Health and Healthcare – Lesson 4

Lesson 4 looks at idioms referencing health vocabulary. The focus is on the connotations of the idioms with special attention to pronunciation and intonation.

Lesson Plan 4 – Idioms

Topic: Health Related Idioms
Target Learners: High Intermediate Adults
Language Focus: Vocabulary Building, Discourse Competence, Pronunciation
Primary Skills: Speaking, Idioms
Secondary Skills: Reading, Pronunciation
Teaching Aids and Materials: Handout, Chalk board.

Download Word2010 version of lesson:

Amy.Health.Day4

Stages of Lesson

 

-Opening: (5 minutes) Ss will paraphrase an idiom using context and a story board and discuss answers.

-Activity 3 (15 minutes) Ss will categorize idioms based on positive or negative feelings using context clues.

Pronunciation Practice (5 minutes) Ss will practice pronouncing the sentences. T should model sentences. Ss can speak individually or T can utilize choral response.

-Dialog (15 minutes) Students will replace conversational English with idiomatic English in two sample dialogs. T will check answers and model pronunciation and intonation of sentence.

-Closing (10 minutes) In pairs, students will practice the dialogs. Ss should read each part as T circulates checking pronunciation and intonation of sentences and idioms.

Activity 1

With your group, read the following sentence and try to paraphrase it in your own words in order to explain what it means. You have three minutes to do this task, then we will discuss your paraphrases.

I think I am coming down with something

health3

Paraphrase

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

Activity 2

Categorizing an idiom.

Here are some commonly used idioms which express negative or positive feelings. With your partner, read the idioms and select the answer that best corresponds to their meaning.  Use clues from the context of the sentences to discover the meaning of the idioms circle good for positive feelings and bad for negative feelings.

1.  ill at ease
I feel ill at ease when I take a final exam.

good                                         bad

2.  under the weather
I am under the weather and will go home after class.

good                                         bad

3.  sick as a dog
Jay is sick as a dog, he drank a lot at the bar last night.

good                                         bad

4.  fresh as a daisy
I slept really well last night. I feel fresh as a daisy.

good                                         bad

5.  clean bill of health
The doctor gave me a clean bill of health. We are going to drive to
California.

good                                         bad

6.  fit as a fiddle
Jane is no longer sick and looks fit as a fiddle.

good                                         bad

Activity 3

Practice saying the idioms

  •  Let us now read each sentence and practice saying the idioms.
  •  Pay attention to pronunciation and intonation.
  •  Saying an idiom with the right intonation is very important.

You may mark the words which carry the main stress.

Activity 4

Dialog A:

Replace the underlined word with an idiom:
Write your answer on the line.
Practice saying the dialog with your partner. Pay attention to stress and intonation of the idioms

A:  Are you o.k.? You look a bit under the weather.  ______________________________________________

B:  I think I am coming down with something.  ______________________________________________________

A:  I understand. Last week, I was sick as a dog.  ____________________________________________________

B: You’re not sick now. You look like the picture of health.  ______________________________________________

A:  I ate healthy and got lots of rest. You should go home and get some rest.

B: I don’t know … I feel ill at ease asking for time off. The boss can be difficult sometimes.

________________________________________________________________

Dialog B:

Replace the underlined idiom with an English paraphrase:
Write your answer on the line.
Practice saying the dialog with your partner. Pay attention to stress and intonation of the idioms.

A: Hey! How’s it going?

B: Pretty good. Just got a good report from my doctor.    _________________________________________________

A: I didn’t know you were sick?  ________________________________________________________________________________

B: I was very ill, but now I am healthy.  _______________________________          ______________________________

A: You look energetic.  ___________________________________________________

B: Thanks. How’s your new job going?

A: Good, but one of my coworkers is an annoyance.   _________________________________________________

B: Really? Why?

A: I feel uncomfortable, because she is asking personal questions.  ______________________________________

Answer Key

ill at ease

worried, anxious, uncomfortable

under the weather

you feel a bit ill, sad or without energy.

sick as a dog

to be very ill, sick

fresh as a daisy

alert, ready to go, healthy

clean bill of health

healthy or in good condition

fit as a fiddle

in very good health

Dialog A:

A:  Are you o.k.? You look a bit sick/ill.

B:  I think I am getting sick.

A:  I understand. Last week, I was very ill/sick.

B: You’re not sick now. You look like healthy/not sick/well.

A:  I ate healthy and got lots of rest. You should go home and get some rest.

B: I don’t know … I feel uncomfortable asking for time off. The boss can be difficult sometimes.

Dialog B:

A: Hey! How’s it going?

B: Pretty good. Just got clean bill of health from my doctor.

A: I didn’t know you were under the weather?

B: I was sick as a dog, but now I am fit as a fiddle. (the picture of health)

A: You look fresh as a daisy. (like the picture of health)

B: Thanks. How’s your new job going?

A: Good, but one of my coworkers is pain in the neck. (pain)

B: Really? Why?

A: I feel ill at ease, because she is asking personal questions.

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