Grade 9 Eng_Unit 2 Reading I - Interactive Digital lesson

Grade 9 Secondary Level Curriculum

Digital English Presentation Portal

Prepared by Tika Subedi

www.tsubedi.net.np

Reading I: The Acceleration behind Telehealth Services (Full Dialogue Presentation & Practice)

Bilingual Support Included Self-Study Materials

Reading Section Panel

Bilingual Tools:

नेपाली सहयोगी विवरण (Nepali Support Note)

अंग्रेजी विषयमा कमजोर हुनुभएका विद्यार्थीहरूको लागि प्रत्येक अनुच्छेदको सरल नेपाली अनुवाद, उच्चारणका लागि TTS अडियो प्रणाली र १६ वटा कठिन शब्दहरूको समानार्थी र विपरीतार्थक शब्दहरू नेपाली अर्थसहित राखिएको छ। गुलाबी रङमा हाइलाइट गरिएका शब्दहरूमा ट्याप गरी अर्थ हेर्न सक्नुहुन्छ।

Before reading, let's discuss these questions:

Question A

How do you get advice from a doctor?

Question B

What do you know about telehealth services?

Tip for Students: Words highlighted in Pink are textbook key terms. Tap/click them anytime to open interactive dictionaries with pronunciation guide!

Interview Reading Text

The Acceleration behind Telehealth Services

Chun-Kai Chang (Business Development Manager) talks to News-Medical.

In this interview, Chun-Kai Chang, the Business Development Manager of Telehealth at Advantech, talks to News-Medical about the acceleration behind telehealth services.

यस अन्तर्वार्तामा, एडभान्टेक (Advantech) का टेलिहेल्थ (दूर-स्वास्थ्य सेवा) का व्यापार विकास प्रबन्धक चिन-काइ चाङ (Chun-Kai Chang) ले न्युज-मेडिकल (News-Medical) सँग टेलिहेल्थ सेवाहरूको तीव्र विकास र वृद्धिका बारेमा कुराकानी गर्नुभएको छ।

Dialogue Sketch

Reporter Question 1

To begin, can you give us a brief introduction into telehealth and what it involves?

Mr. Chang Explains

Chang: Telehealth is a method of providing medical care remotely, usually through video chat. Telehealth makes it possible to connect patients and clinicians from any location.

It provides access to a wide range of care, including primary care consultations, psychotherapy, physical therapy, and even emergency services. It allows primary care clinicians and specialists to further their reach for treating patients wherever there is an internet connection.

The benefits of telehealth for healthcare providers and patients is that these services can be faster, safer, more effective, and less expensive in the long run, especially during a time like the COVID-19 pandemic, where telehealth has allowed access to medical care without going to hospitals to protect patients and hospital staff from being exposed to the infection.

नेपाली अनुवाद (Nepali Translation):

कुराकानीको सुरुमा, के तपाईं हामीलाई टेलिहेल्थ सेवाको बारेमा छोटो जानकारी र यसमा के-के कुराहरू समावेश हुन्छन् भनी बताउन सक्नुहुन्छ?

चाङ: टेलिहेल्थ भनेको टाढाबाट (विशेष गरी भिडियो च्याट मार्फत) स्वास्थ्य उपचार सेवा उपलब्ध गराउने एउटा आधुनिक विधि हो। यस प्रविधिले संसारको जुनसुकै स्थानबाट पनि बिरामी र चिकित्सकहरूलाई जोड्न सम्भव बनाउँछ।

यस सेवाले प्राथमिक उपचारको सल्लाह, मनोपरामर्श (psychotherapy), भौतिक चिकित्सा (फिजिकल थेरापी), र आपत्कालीन सेवाहरू समेत प्रदान गर्दछ। जहाँ इन्टरनेट जडान उपलब्ध छ, त्यहाँका विशेषज्ञ डाक्टरहरूले टाढाका बिरामीहरूलाई सजिलै उपचार सेवा प्रदान गर्न सक्छन्।

यसको मुख्य फाइदा यो सुरक्षित, छिटो र दीर्घकालीन रूपमा सस्तो हुनु हो। विशेष गरी कोभिड-१९ महामारीको बेलामा अस्पताल नगई सुरक्षित ढंगले उपचार पाउन र डाक्टरहरूलाई संक्रमण सर्नबाट जोगाउन यो धेरै सहयोगी साबित भएको छ।

Factors Image

Reporter Question 2

What are some of the main drivers behind the acceleration and momentum of telehealth services?

