicine, you will kill two birds with one stone (6) : it will help you with your headaches and will
relieve the symptoms of PMS.
4. If you exercise, your energy level will perk up (7) and you will be in a better mood (8).
5. You already have a lot on your plate (9). Be realistic and set goals that are attainable (10).
Part 3 – Correct the errors. [10 pts]
1. I am not good in maintaining a healthy diet. - I am not good at maintaining a healthy diet.
2. I tried to quit smoking several times but was unable to give up it. - I tried to quit smoking several times but was
unable to give it up.
3. I am suffering of migraines. – I am suffering from migraines.
4. I can’t remember from the top of my head, but I think the name of the medicine I take is Elavil. –
I can’t remember off the top of my head, but I think the name of the medicine I take is Elavil.
5. Doctor, are there any natural remedies for this condition? I don’t want to be dependent of drugs. –
Doctor, are there any natural remedies for this condition? I don’t want to be dependent on drugs.
6. The medicine may cause blurry vision and drowsiness. - The medicine may cause blurred vision and drowsiness.
7. You had better to stay in bed and rest. - You had better stay in bed and rest.
8. You ought to not skip meals. It is not good for your sugar level. - You shouldn’t skip meals. It is not good for your
sugar level.
9. Why don’t you taking up a new hobby? It may take your mind off your problems. - Why don’t you take up a new
hobby? It may take your mind off your problems.
10. How about go out for dinner once or twice a week instead of every day?- How about going out for dinner once
or twice a week instead of every day?
Part 4 - Advise a patient with high blood pressure about physical activity and lifestyle changes. Use the following
structures in your recommendations [10 pts; 1.25 each]: Answers will vary, but may include the following:
1. Why don’t you eat a diet rich in fruit and vegetables?
2. You should increase physical activity.
3. You had better do some moderate exercise.
4. You shouldn’t lift heavy weights.
5. How about eating a low cholesterol diet?
6. I recommend you to drink alcohol in moderation.
7. One thing you could do is monitor your blood pressure regularly.
8. Try to eat less sodium and salt.
Hints: increase physical activity; do moderate exercise; avoid heavy weight lifting; eat a low cholesterol diet; maintain
a healthy weight; eat less sodium and salt; stop smoking, take medication prescribed by your doctor; eat a diet rich in
fruit and vegetables; drink alcohol in moderation; monitor your blood pressure regularly.
Part 5 – Match the medical terms with the ordinary English words. [10 pts]
9. Polydipsia
9
excessive hunger
10. Diuretics
8
not due to cancer or infection
11. Dyspnea
10
stroke
12. Patella
2
water pills
13. Nocturia
1
excessive thirst
14. Hypoglycemia
_3_ difficult breathing
15. Myocardial infraction
4
kneecap
16. Benign
7
heart attack
17. Polyphagia
6
low blood sugar
18. Cerebrovascular accident
5
excessive urination at night