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OET Reading 8 – Inclusion Method

Inclusion method is just opposite to Elimination Method. By this, you include or “assemble” all the possible answer-choices, one by one. This method is best for Part A, 1 – 7 because Questions 1 to 7 ask the content of each text. Look at these 2 sample question:

In which text can you find information about:

  1. An alternative to external fixation. _______
  2. The right time to start range of movement exercises. _______

Below you can see 2 out of the 4 texts of Part A Reading. Let’s look at each and try inclusion method.

Reading Part A  1- 7

Text A

Reduction

A clinician can achieve a reduction by closed manipulation – in which the displaced bone fragments are pulled into their anatomical position – restoring alignment or by open reduction through a surgical incision. Immobilization can be achieved by internal or external fixation devices, which are available in many forms. Internal fixation involves the patient undergoing a surgical procedure and includes devices such as intramedullary nails, compression nails, plates and screws. Internal fixation is used in certain pathological fractures, when sufficient reduction cannot be maintained by external fixation, for example, when fractures involve joint surfaces, when it is important to allow early limb or joint movement, or when trying to avoid long periods of immobilization in bed. External fixation can be achieved through surgical, as well as conservative techniques, and includes slings, cast immobilization, skin or skeletal traction and external fixator frames.

Text B

Rehabilitation

Restoration of the upright position and early mobilization decrease cardiopulmonary and other immobility associated complications, for example. pressure ulcers, constipation. and urinary stasis. Following recovery or once the fracture is stable, the limb can be mobilized and range of movement exercises can begin. Deciding on the right time to begin physiotherapy is difficult.
Rehabilitation should not commence too early as this may result in malunion of the bone, however, it should not even begin too late resulting in a perfect union of bone, but muscles are unable to operate the limb. Nurses have a responsibility to know what type of rehabilitation programme patients are undergoing; whether this is fully weight-bearing, partial weight-bearing, touch-toe-bearing or non-weightbearing; and also what mobilisation aids, if any, are being used, so that they are able to continue mobilising patients when physiotherapy services are not available.

Applying Inclusion Method

Now, let’s include all the possible information in each text, separately. The biggest problem is, God forbid that but, you will see similar information in both the texts!

Let me repeat the questions:

In which text can you find information about:

  1. An alternative to external fixation. _______
  2. The right time to start range of movement exercises. _______
Text C

Include all the information for an “alternative for external fixation.”

Text D

Include all the information for the “right time to start range of movement exercises.”

  1. Sentence 1 – Not an alternative for external fixation.
  2. Sentence 2 – Not an alternative for external fixation.
  3. Sentence 3 – Not an alternative for external fixation.
  4. Sentence 4 – An alternative for external fixation.
    “Internal fixation is used in certain pathological fractures, when sufficient reduction cannot be maintained by external fixation, for example, when fractures involve joint surfaces, when it is important to allow early limb or joint movement, or when trying to avoid long periods of immobilization in bed.”
  5. Sentence 5 – Yes, it is more about external fixation.
  1. Sentence 1 – Not about the “right time to start range of movement exercises.”
  2. Sentence 2 -Yes, it is about the “right time to start range of movement exercises.”
  3. Sentence 3 – Not about the “right time to start range of movement exercises.”
  4. Sentence 4 – Not about the “right time to start range of movement exercises.”
  5. Sentence 5 – Not about the “right time to start range of movement exercises.”
Sentences 4 and 5 are included for an “alternative for external fixation. After including information for the “right time to start range of movement exercises”, we get only sentence 2.

Remember, MELON™ is a way to Read, Understand and Answer by means of sorting information in every sentence and paragraph.

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