Mr. Chang Explains

Chang: There are two major drivers for this fast-growing market. The first and most recent driver for telehealth has been the global COVID-19 pandemic. Strong social distancing and minimal physical contact precautions have pushed the shift to telehealth and remote consultations as it aids in infection protection.

These precautions and increased hospital bed shortages have forced medical facilities to incorporate more telehealth technologies to keep up with demand and maintain care continuity for patients at home. The second driver is the shortage of medical professionals when demand is increasing every year due to an aging population and more and more patients with chronic and non-communicable diseases. For people living in rural areas, their medical demands are underserved due to insufficient resources and long distances to drive into cities for care. Telehealth is one of the promising ways to tackle the challenge of doctor shortages and expand specialists and doctors' reach to patients.

नेपाली अनुवाद (Nepali Translation):

टेलिहेल्थ सेवाहरूको यो तीव्र विकास र प्रभावकारी विस्तार पछाडिका मुख्य प्रेरक तत्वहरू वा कारणहरू के-के हुन्?

चाङ: यस द्रुत गतिमा बढिरहेको बजारका दुई मुख्य प्रेरक कारणहरू छन्। पहिलो र सबैभन्दा नजिकको कारण कोभिड-१९ महामारी हो। सामाजिक दूरी कायम राख्न र भौतिक सम्पर्क कम गर्नुपर्ने बाध्यताले गर्दा मानिसहरू टेलिहेल्थ र टाढैबाट सल्लाह लिने सेवातर्फ आकर्षित भए।

महामारीको समयमा अस्पतालहरूमा बेडको चरम अभाव भएपछि बिरामीहरूलाई घरमै लगातार उपचार प्रदान गर्न अस्पतालहरूले नयाँ टेलिहेल्थ प्रविधि अपनाउन थाले। दोस्रो प्रमुख कारण भनेको चिकित्सक र डाक्टरहरूको अभाव हुनु हो, जब कि हरेक वर्ष वृद्ध जनसङ्ख्याको वृद्धि र दीर्घकालीन रोगहरूका (chronic diseases) कारण बिरामीहरूको सङ्ख्या बढ्दो छ। दुर्गम र ग्रामीण क्षेत्रमा बस्ने बासिन्दाहरू पर्याप्त भौतिक साधन नहुँदा र सहरका अस्पताल पुग्न लामो यात्रा गर्नुपर्ने कारणले उचित उपचार पाउनबाट वञ्चित छन्। यस्तो अवस्थामा चिकित्सकको अभाव टार्न र गाउँ-गाउँसम्म डाक्टरको पहुँच पुर्‍याउन टेलिहेल्थ एक भरपर्दो विकल्प हो।

Future Vision

Reporter Question 3

In terms of this acceleration and momentum of telehealth services, we are currently seeing, what are some items we can expect to see in the future?

Mr. Chang Explains

Chang: Telehealth will not replace face to face care services, but we will incorporate it into healthcare facilities' infrastructure. Patients will be selecting providers based on their accessibility to telehealth services.

With more access to doctors, increasing patients using preventative care services and follow-up care due to convenience will start to emerge. These can lead to fewer readmissions and patient complications. We will also see more use for early screening of patient triage in the field before they arrive at hospitals.

