كتاب العلوم الصحية
كتاب العلوم الصحية
كتاب العلوم الصحية
HEALTH
SCIENCES
Health Grade 12
Dealing
g witth Emergencies
Nuttrittion
Term 1
First edition 1438-1439 A.H. / 2017-2018 A.D.
Health Sciences
Term 1
2017 - 2018
Introduction
The Health Sciences curriculum will introduce you to a wide range of topics,
from health and well-being, to dealing with accidents and emergencies,
including administering First Aid.
Throughout the Health Sciences curriculum you will learn to become a healthier
and happier young woman. The content within this book will equip you with
the knowledge and skills to keep yourself, your family and your community
safe whilst leading a healthier lifestyle.
This term you will learn how to develop your character to become a healthy
and successful young woman. You will learn how to develop your self- esteem,
and how this relates to your emotional health.
12
2018-2017 :
Table of contents
1 14
1.1
Character
building
Good character in relation to health 20
1.2 Self-awareness 26
2 76
Self-esteem
and emotional health
3 110
3.1
Trauma: muscles
and bones
4 154
Lifting and moving
patients
12.1.4 Discuss ways to develop good character through every day practices.
The type of person you are, and your ability to control negative traits, can
affect your overall health and wellbeing.
Whether you're serious, shy or the life of the party, your personality influences
how others relate to you. Your personality is influenced by both genetics and
the environment. Your character can also affect your physical health in a
number of different ways.
One way is through your behaviour. For example, if you are super-extrovert,
you might be more likely to take risks than someone who is more cautious.
Stress is also a factor that can have a big impact on your health, so certain
characters are more likely to develop stress-related conditions.
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Activity 1: What is your character?
List your main personality traits. For example; shy, loud, outgoing,
adventurous, nervous, cautious, etc.
personality traits
Health Sciences G12 Term 1|21
1.1 Good character in relation to health
Optimistic/Cheery
Outgoing
Novelty-seeker
Anxious
You can make changes to your characteristics, but you must acknowledge
Health Sciences G12 Term 1|23
unhealthy characteristics.
1.1 Good character in relation to health
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Activity 2: Unhealthy characteristics
Can you think of any unhealthy characteristics you have that may prevent
you from being healthy or reaching your full potential?
Characteristic: ________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Once you recognise your own characteristics, you need to learn strategies or
lifestyle changes to make improvements to the unhealthy ones. For example,
if you are someone who gets stressed easily, taking up activities or exercise
known to reduce stress could make a big difference.
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Activity 3: Improve your characteristics
Self-awareness
EMOTIONAL
INTELLIGENCE
1.2 Self-awareness
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Activity 4: Hopes and dreams
Answer the questions below. Ask yourself about your hopes and dreams,
needs, skills, personal interests and values. There are no right or wrong
answers as it is personal to you.
___________________________________________________________________
___________________________________________________________________
_________________________________________________________________
___________________________________________________________________
4. Personal Interests what activities do you enjoy?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Knowing yourself
For you to improve yourself, you need to understand where you are to start
with. Becoming more self-aware is about knowing yourself. You can do this by
thinking about how your body feels, your emotions and how you behave in
different situations. A lot of the time we act and behave without stopping to
think. For example, you dont have to stop and think about how to breathe,
your body just does it. We do things without even realising it.
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Activity 5: Who are you?
Write down as many things as you can about your values and beliefs.
What motivates you? What makes you happy and what makes you sad?
How do you act when you feel sad or angry?
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Activity 6: Strengths and areas for improvement
This activity lets you think about your strengths and areas for improvement.
It also gives you a chance to look at your attitudes and behaviours and
how they can affect your life.
Look at the quotes on the next page. Which ones do you agree/disagree
with? Discuss your answers with a partner and write your answers in the
table below. When you have finished, you will discuss your answers with
the class.
Agree Disagree
A B
I dont need to be I can express my
self-aware. This is who feelings and opinions
I am. I dont need to positively and in a calm
improve myself. Why manner. I know how to
should I? communicate with my
friends and family.
C D
People dont Youve got to have
understand me. good relationship skills
This can lead to to be able to work well
misunderstandings. as a team.
E F
I sometimes dont I would like to be more Health Sciences G12 Term 1|33
agree with what other confident in life. I just
people say. It is best for dont know how to.
me to keep quiet.
