Contextualized Grammar I-BEST SUN Path Curriculum Unit for Nursing Assistant with ESL Support - Page 1 of 7 Activity 6: REPORTING PROGRESS ON ASSIGNED TASKS Present Perfect Tense Learning Goal(s) Review the present perfect tense. Utilize the present perfect tense to complete a health survey simulation. Materials (handouts provided below) Present Perfect PowerPoint Handout A: Present Perfect Grammar Reference Handout B: CNA s Notes for Resident Sam Johnson Handout C: Directions for Sam Johnson exercise (Common Errors with Present Perfect) Handout D: Conduct a Health Inventory - Grammar Points Handout E: Health Inventory Grid Handout F: Additional Practice Procedure 1. Use PowerPoint and/or Handout A: Present Perfect Grammar Reference to review present perfect 2. Facilitate Sam Johnson activity. o Distribute Handout B: CNA s Notes for Resident Sam Johnson and Handout C: Directions for Sam Johnson exercise (Common Errors with Present Perfect). o With class, study the CNA s notes to see what activities have been assigned and completed. o Read activity directions and examples together o Pair students off to complete the activity. 3. Facilitate Health Survey activity. o Review present perfect with ever, never, recently, lately and extended answers in past from Handout D: Conduct a Health Inventory - Grammar Points. o Discuss directions and examples for Health Survey. o Students interview other students and take notes as requested on Handout E: Health Inventory Grid. o Students report experiences to class. 4. Complete Grammar Practice as a class using Handout F: Additional Practice. Assessment: Instructor will be able to observe students as they are interacting in classroom exercises and assess written practice to evaluate the lesson, inform next steps or for graded credit.
Contextualized Grammar I-BEST SUN Path Curriculum Unit for Nursing Assistant with ESL Support - Page 2 of 7 Handout A: Present Perfect Grammar Reference Present perfect = have or has + participle The participle is the 3 rd column on a verb list: go went gone Most Americans use the abbreviated form except for questions I ve gone I haven t gone Have I gone You ve gone You haven t gone Have you gone He s gone He hasn t gone Has he gone She s gone She hasn t gone Has she gone It s gone It hasn t gone Has it gone We ve gone We haven t gone Have we gone They ve gone They haven t gone Have they gone One of the ways we use present perfect is to indicate the progress of completing an assigned task. Affirmative: I ve already given him the bedpan. She s given him the bedpan already. Negative: Use yet and still for something not finished. I haven t given him the bedpan yet She still hasn t given him the bedpan Question: Has she given him the bedpan yet? Hasn t she given him the bedpan yet? Has she given him given him the bedpan already? Has she already given him the bedpan?
Contextualized Grammar I-BEST SUN Path Curriculum Unit for Nursing Assistant with ESL Support - Page 3 of 7 Handout B: CNA s Notes for Resident Sam Johnson Instructions: This is your to-do list for one of your assigned residents, Sam Johnson. It is 10:10. You have checked off each task you have finished. Use these notes for the next exercise. Room 202 Sam Johnson AM Brush teeth Give partial bed bath Help with dressing VS before breakfast Transfer to wheel chair Assist with feeding Take to Physical Therapy 10:00 Make bed Bring back from physical therapy 10:45 VS before lunch PM Up for lunch Assist with feeding Ambulate as tol Get Up in chair as tol Finish charting Report off to charge nurse Sign out
Contextualized Grammar I-BEST SUN Path Curriculum Unit for Nursing Assistant with ESL Support - Page 4 of 7 Handout C: Directions for Sam Johnson Instructions: Work with your partner using the CNA Notes for Room 202 Mr. Jackson. Partner A is the supervising nurse. Ask the CNA about his progress on his assigned tasks. Partner B is the CNA. Explain your progress on completion of assigned tasks Change parts so that each partner gets a chance to practice. HELPFUL PARTICIPLES FOR THIS LESSON Verb Participle Verb Participle Verb Participle ambulate ambulated get gotten report reported assist assisted give given sign signed bring brought help helped take taken brush brushed make made transfer transferred finish finished A. Partner A: use yet to make questions Partner B: use already or not + yet to respond Example 1: Have you brushed Mr. Johnson s teeth yet? Yes. I ve already brushed his teeth. Have you brought Mr. Johnson back from PT? No. I haven t brought him back yet. B. Partner A: Use already to make questions Partner B: Answer using already or still + not Example 2: Have you already brushed Mr. Johnson s teeth? Yes. I ve already brushed his teeth. Have you already signed out? No. I still haven t signed out. C. Write 2 more questions and answers like those in example 1 and 2 more questions and answers like example 2.