नेपाली अनुवाद (Nepali Translation):

हामीले अहिले देखिरहेको टेलिहेल्थ सेवाहरूको यो तीव्र विस्तारलाई हेर्दा, भविष्यमा हामी स्वास्थ्य क्षेत्रमा कस्ता नयाँ परिवर्तनहरू देख्न सक्छौं?

चाङ: टेलिहेल्थले डाक्टरलाई प्रत्यक्ष भेटेर गरिने उपचार सेवालाई पूर्ण रूपमा विस्थापित त गर्ने छैन, तर यसलाई अस्पतालहरूको पूर्वाधार प्रणालीमा (infrastructure) अनिवार्य रूपमा समावेश गरिनेछ। अब बिरामीहरूले घरमै बसेर सहजै सेवा लिन सकिने सुविधारूपी टेलिहेल्थको आधारमा डाक्टर वा अस्पताल रोज्नेछन्।

यस सहजताका कारण धेरै मानिसहरूले रोग लाग्नु अघिको रोकथाम सेवा (preventative care) र नियमित अनुगमन सेवा लिन थाल्नेछन्। यसले गर्दा बिरामीहरू जटिल समस्या लिएर पुनः अस्पताल भर्ना हुनुपर्ने अवस्था घट्नेछ। हामीले बिरामी अस्पताल पुग्नुअघि नै फिल्डमै उनीहरूको प्रारम्भिक स्वास्थ्य जाँच र वर्गीकरण (triage) अनलाइन प्रणालीबाटै भएको देख्न पाउनेछौं।

Monitoring Device

Reporter Question 4

When it comes to remote patient monitoring for clinicians, what impact does telehealth have on this?

Mr. Chang Explains

Chang: Remote patient monitoring could be one of the applications of telehealth. Remote patient monitoring usually involves continuously collecting patient's health data through wearable devices, such as vital signs and blood sugars.

The patient's data is then transmitted in real-time, monitored, and reviewed by medical providers. In this way, medical providers could acquire a whole picture of a patient's health condition and give a more precise diagnosis.

नेपाली अनुवाद (Nepali Translation):

बिरामीहरूको स्वास्थ्यलाई टाढैबाट निगरानी गर्ने (Remote patient monitoring) कार्यमा टेलिहेल्थले कस्तो प्रभाव पारेको छ?

चाङ: टाढैबाट बिरामीको स्वास्थ्यको रेखदेख वा निगरानी गर्नु टेलिहेल्थको एउटा उत्कृष्ट अनुप्रयोग हो। यस प्रक्रियामा बिरामीले शरीरमा लगाउन मिल्ने विशेष डिजिटल उपकरणहरू (wearable devices) प्रयोग गरेर मुटुको चाल, रक्तचाप र मधुमेह (vital signs & blood sugar) लगातार नापिन्छ।

यो health सम्बन्धी तथ्याङ्क तत्कालै (real-time) इन्टरनेट मार्फत सुरक्षित रूपमा डाक्टरकहाँ पुग्छ। यसरी चिकित्सकहरूले बिरामीको समग्र स्वास्थ्य अवस्थालाई राम्रोसँग बुझेर अझ बढी सटीक र भरपर्दो निदान (precise diagnosis) गर्न सक्छन्।

Collaboration

Reporter Question 5

How has telehealth shaped the way clinicians work with each other?

Mr. Chang Explains

Chang: Clinician-to-clinician telehealth services have enabled medical professionals to collaborate virtually with specialists in other locations to deliver treatment and care to patients jointly.

This service can range from remote surgical mentoring to Tele-ICU and Tele-ER (like a stroke), in which on-site staff work together with a remote physician/specialist team to assess patient's condition. Telehealth solutions relieve the pressure of staffing gaps seen in critical departments such as an emergency room and ICU.

नेपाली अनुवाद (Nepali Translation):

टेलिहेल्थ प्रविधिले डाक्टर वा चिकित्सकहरूलाई आपसमा सहकार्य गर्न र मिलेर काम गर्न कसरी सहज बनाएको छ?