1.2 Self-awareness
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Activity 7: Improve yourself
Having better self-awareness can improve different areas of your life. For
example, you could perform better in school, be more positive towards
others and live a healthier lifestyle. Think of some areas of your life that you
feel you are strong at (your strengths) and other areas that might need
improving?
Strengths: ____________________________________________________________
______________________________________________________________________
______________________________________________________________________
Areas for improvement: _______________________________________________ Health Sciences G12 Term 1|35
______________________________________________________________________
______________________________________________________________________
1.2 Self-awareness
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Activity 8: I am...
Emotional intelligence
Imagine for example, someone who has studied for many years at university
and has gained academic success, but does not have the communication skills
to be able to express or use that information properly. Employers are looking
for people who can work in a team, deal with conflict, remain calm under
pressure, show understanding of other peoples feelings and communicate
well. These are all part of emotional intelligence.
Health Sciences G12 Term 1|39
1.3 Emotional intelligence
Self-regulation Empathy
Motivation
Personal skills: the skills you have as an individual that affect your behaviour
and results in life.
Social skills: the skills required to work well and understand others.
Social Skills Your communication skills are very good and you
find it easy to be around other people.
The skills used to
communicate You are good at solving problems with friends.
and interact
When working in a team, you are respectful, a good
with others, both
leader and very good at building relationships.
verbally and non-
verbally.
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Activity 9: Emotional intelligence
Now that you have looked at the 5 areas of emotional intelligence you
need to think about how these apply to you personally. For each of the 5
areas, write how you use this skill in everyday life. Highlight which of the 5
areas you feel is your strongest, and which requires the most improvement.
Self-Awareness: ________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Self-management: _____________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Motivation: ___________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
1.3 Emotional intelligence
Empathy: _____________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Developing your social and emotional intelligence will lead to you being more
creative when setting goals. This will make your goals easier to reach.
Empathy is about being able to feel and show understanding for others. This
will help you to make good, positive and lasting relationships and to be a Health Sciences G12 Term 1|45
responsible person.
Knowing how you think and feel will allow you to learn better and have positive
interactions with your teachers, colleagues, family and friends. Knowing your
emotions and thoughts, and how they affect your behaviour, is important for
your own development.
1.3 Emotional intelligence
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Activity 10: Fill in the blanks
Read the information on the previous page and then fill in the blanks in the
activity below.
4. Knowing how you think and feel will allow you to learn
Have a look at the list of emotions below and get to know the definitions.
Emotion What was the situation that made you feel this emotion?
afraid
angry
confused
excited
jealous
lonely
Health Sciences G12 Term 1|49
sad
scared
shy
stressed
1.4 How to recognise and manage feelings
People who can understand and discuss their feelings are more likely to
be viewed as more mature compared to someone who cannot express
themselves clearly.
Survival
Have you ever been in a situation where you felt afraid? Did you ever know
something wasnt right? For example, if you are in the car with someone who
is driving very fast, you may feel afraid as your need for safety is not being met.
Thats why we use our seat belts when in a car so that we can feel safe. Our
emotions alert us to when something is wrong.
Making decisions
Why do you think it is a bad idea to make decisions when youre angry?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Knowing what causes you to feel a negative emotion can be called a trigger.
When you understand what these triggers are, it can help you to deal with
things easily.
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Activity 13: What happens when you are angry?
Health Sciences G12 Term 1|51
When was the last time you were angry? What was the trigger that made
you angry? How did you behave? What would you do differently if it
happened again?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
1.4 How to recognise and manage feelings
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Activity 14: Think of a time...
Can you think of a time when someone was feeling angry or sad? What
did you do to try and make them feel better?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Communication
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Activity 15: Think of a time...
Can you think of a time when you found it difficult to explain to someone
how you felt? If so, when? Why was it difficult to express yourself?
______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
1.4 How to recognise and manage feelings
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Activity 16: Fill in the blanks
Look at the list of words below; you will see both positive and negative
emotions. Fill the gaps with the correct feeling. Highlight whether this is a
positive or negative feeling by writing P (for positive) or N (for negative)
after it.
stubborn angry
scared love
shy sad
joy proud
guilty grateful
1. My family are very important to me. I ______________ them so much.
the teacher.
7. All the kind things the UAE leaders do for Emiratis makes me feel so
______________.
8. I watched a horror movie the other night and it made me feel Health Sciences G12 Term 1|55
______________.
doesnt know.
10. You can see that Najla is _____________. She shouted at the woman
very loudly.
