7 CLINICAL SETTING: ACUTE CARE Exercise E
Set for pairwork discussion. Feed back with the whole group, making sure that students understand the concept behind the chart. Do not correct or confirm students’ views of the content at this point. For the purposes of the exercise it is sufficient that they are aware that these are a number of tasks with indications of when they are to be completed.
Answers
The chart sets out the time scale for the completion of a number of tasks in the development of an Integrated Care Pathway. (Note – the type of chart is known as a Gantt chart and is used extensively in project management. Some students may be familiar with it. However this knowledge is not necessary for the exercise.)
Exercise F
Set for individual work and pairwork checking. Students should use their dictionaries if they are not sure of the meaning of the phrases. Note that some phrases can be used for the same thing – it is a good idea to use a different word to avoid repetition.
Answers
The Gantt chart above shows (the evolution of) the development of an Integrated Care Pathway (ICP), which sets out in detail the stages of care, diagnosis and treatment of specific illnesses. (With regards to) From the point of view of the hospital, ICPs make it easier to (handle) deal with situations where (different) a number of departments are responsible for delivering care. (The start of) The beginning of the process involves setting up a Working Group, made up of several clinical and management representatives. They discuss priorities for the development of the ICPs in the hospital and (use) bear in mind (various) a number of/a variety of criteria to help them decide. (Simultaneously) At the same time, the clinicians discuss the practical implications of the ICPs with their staff and, (using) based on their feedback, identify several possible options, which are developed in draft form. Feedback from patients and clinicians is then used to make a final decision on which ICPs provide the greatest benefit and will be fully implemented.
Language note
The fixed phrases here are used in a situation which describes a series of chronological stages. However, the same words can be used when writing or talking in more general abstract academic terms, for example when introducing an essay, lecture or piece of research. This use of these words will be covered later in the unit.
Exercise G Set for pairwork. Feed back with the whole class.
Answers Model answers:
Our decision regarding the Integrated Care Pathway we recommend for Patient X is based on a number of factors. Patient satisfaction ratings, as shown in the feedback, were very strongly in favour of option 2. However, we have to bear in mind that from point of view of some of our practitioners, this is not the best option. In the case of those who have used it in draft form, the feedback has been mostly negative. In addition to/As well as this, increased cost has been a factor.
Closure
Tell students to close their books and then describe a patient journey where the patient is admitted suffering from:
a sprained ankle asthma
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