चाङ: चिकित्सक-बीचको (Clinician-to-clinician) टेलिहेल्थ सेवाहरूले चिकित्सकहरूलाई अन्य ठाउँमा रहेका विशेषज्ञहरूसँग अनलाइन मार्फत जोडिएर बिरामीको उपचार गर्न सहयोग पुर्याउँछ।

यो सेवा अनलाइनबाट गरिने शल्यक्रिया मार्गदर्शन (surgical mentoring) देखि लिएर टेलि-आईसियु (Tele-ICU) र आपत्कालीन कक्ष (Tele-ER) सम्म फैलिएको छ, जहाँ स्थानीय स्वास्थ्यकर्मीहरूले टाढाका विशेषज्ञ डाक्टरहरूसँग मिलेर जटिल बिरामीको उपचार गर्दछन्। यसले गर्दा आपत्कालीन कक्ष र आईसियु (ICU) जस्ता संवेदनशील विभागहरूमा चिकित्सकको अभावको चर्को दबाब कम गर्न धेरै सहयोग मिल्छ।

Challenges

Reporter Question 6

What would you say are some of the biggest challenges clinicians currently face with telehealth?

Mr. Chang Explains

Chang: Many hospitals are still facing the lack of infrastructure to implement telehealth successfully, insufficient hardware, and the right technology for each specialty. Some hospitals struggle with reliable networking infrastructures like broadband, 4G, or Wi-Fi. This could limit the connectivity within facilities and provide remote care to rural areas or mobile clinics. Having the right technology and tools in place will be crucial to successful telehealth programs.

Even though this new technology is quickly being integrated, there is a learning curve to using telehealth versus traditional healthcare operations. Users face obstacles such as learning to use different tools, online scheduling for virtual visits, triage procedures, and billing policies.

To overcome these challenges, telehealth should be encouraged as a regular service and included in health insurance. There would be more motives for healthcare providers to invest in infrastructures and information system integration and deploy telehealth technology.

नेपाली अनुवाद (Nepali Translation):

डाक्टर वा स्वास्थ्यकर्मीहरूले अहिलेको समयमा टेलिहेल्थ सेवा सञ्चालन गर्दा भोग्नुपरेका मुख्य चुनौतीहरू के-के हुन्?

चाङ: धेरै अस्पतालहरूमा अहिले पनि कम्प्युटर, इन्टरनेट जस्ता आधारभूत भौतिक पूर्वाधारको (infrastructure) ठूलो अभाव छ। तिनीहरूसँग आवश्यक उपकरणहरूको कमी हुन्छ। कतिपय ग्रामीण क्षेत्रका अस्पतालहरूमा भरपर्दो ब्रोडब्यान्ड, ४जी, वा वाइफाइ (Wi-Fi) जडान हुँदैन, जसले गर्दा दुर्गम गाउँ वा mobile क्लिनिकहरूमा सेवा पुर्‍याउन सकिँदैन। प्रविधिको सही प्रयोग नै टेलिहेल्थको सफलताको मुख्य कुञ्जी हो।

Subedi सर, अर्को ठूलो चुनौती भनेको परम्परागत अस्पताल सेवा र यो डिजिटल सेवाबीच रहेको सिकाइको कठिनाइ (learning curve) हो। नयाँ डिजिटल एप कसरी चलाउने, अनलाइन अपोइन्टमेन्ट कसरी लिने, वर्गीकरण प्रक्रिया (triage) र बिलिङ कसरी गर्ने जस्ता कुरा सिक्न बिरामी र डाक्टर दुवैलाई समय लाग्छ।

यी चुनौतीहरूलाई पार गर्न टेलिहेल्थलाई नियमित स्वास्थ्य सेवाको रूपमा अपनाउनुपर्छ र यसलाई सरकारी स्वास्थ्य बीमामा समावेश गर्नुपर्छ। यसो गर्दा मात्र अस्पतालहरूले ढुक्कसँग डिजिटल पूर्वाधार विस्तार र नयाँ प्रविधिको परिचालनमा (deploy) लगानी गर्ने वातावरण बन्नेछ।

तपाईंले अन्तर्वार्ता सफलतापूर्वक पढिसक्नुभयो!