1.4 How to recognise and manage feelings
Being able to express, accept and control your feelings can help you develop
and keep relationships. It also affects your academic success.
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Activity 17: How do you feel?
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
1.4 How to recognise and manage feelings
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Activity 18: How would you feel?
Read the questions below and try to imagine yourself in these situations.
Think about how the situation would make you feel and how you would
express your feelings. Discuss your answers with the rest of the class.
1. You are taking part in a group discussion in class. Every time you
raise your hand to answer the question, the teacher ignores you.
________________________________________________________________
________________________________________________________________
________________________________________________________________
2. Your friend was going to meet you in the mall at 5 pm. She didnt
arrive until 6.30 pm, and she didnt call to let you know she was
going to be late.
________________________________________________________________
________________________________________________________________
________________________________________________________________
3. You come home to find that your sister has broken the television.
Your parents blame you for doing it.
________________________________________________________________
________________________________________________________________
________________________________________________________________
There are always going to be times in life when you feel negative emotions.
Therefore, it is important to know how to deal with these feelings and how to
manage negative emotions:
allow yourself
develop positive
to embrace the
attitudes
emotions
Managing negative
learn to relax use reason
emotions
contemplate (think
focus on the
about) the situation
positives
calmly
Anger
Anger is a normal emotion when you are
Everyone gets angry sometimes. It is important that you can recognise this
emotion and know how to manage it in a healthy way. Anger can affect
what you say or do before you even know that you are angry. If someone
feels angry very often, it can be hard for them to see it in themselves. This
makes it difficult for them to manage that feeling.
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Activity 19: Angry signs
Look at the next page and circle the warning signs that you show when
you get angry. When you have finished, discuss your answers with the class.
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Activity 20: Reflection
Think of a time when a friend was angry. How did that persons behaviour
make you feel? Would you have behaved the same if this situation
happened to you? How would you have behaved?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Managing anger
Here are some skills that you can learn to manage your anger. Not all of them
will work for you, but give them a try.
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Activity 21: What works for you?
Which of these methods do you think will work for you to manage your
anger?
______________________________________________________________________
______________________________________________________________________
Can you think of any other ways of managing your anger that work
better for you?
______________________________________________________________________
_______________________________________________________________________
Self-management
Try to think of a time when you were distracted in school. Was it because of a
friend distracting you, or did you have other things on your mind? We all have
things going on in our lives that cause us to lose focus, but you must stay strong
and think of the bigger picture, which is to achieve your goals.
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Activity 22: Self-management
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
_______________________________________________________________________
Can you think of any negative effects for students who dont have good
self-management?
______________________________________________________________________
_______________________________________________________________________
1.4 How to recognise and manage feelings
health
management
time
management
What distracts you?
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Activity 23: What distracts you?
Write down below what distracts you from studying, exercising or making
healthy lifestyle choices. Here are some examples:
social media
friends
noise
television
eating
What distracts you from achieving your goals?
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Next time these problems happen, what can you do so that you do not
lose focus or give up?
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
1.4 How to recognise and manage feelings
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Activity 24: Self-management
My homework is
always late
I was so tired this
morning but I told
myself I must come to
school and finish my Alia tried to talk to
project me during the exam
today but I did not
answer her
Choose your top five self-management skills from the lists below. Start with
the most important and explain why this will help you achieve your goals.
3.
4.
5.
1.5 The WOOP strategy
Outcome the best result or feeling when you achieve your goal
Plan what steps you will take to get past your obstacles
Look at the example of a WOOP strategy below to increase physical activity
and improve health:
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Activity 26: WOOP strategy
You are now going to create your own WOOP strategy for a goal or lifestyle
change you want to achieve.
Wish
Pick a wish, something that you would like to achieve. Use a wish that is
possible to achieve in the next four weeks.
______________________________________________________________________
______________________________________________________________________
_______________________________________________________________________
Outcome
What would be the best outcome of your wish? How will you feel when
you have achieved your wish?
______________________________________________________________________
_______________________________________________________________________
______________________________________________________________________
Obstacle
What will hold you back from achieving your wish? It might be a bad habit,
an emotion, a belief or time.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Plan
What can you do to get past your obstacle? Write an action you can
take.
Health Sciences G12 Term 1|73
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Review
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Review - Unit 1
Positive Negative
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Students comments
Things to think about:
What did you enjoy?
