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Teaching Health Literacy to Adult English Language Learners
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Module One - Health Literacy and Adult ESOL

Maintaining Wellness through Access to Healthcare

Many serious illnesses are preventable through early detection strategies and regular check-ups or tests such as mammograms, pap smears, or blood glucose screenings. Unfortunately, Adult ESOL students often inform teachers that they can't go to the doctor because they don't have insurance and worry that the cost of care is too high.

Our immigrant students are often unaware of low cost or no cost clinics that they are eligible to use within the communities in which they live. Others might fear jeopardizing immigration status by accessing health care services. In most instances, medical privacy laws prevent medical information from being released to outside agencies without the patient's consent. Therefore, students should be encouraged to use these clinics for preventive and primary care without fear of any negative consequences. In most Florida counties, the county health clinics funded by Florida Department of Health offer a full-range of services including primary care and preventive wellness testing. Some counties also have federally funded clinics which provide specialized services such as pre-natal care if these services aren't provided at the county health clinic.

Do you know of low-cost health clinics in the area where you live? Click on the link below to access the Florida Department of Health's listing of county health departments throughout Florida to find the location of the county health clinic in your area. Print and save this list of addresses to your folder if you like.

An Ounce of Prevention

It is important to emphasize to your students that most free and low-cost clinics are for preventive and primary care, not emergency care. Some students might ignore symptoms until care becomes costly and the illness or condition becomes chronic because treatment was delayed. Any subsequent incapacitation could interfere with the student's ability to attend school or work. It is important that you explain and that ESOL students understand the difference between emergency and primary or preventive care.

The Right Care

Learners might wonder about which provider to go to for different kinds of medical care. Questions learners might have are: When do I go to a primary care provider? What is the difference between emergency care and urgent care? When do you call 911 and request an ambulance, compared to driving to the hospital?

Primary care usually is considered preventive care and management of chronic conditions. Primary physicians are usually family practitioners, internists, general physicians, and pediatricians. Primary physicians provide physicals, check-ups, maintenance of on-going medications, coordination of care, referrals to specialists, and diagnostics; they also treat non-urgent symptoms. An appointment is often available within a week or more.

Urgent care is not considered life threatening; however, medical attention will be needed as soon as possible before the medical condition gets worse. A severe headache, earache, sprain, sunburn, skin rash, flu, sore throat, respiratory infection or an illness that does not improve within an expected or reasonable amount of time, would be considered urgent care. An appointment is usually necessary within 24 hours, depending on the condition.

Emergency care is considered life threatening. Some life threatening conditions might be severe breathing problems, persistent bleeding, unconsciousness, disorientation, burns, poisoning, drowning, heat exhaustion, head trauma, pain in left arm - neck - and jaw, numbness or weakness on one side of the body, or other conditions that need immediate medical care. Emergency transportation is used when paramedics declare the patient is in need of monitoring or treatment during transportation to an emergency care facility.

Helping Students Understand Different Healthcare Providers

Click on the links below for the lesson plan and activity sheet. Print them and save in your folder.  The lesson plan is designed to help you teach your students about healthcare providers in your community.  Print them and save in your folder. Read the lesson plan and consider the students you teach. Then, complete the bulletin board activity related to this lesson plan. If lesson plans are new to you, the following section on Developing Lesson Plans should help you to better understand lesson planning before you complete the Bulletin Board Activity.

Developing Lesson Plans to Help Guide Your Teaching

A good lesson plan is a wonderful tool to help organize your classroom activities. Throughout this web-based training, we'll be providing you with sample lesson plans, which are correlated to the Florida Adult ESOL Standardized Syllabi for levels Foundations through Advanced and Progress Report for Adult ESOL/English Literacy Academic Skills.

For more information go to http://www.floridaadultesol.org.

When creating your own lesson plans, use the Lesson Plan format your district or Institution uses as your guide. If there is not a standardized lesson plan in your district or institution, then feel free to use this blank lesson plan as your guide.

Blank Lesson Plan

Consider the following steps when writing a lesson plan:

  • What is the Cultural Focus of the lesson?
  • What steps will I take to teach the information? Record this as "Steps" or, our personal favorite, "Classroom Procedure".
  • What is the structural focus (the grammatical structures which students need)?
  • What are the essential vocabulary items the students need?
  • Is the vocabulary, sentence structure and grammar used in any activities appropriate for the proficiency level(s) that I teach?
  • Did I include an evaluation of student progress? (Formal or Informal)
  • Did I include activities which practiced reading and writing, listening and speaking?
The lesson plan you printed contains suggestions for pair work, oral and written activities appropriate for students assessed at High Beginning, but it could be used with a multi-level class of High Beginning through High Intermediate.  Would this lesson plan work for students in your classroom? If not, how could you modify it to work for your students? Have you used similar activities in your classroom? Post 3 to 5 sentences to the bulletin board.


Lesson Plans and Standardized Syllabi

Throughout this web-based training, many strategies and lesson plans are aligned with competencies from Florida's Adult ESOL Standardized Syllabi and Progress Reports. See table below for more information on the correlation between placement scores and SPL levels.

Adult ESOL
Course Code
Name & Number
ESOL
Level
Entry/
Progression/
Exit
Oral BEST BEST Plus Student
Performance
Level (SPL)
Adult ESOL
9900040
CIP#1532.010300
Foundations

180 or lower
and literate
in native language

0-15 400 and below 0-1
Low
Beginning
Low
Beginning
181-190 16-28 401-417 2
High
Beginning
High
Beginning
191-200 29-41 418-438 3
Low
Intermediate
Low Intermediate 201-210 42-50 439-472 4
High
Intermediate
High Intermediate 211-220 51-57 473-506 5
Advanced Advanced 221-235 58-64 507-540 6
English Literacy
Academic Skills
9900051
CIP# 1532.010302
Single level course

Entry:
Listening: 221 and above
Reading: 236 and above
Progression/Exit: Progress Report

n/a n/a 7-8


If you are brand new to teaching Adult ESOL in Florida, you might want to first complete Teaching Adult ESOL: An Online Course, a web-based teacher training program which provides an overview of Florida's assessment instruments, student performance levels, Literacy Completion Points as well as ESOL methods and strategies in order to better Florida's performance-based adult ESOL delivery system.




This web-based training program was developed by Florida Technet, through an Adult Education State Leadership Grant from the Florida Department of Education, Division of Community Colleges and Workforce Education.

Disclaimer: While every effort has been made to ensure the accuracy of this web-based training component, it is not an official publication of the Florida Department of Education.

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