You have completed the entire interview text. Now proceed to study the key vocabulary terms or attempt the quiz.

Key Dialogue Vocabulary Cards (No-Flip Required)

Study these 16 essential vocabulary cards clearly presenting standard definitions, synonyms, antonyms, and Nepali translations. Click the pink speaker icon to trigger a **soft female voice** specifically tuned at a slower, friendly pace for struggling students.

Essential Dialogue Summary Sheet (अति आवश्यक पाठको सारसंक्षेप)

This section contains a simplified summary of the entire dialogue text. Teachers can keep this open on class displays during revision hours.

Dialogue Key Takeaways

What is Telehealth?

A method of delivering medical consultations remotely via live video chat, bypassing physical visits.

डाक्टरहरू र बिरामीहरू प्रत्यक्ष रूपमा अस्पताल नगई टाढैबाट भिडियो कल वा इन्टरनेटको माध्यमबाट गरिने उपचार सेवा हो।

Primary Growth Factors

Accelerated by the COVID-19 pandemic social distancing guidelines and the severe shortage of medical staff in isolated villages.

कोभिड-१९ महामारीको समयमा सामािजक दूरी कायम गर्न र दुर्गम गाउँहरूमा डाक्टरहरूको चरम अभाव भएकाले यो बजार तीव्र रूपमा फैलियो।

Primary Challenges

Lack of computers or digital hardware, unstable Wi-Fi/4G internet in rural health-posts, and learning to operate digital tools.

गाउँघरका स्वास्थ्य चौकीमा कम्प्युटर वा उपकरण नहुनु, वाइफाइ/४जी इन्टरनेट नचल्नु र प्रविधि चलाउन नजान्नु यसका प्रमुख समस्या हुन्।

Surgical & Critical Care Collaboration

Enables local clinics to connect directly with specialized surgeons or ICU consultants in cities to deliver joint treatments.

गाउँका चिकित्सकहरूले सहरका विशेषज्ञ डाक्टरहरूसँग अनलाइनमै सहकार्य गरी जटिल शल्यक्रिया वा आईसियु (ICU) सम्बन्धी उपचार संयुक्त रूपमा गर्न सक्छन्।

Classroom Poster Visualizer

Digital Classroom Theme Visualizer

Use the Gemini Creative Engine to generate a beautiful diagram sketch representing telehealth and medical consultation in isolated villages of Nepal.

Click the button below to generate a beautiful classroom presentation sketch representing rural telemedicine services in Nepal.

Lesson Plan & Teacher's Guide (शिक्षक निर्देशिका तथा शिक्षण योजना)

This plan is specifically structured for Grade 9 English teachers in Nepal to deliver interactive, engaging, and simple lessons on Telehealth Services.

1. Lesson Objectives

• To identify and pronounce all 16 core telehealth vocabulary terms correctly.
• To extract and state the main advantages and challenges of telehealth services discussed in the dialogue.
• To compare traditional physical healthcare with remote patient monitoring (RPM).
• To confidently attempt the integrated comprehension and vocabulary assessment quiz.

2. Classroom Procedures

Step A: Pre-Reading Warm-Up (10 Min)

Project the "Before reading" section onto the digital screen. Engage students in discussion regarding physical vs. virtual doctor visits. Utilize the translation switcher to bridge understanding barriers.

Step B: Interactive Reading (20 Min)

Read the dialogue paragraph-by-paragraph. Alternate between English text and simple Nepali translations. Generate AI illustrations dynamically to keep weak learners visual and engaged.

Step C: Vocabulary Drill (10 Min)

Open the Vocabulary Vault tab. Use the pink speaker button to play standard female voice pronunciations. Direct students to note synonyms, antonyms, and direct Nepali meanings.