Additional comments:
Teachers feedback
Things to think about:
Did the student participate?
What was the students attitude like towards activities? Health Sciences G12 Term 1|75
Additional comments:
02
Self-esteem and
emotional health
Self-esteem can change with your circumstances, often
associated with your family, friends or achievements.
Higher self-esteem can lead to success in school, work,
friendships and health. By developing your self-esteem and
self-confidence you will gain the ability to bounce back in
difficult situations and maintain a positive outlook on life.
In this unit, you will explore the concept of self-esteem
in relation to emotional health and identify strategies to
promote good self-esteem in yourself and others. Emotional
health is an important part of overall health. People who are
emotionally healthy are in control of their thoughts, feelings
and behaviours and are better equipped to deal with lifes
challenges.
Learning
outcomes
Unit 2: Self-esteem and emotional health
12.2.1 Explain the concept of self-esteem in relation to emotional health and
identify strategies to promote high self-esteem in self and others.
What is self-esteem?
Self-esteem is how we think and feel about ourselves. It is an emotional
evaluation of our own self. Self-esteem is not about feeling better than other
people. It is not about thinking that you are perfect. It is about being happy
with who you are, even with your faults. Self-esteem is about how you value
yourself.
Ask yourself, Am I important, and do I see value in myself? You should all be
able to answer Yes, I am and Yes, I do.
We all criticise ourselves from time to time. However, if you regularly think badly
about yourself, you may have low self-esteem. You may not know the cause
of your low self-esteem but there are steps you can take to improve it.
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Activity 1: Rate your self-esteem
Do you think you have high or low self-esteem, or are you somewhere in
the middle? Mark an X on the line where you would rate your own self-
esteem.
Low High
self-esteem self-esteem
Why did you mark the X in this position? Why do you think you have high or
low self-esteem? What personal characteristics highlight this?
_______________________________________________________________________
Health Sciences G12 Term 1|83
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
2.1 What is self-esteem?
You could also have problems with your body image, leading to negative
lifestyle choices. You may also be less likely to stand up for yourself against
others who are not being nice to you.
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Activity 2: Class discussion
As a class, discuss why low self-esteem is not good and the effect that it
could have on all aspects of your life. Think about how it may affect your
physical, emotional and social health. Also, think about how it may affect
your achievement in school.
Make two lists, one of your strengths and one of your achievements. If
you have low self-esteem, you should look at these lists. Remember your
positives and the things you have achieved.
Understanding how the brain works can help you to get a better understanding
of why you think or act in certain ways.
eo
Vid
Brain pathways
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Activity 4: True or false
1._____________________________________________________________________
_______________________________________________________________________
2._____________________________________________________________________
_______________________________________________________________________
3._____________________________________________________________________
_______________________________________________________________________
Health Sciences G12 Term 1|91
4._____________________________________________________________________
_______________________________________________________________________
5._____________________________________________________________________
_______________________________________________________________________
2.3 How your self-esteem develops
Reasons for low self-esteem and the link with emotional health
Low self-esteem may occur because
of traumatic experiences that have
knocked your confidence. Low
self-esteem is often carried on from
childhood. However, you may lose
some self-esteem in later life. The
reasons for this may include ill health,
negative life events such as losing a
job, losing a close family member,
frustrating relationships, or a general
sense of lack of control.
Low self-esteem is often linked with emotional health problems which, in turn,
can make self-esteem worse. In some cases, low self-esteem is the result of
certain emotional health conditions such as depression.
People with low self-esteem tend to see the world as an intimidating place. As
a result, they are reluctant to express and assert themselves. They miss out on
experiences and opportunities, and feel powerless to change things. All of this
lowers their self-esteem even further.
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Activity 6: Discussion
In pairs, discuss what you think will lower someones self-esteem. Who may
be more at risk of having low self-esteem?
Look after yourself
People with better emotional health tend to have higher self confidence that
those with poor emotional health. It is important to look after yourself in order
to maintain your emotional well-being. The following will help promote positive
emotional health.
Look at the list of things below. These are suggestions of things that you
may enjoy or make you feel good.
_______________________________________________________________________
_______________________________________________________________________
Add four more things to the list that you enjoy doing and make you feel
good.
are confident
are aware of their strengths
are happy with themselves
see their own qualities and are kind to
themselves and others
believe in themselves even if they fail at
something
accept themselves for who they are
ask for help when they need it
People with low self-esteem:
Re
me
mb
er
It is ok to ask for help!