Contextualized Grammar I-BEST SUN Path Curriculum Unit for Nursing Assistant with ESL Support - Page 5 of 7 Handout D: Conduct a Health Inventory - Grammar Points Present perfect: Ever, Never, Recently, Lately Grammar Point Use present perfect with ever to determine if an event happened at least one time to someone. Use lately or recently to further determine the time period of the event. Example 1: Example 2: Have you ever been hospitalized before? No, I haven t. I ve never been hospitalized. Yes, I have. (Use past tense to explain) I was hospitalized several years ago for pneumonia. Have you experienced any episodes of dizziness recently? Yes, I have. (Use present perfect if indicated) I ve experienced episodes of dizziness since the accident. Instructions Interview two classmates using the Health Survey Form. Your classmates should answer each question with both a short and long answer. Take notes of the answers. Make 3 affirmative statements about your classmates answers Examples: Nancy has had some numbness and tingling in her right arm recently. Jenny was hospitalized for a concussion 3 years ago. Make 3 negative statements about your classmates answers Examples: Nancy has never had a tetanus shot. Nancy had a tetanus shot 3 years ago *You can practice with third person singular by asking Has your child (brother, sister, husband, wife, mother etc.)
Contextualized Grammar I-BEST SUN Path Curriculum Unit for Nursing Assistant with ESL Support - Page 6 of 7 Handout E: Health Inventory Grid HEALTH SURVEY FORM Question Student 1 Student 2 Have you ever had any surgery? Have you ever broken any bones? Have you ever had the measles? Have you given blood before? Have you been to any foreign countries recently? Have you experienced any numbness or tingling in your extremities lately? Have you had a tetanus shot in the last 8 years? Have you ever taken a strong painkiller before? Have any of your close relatives ever had heart problems?
Contextualized Grammar I-BEST SUN Path Curriculum Unit for Nursing Assistant with ESL Support - Page 7 of 7 Handout F: Additional Practice CNA: RESIDENT: CNA: CLOZE Exercise Hi Mr. Hoang. How (have/has) you (be) (since/for) I saw you yesterday? Well, I (have) a fever (since/for) last night and I (feel) nauseous (since/for) several hours. I m sorry to hear that. the nurse (give) you any medicine? RESIDENT: Yes, she (already, yet) given me some but I CNA: am (still/already) not feeling well. The nurse said that he called the doctor for some stronger medicine but she (yet/still) hasn t (call back). Present Perfect: Since and For Use since with present perfect to specify when a continuing action began Example: I ve had a headache since early this morning. Use present perfect and for to indicate a period of time that an action has been happening. Example: I ve had a headache for five hours. 1. He s had a rash yesterday. 2. The family has been here several hours. 3. Mr. Miranda has felt depressed his wife died. 4. He hasn t eaten yesterday morning. 5. Her husband has been in this facility two years. 6. The family hasn t spoken to the doctor he left for surgery. 7. They ve both been on blood thinners their heart attacks 8. She hasn t had anything by mouth midnight. 9. My leg has gotten worse yesterday. 10. I ve felt nauseated several hours 11. They ve both had chronic heart problems many years. 12. She s taken care of her husband the last 4 years.