3. Evaluation Methods

Formative Assessment

Divide the class into pairs representing the 'Reporter' and 'Mr. Chang'. Have them read the bilingual blocks aloud. Monitor their speech rates and pronunciation skills.

Interactive Digital Quiz

At the end of the lesson, guide students to attempt the 11 integrated assessment questions. Check collective scorecards and utilize the "Practice Again" button to cement vocabulary recall.

Classroom Discussion Q&A Key (प्रश्न-उत्तर सहयोगी खण्ड)

Answers Hidden (क्लिक गरी हेर्नुहोस्)

Q1. What is telehealth service? Click to see answer

Answer:

It is a method of providing medical care remotely, usually through live video chat, making it possible to connect patients and doctors from any location.

Q2. What are the advantages of using telehealth? Click to see answer

Answer:

Telehealth services are faster, safer, more effective, and less expensive in the long run. They protect patients and hospital staff from hospital-acquired infections.

Q3. Why is the telehealth service growing rapidly? Click to see answer

Answer:

Due to two major factors: 1) The COVID-19 pandemic social-distancing precautions, 2) Acute doctor shortages in isolated areas paired with an aging population with chronic/non-communicable diseases.

Q4. How is it important during a pandemic? Click to see answer

Answer:

It allows patients to seek medical aid remotely from their homes without going to physical hospitals, protecting patients and clinicians from infection exposure.

Q5. Why are patients in remote areas underserved? Click to see answer

Answer:

Because of insufficient clinical resources in rural areas and long travel distances required to drive into central cities for proper care.

Q6. What are the top three challenges of telehealth? Click to see answer

Answer:

1) Lack of hardware/networking infrastructure in rural regions, 2) Steep learning curve compared to traditional hospital operations, and 3) Insufficient integration within standard health insurance policies.

Classroom Assessment Sandbox

Complete all 11 questions below based on the text to test your understanding, then click "Submit Assessment" to see your scorecard!

Score: 0 / 11

Section A: True or False (Syllabus Activities)

Decide whether the following statements are True or False:

a. Internet service is necessary to use telehealth services.

b. While providing telehealth services, health professionals are at high risks of being infected due to the exposure to patients.

c. Telehealth service can be the best alternative to a face to face service.

d. The problem with the lack of medical staff will be solved to a great extent with telehealth technology.

e. The success of telehealth programmes depends on the infrastructure and the best use of IT tools.

Section B: Core Textbook Comprehension

Select the best option corresponding to the text:

f. According to Mr. Chang, what is telehealth at its core?

A method of delivering medicine parcels directly to homes. A method of providing medical care remotely, usually via video chat.

g. Why are medical demands underserved in rural or isolated areas?

Because rural patients prefer herbal medicine. Due to insufficient clinical resources and long travel distances to city hospitals.

h. What does remote patient monitoring (RPM) usually involve?

Continuously collecting health data like vital signs through wearable devices. Calling patients on telephone once a week to chat about daily schedules.

Section C: Vocabulary Vault Mastery

Test your vocabulary recall of the 16 core words:

i. Which word matches the definition: "An outbreak of a dangerous infectious disease that spreads quickly across the whole world"?

Chronic Pandemic Triage

j. What is the definition of "Clinicians"?

Healthcare practitioners who treat sick patients directly. Hospital administrators. Unskilled medical visitors.

k. What is a synonym of "Deploy"?

Withdraw Launch / Implement Deconstruct

तपाईंको मूल्याङ्कन नतिजा (Your Evaluation Result)

You scored 0 out of 11 points!

Interactive Dictionary

Word

Nepali Meaning / नेपाली अर्थ:

अर्थ

Simplified Definition:

Definition here

Synonyms (उस्तै अर्थ)

Synonyms

Antonyms (विपरीत अर्थ)

Antonyms

© 2026 Telehealth Presentation Portal. Aligned with Grade 9 Nepal Curriculum.

Prepared by Tika Subedi

www.tsubedi.net.np