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Activity 8: Building self-esteem and confidence
_______________________________________________________________________
_______________________________________________________________________
___________________________________________________________________
What skills do I have?
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
2.4 What does self-esteem look like?
Lack of confidence can often hold you back from doing what you actually
want to do.
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Activity 9: What would you do?
For this activity, you need to challenge yourself to think about the things
you would do if you were more confident. Think of at least 3 things you
have wanted to do but did not because you did not have the confidence
to do it.
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Health Sciences G12 Term 1|101
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
2.4 What does self-esteem look like?
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Activity 10: Class discussion
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Increase self-esteem in others
One of the nicest things you can do for someone you care about is to try
and raise their self-esteem and confidence. Make them feel better about
themselves.
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Activity 11 What can you do?
What do you think you can do to make other people feel good about
themselves?
Health Sciences G12 Term 1|103
In groups, discuss how your actions can affect other peoples self-esteem.
Try to think of examples that would raise and lower self-esteem. Also, think
about how these actions would make someone feel.
2.4 What does self-esteem look like?
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Activity 12: Think positive
How did it make you feel when someone gave you a compliment or said
something nice about you?
_______________________________________________________________________
_______________________________________________________________________
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Activity 13: Think about...
Can you think of a time when someones actions affected you by raising
or lowering your self-esteem? It could have been a family member, friend
or even a stranger. What did they do? How did you feel?
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Can you think of a time when you made a positive change to someones
self-esteem? What did you do? How did it make you feel? How did they
feel? Health Sciences G12 Term 1|105
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
2.4 What does self-esteem look like?
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Reflection
Now that you have answered the questions, have a discussion with the
person who sat next to you about your experiences. Here are some things
to discuss:
tiv
AcityFind out how she reacted to the situation.
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Activity 14: Personal plan
Consider everything that you have learnt in this unit. Write a brief plan of
things you can do to improve/increase your self-esteem and emotional
health.
Consider things such as positive thinking, eating healthy, doing things you
enjoy, exercising, getting enough sleep and reducing your stress level.
Explain how you can fit these positive things into your life.
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Review - Unit 2
1. In your own words, write down what you think self-esteem is.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Students comments
Things to think about:
What did you enjoy?
Additional comments:
Teachers feedback
Things to think about:
Did the student participate?
What was the students attitude like towards activities? Health Sciences G12 Term 1|109
Additional comments:
03
Trauma: muscles
and bones
Sometimes tragic events can occur, which can lead to serious
injuries. It is important to understand how to examine, assess
and manage a broad range of muscular and skeletal injuries,
including caring for people with spinal injuries. Injuries of the
spine can cause permanent disabilities, forcing an individual
to make radical changes to their lifestyle. However, most
injuries, such as bone fractures or dislocated joints, are quite
easily treatable.
In this unit, you will look at common injuries, such as breaks
and fractures, which affect the bones. Knowing how to
manage these injuries, while waiting for the emergency
services to arrive, are valuable skills to learn and make you
a valuable member of your community.
Learning
outcomes
Unit 3: Trauma: muscles and bones
12.3.1 Assess and manage a broad range of muscular and skeletal injuries
including care of the patient with a suspected spinal injury.
12.3.3 List the emergency medical care for a patient with a painful, swollen,
deformed extremity.
12.3.4 Relate mechanism of injury to potential injuries of the head and spine.
12.3.8 Describe the emergency medical care for injuries to the head.
12.3.10 Place the interests of the patient with a musculoskeletal injury as the
foremost consideration when making any and all patient care decisions.
The musculoskeletal system gives your body support and allows you to move.
It is made up of the bones of the skeleton, muscles, cartilage, tendons,
ligaments, and joints, as well as the other connective tissue that support and
binds tissues and organs together. The main function of the musculoskeletal
system is to provide form, support, stability and movement for the body.
The bones of the skeletal system protect the body's internal organs and
support the weight of the body. It is the main storage depot for calcium and
phosphorus. It also helps with blood cell production.
The muscles of the muscular system keep bones in place. Muscles create
movement of the bones by contracting and pulling on the bones. This allows
for movements such as standing, walking, running and grasping items.
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
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Activity 2: Label the skeleton
How many names of bones do you know? Fill in as many as you can then
work as a class to identify any remaining blanks.
greenstick
no fracture
fissured
transverse
spiral
oblique
Health Sciences G12 Term 1|123
impacted
avulsion
comminuted
3.2 Common skeletal injuries: fractures
A closed fracture is when the bone is broken but it does not cause much
damage to surrounding tissues and does not break through the skin. This is
called 'closed' because there is no opening in the skin where germs can enter
and cause infections. Greenstick fractures and fissured fractures are always
closed fractures because in these cases, the fracture is incomplete, therefore
the bone will not have moved from its normal position.
A compound fracture occurs when one or more broken bones break through
the skin. Compound fractures, which are also known as open fractures, are
usually the result of a serious trauma when more than one bone has been
fractured. Compound fractures are very serious as the risk of infection is very
high and recovery can take a long time.
Although they are still very painful, closed fractures are much easier to treat
and heal a lot better and quicker than compound fractures. Therefore, closed
fractures are less serious medically than compound fractures.
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Activity 4: What is the difference?
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
A fractured bone can cause one or more of the following signs and symptoms:
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Activity 5: What should you do?
Look at the scenarios below and decide if you should call an ambulance
for immediate emergency help, or help the injured person get to a hospital.
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Activity 6: Group work
Discuss with your group the action you would take if you were faced with Health Sciences G12 Term 1|129
the following emergency in school:
A student has injured her leg during PE. The first aider must make a splint
using materials that she can find. What materials could you use? Have a
look around your classroom and make a list of possible materials.
_______________________________________________________________________
_______________________________________________________________________
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3.2 Common skeletal injuries: fractures
Use the information you have just read to answer the questions below.
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Health Sciences G12 Term 1|131
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What must you check after the splint is in place, and why?
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3.2 Common skeletal injuries: fractures
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Activity 9: Demonstrate your skills
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3.2 Common skeletal injuries: fractures
Fracture complications
When you break a bone, the fracture is extremely painful. However, there
may also be other medical complications that can develop because of the
fracture. First, the risk of infection is very high for compound fractures. Another
problem that can occur, especially in open and comminuted fractures, is that
it can be difficult to get the ends of the bone to stay in place. The ends need
to stay in position for healing to happen. In those situations, it is common to
use metal plates and screws to hold the broken pieces together until they can
heal.
To stabilise a long
bone fracture, a plate Intramedullary
rod
and screws outside the
bone or a rod inside
the bone may be used
Plate and
screws
Another complication that can occur with a long bone fracture is that fat
molecules may be released into the bloodstream. This can cause a condition
called fat embolism. Tiny fat molecules block the blood vessels which can
cause breathing difficulties, heart attacks and strokes. It is fatal in 10-20% of
cases. A fat embolism most commonly occurs after a very severe trauma in
which multiple bones are broken.
Health Sciences G12 Term 1|135
3.2 Common skeletal injuries: fractures
Name the main functions of the spinal cord and where it is found in the
body.
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Traumatic injuries
Car crash
Sports injuries
Falls from a height
Gymnastics
Violence
Diving into shallow water
Non-traumatic injuries/illnesses
Cancer
Osteoporosis
Multiple sclerosis
Inflammation of the spinal cord
Arthritis
Most people who have a spinal cord
injury are young adults between the
ages of 16 and 30. This is because
they take more risks.
The effects of spinal cord injury
The effects of a spinal cord injury can vary a lot depending on the severity of
the injury and which part of the spinal cord is affected.
Levels of injury
Vertebrae are grouped into sections. The higher the injury on the spinal cord,
the more problems can occur.
You are now going to practise what you would do if you came across
someone with a potential spinal injury.
Get into pairs. One student should act as an injured person with a possible
spinal injury. The other student is going to practise the correct technique
of supporting the head and spine. Try to think about or find objects in the
room that will help you support the neck and head. On the scene of an
accident you will not necessarily have a splint or supports. This exercise
will help you become more resourceful in situations where equipment is
limited. Switch over, so each partner performs the role of both the patient
and the emergency medical responder.
Treatment
Head injuries
A head injury is any trauma to the scalp,
skull, or brain. Head injuries can range from
a minor bump on the skull to a serious brain
injury. A head injury can be either closed or
open (penetrating).
In groups of three, you are going to practise rolling someone onto their
side. Two students should roll the other student on her side. Make sure to
roll her head, neck, and body as one unit, protecting the spine as you do
it. Switch over so each of you practises performing the roll.
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Make sure you DO NOT do any of the following: Health Sciences G12 Term 1|147
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Activity 13: Should or should not?
Look at the statements below and circle whether you should or should
NOT do this if someone has a suspected head injury.
If you suspect a skull fracture, you should cover should should NOT
the wound with a sterile gauze dressing instead
of applying pressure.
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compound
comminuted
greenstick
fissured
oblique
comminuted
greenstick
oblique
comminuted
fissured
compound
Review
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Students comments
Things to think about:
What did you enjoy?
Additional comments:
Teachers feedback
Things to think about:
Did the student participate?
Additional comments:
04
Lifting and
moving patients
It is important to learn correct lifting and carrying techniques
so you can deal with emergency situations. If you are the
first responder at the scene of an accident you are likely to
be the person to give initial emergency care, in the position
in which the person is found. You will need to be able to
distinguish an emergency from a non-emergency situation.
In this unit, you will learn how to assess an injury to determine
whether a patient should be moved. If a person has suffered
a major injury it is usually best not to move the person.
However, if you are in a situation that can become worse
or life threatening, such as a falling building or roadside
accident, you may be required to move the injured person
to a safer zone.
You will also learn how to assess an accident or emergency
and make quick decisions. You will practice correct lifting
and carrying techniques to lift and move patients, to receive
professional medical care.
Learning
outcomes
Unit 4: Lifting and moving patients
12.4.1 Demonstrate safe lifting techniques when moving the patient.
12.4.3 Discuss the guidelines and safety precautions that need to be followed
when moving a patient.
12.4.6 Discuss the various devices associated with moving a patient in the out-
of-hospital arena.
12.4.7 Explain the rationale for properly lifting and moving patients.
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In pairs, discuss situations that you think you could potentially find yourself
in where you may need to lift or carry an injured person to a safer area. List
three emergency situations that you have identified.
Guidelines and safety precautions to follow when moving a
patient
You should only move an injured person or patient with suspected back or
neck injuries if it is really necessary. Unless it is a life-threatening condition, or
the scene is dangerous, you should try not to move a patient too much. You
should only reposition a person if by not moving them it would cause them
further injury. Always be aware that you are trying to help the patient, and you
do not want to cause any further injury.
If you are faced with an injured person who has suffered a non-trauma injury
and is still breathing, but is unresponsive, you should move them into the
recovery position.
Body mechanics
Body mechanics is a term used to describe the ways we move as we go
about our daily lives. It includes how we hold our bodies when we sit, stand,
lift, carry, bend and sleep. Poor body mechanics are often the cause of back
problems. When we do not move correctly and safely, the spine is put under
stresses that can lead to degeneration of spinal structures like discs and joints,
injury and unnecessary wear and tear.
This shows the importance of learning the principles of proper body mechanics
and practicing good lifting techniques. They are not difficult to understand.
Once you get used to the correct techniques, you can easily include them
into your daily life. You will be glad you learned them as they can save you
from back pain and discomfort.
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Activity 2: Practise in pairs
In pairs, practice using the correct body mechanics to lift an object from
the floor. Your teacher may give you something specific to lift from the
floor. It does not matter what the object is, the same body mechanics
should be used whether you are lifting a pencil, a box or even a person.
Look at the infographic below and try it!
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Activity 3: Correct technique
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4.2 Body mechanics of lifting a patient
Power Lift
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Activity 4: Power lift
Practice the power lift position. Make sure you get low to the ground by
bending your knees. Use your legs (rather than arms or back) to create the
lifting power.
Look at the picture of the woman performing the power lift above to help
you.
Power Grip
The power grip is a good technique to learn when carrying or lifting a patient.
This technique allows you to take a firm grip of the stretcher which will enable
you to lift a greater weight.
The arms and hands have the greatest lifting strength when facing
palms up.
Your hands should be at least 25cm apart when grasping the equipment.
Each hand should be inserted under the handle with the palm facing
up and the thumb extended upwards.
Curl your fingers and thumb tightly over the top of the handle.
Make sure the underside of the handle is fully supported on your curved
palm.
Never grasp the equipment with the palm facing down over the handle.
Emergency moves
Scene is hazardous
Life-threatening condition requires move
Patient must be moved to reach a critical Emergency
patient
Scene factors cause a decline in patient
condition
Treatment of patients condition requires a
move
Non-emergency moves
Non-
Typical situations for a non-emergency move
Emergency
include:
Pack-strap Carry
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Activity 5: Identify a situation
Health Sciences G12 Term 1|169
Can you think of a situation when you might use the pack-strap carry?
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4.3 Emergency and non-emergency moves
Cradle Carry
Can you think of a situation when you might use the cradle carry?
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Activity 7: Identify a situation
Can you think of a situation when you might use the one-person walking
assist carry?
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Firefighters Carry
A B
C D E
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Activity 8: Identify a situation
Can you think of a situation when you might use the firefighters carry?
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Direct Ground Lift
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Activity 9: Identify a situation
Can you think of a situation when you might use the direct ground lift?
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Activity 10: Identify a situation
Can you think of a situation where you might use the two-rescuer extremity
carry?
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Can you think of a situation when you might use the four-handed seat
carry?
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Two-arm Seat Carry
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Activity 12: Identify a situation
Can you think of a situation when you might use the two-arm seat carry?
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Health Sciences G12 Term 1|175
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4.3 Emergency and non-emergency moves
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Activity 13: Carry me
In teams of three, select two carry techniques that you have just learnt
about. Select one emergency move and one non-emergency move.
Your teacher will set your team a challenge to see if you can move a
patient from one point in the classroom to another using your chosen carry
methods.
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Can you identify a situation where each of these carry techniques might
be suitable?
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Non-
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emergency Health Sciences G12 Term 1|177
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4.4 Types of drags
Types of drags
Clothes Drag
This is a simple movement to perform.
To perform it, gather the patients
clothing behind her neck. While
moving the patient, cradle her head
with her clothes and your hands, or
allow the patient to rest her head
on your arms. Once you have a safe
and suitable grip on the patients
clothing, pull the patient to safety. This
is considered an emergency move.
Blanket Drag
Ankle Drag
To perform this movement, grasp each of the
patients ankles. When you have a firm grip of
the ankles, begin to drag the patient to safety.
Remember to move carefully and be aware
of your surroundings as you will be moving
backwards. Pull the patient in a straight line and
be careful not to bump their head. Remember Health Sciences G12 Term 1|179
to use the correct technique to put yourself
in this position and drag the patient to avoid
injury. This is considered an emergency move.
4.4 Types of drags
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Activity 14: Scenarios
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Identify one of the scenarios that you think does not require an
emergency move and describe why you think this.
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Activity 15: Drag techniques
Which drag technique do you think is the most effective? Which drag do
you feel most confident doing?
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4.5 Out-of-hospital arena
Out-of-hospital arena
The out-of-hospital arena is a term used in emergency medicine to mean in
the field, or in the community. It can also refer to dealing with an injured
person or patient who suffers an accident in any environment outside of a
healthcare setting. Assessments and treatment given out-of-hospital often
stabilise a patient or begin the critical care needed. The lifting and carrying
techniques that you have learnt within this unit will more than likely always
take place in an out-of-hospital setting.
When responding to an emergency, you may be faced with a whole range
of possible situations. The Chain of Survival information gives you some
guidance on how to support a patient who may have suffered a cardiac
arrest. A strong chain of survival can improve chances of survival and
recovery for victims of cardiac arrest.
for
l In m
at
Usefu
Useful Information
ion
Patient-carrying devices
As well as learning how to correctly lift
and carry a patient, it is important to
learn about the different devices that
are used to carry a patient. There is a
range of devices that are used, each
having their own use for a specific
injury. Paramedics and emergency
medical responders often use different
patient-carrying devices to move
patients. As a first aider or responder,
you should familiarise yourself with Health Sciences G12 Term 1|183
these devices.
After providing first aid and initial
emergency care at the scene of an
accident, the patient often needs
to be transported to the nearest
emergency department. Ambulances
are equipped with different patient-
carrying devices that are intended for
specific purposes.
4.5 Out-of-hospital arena
Wheelchair
A wheelchair, as the name suggests, is a
chair with wheels, used when walking is
difficult or impossible due to illness, injury
or disability. Wheelchairs come in a wide
variety to meet the specific needs of
their users. They may include specialised
seating adaptions, individualised controls
and they may be specific to activities, as
seen with sports wheelchairs.
Long backboard
Look at the image below to see how the device helps to support a patient.
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Students comments
Things to think about:
What did you enjoy?
Additional comments:
Teachers feedback
Things to think about:
Did the student participate?
What was the students attitude like towards activities? Health Sciences G12 Term 1|189
Additional comments:
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