Competency: After Completed This Chapter, Students Will Be Able To

COMPETENCY
Learning objectives
After completed this chapter, students will be able to:
1. Give communicative response to patient’s complaint

2. Ask the dimensions of symptoms
3. Discribing the dimension of symptom
VOCABULARY
LANGUAGE
SPEAKING
Every nurse needs a communication skill. When you communicate to a stranger,
patient, doctor or medical staff, you need some clues and expressions to start yor
conversation. Study the following useful expression for a nurse and for the patient.
A. EXPRESSION FOR A NURSE B. EXPRESSION FOR A PATIENTS
1. What’s your problem? 1. I am really unwell

2. How are you feeling today? 2. I really felt in bad shape
3. What makes you call me? 3. I really din’t feel well
4. What’s your chief complaint? 4. I am going to be sick
5. What’s troubling you? 5. I feel like vomiting
6. What’s the matter with you? 6. I have ( a part of the body+ache)
7. What’s wrong with you? A Tootache
8. What’s seems to be bothering you? A backache
9. How are you today Mr Brown? A stomachache
10. Have you taken your medicine? 7. I have ( a sore +part of body)
11. Sleep well Mr John? A sore thoat
12. Can I ask something/ A sore arm
13. Does it hurt here? 8. I have/get +kinds of physical
14. How long have you felt like this? problems
15. Let me examine you, Mr,John? The measles
The flu
The fever
9. I feel + kinds of physical
problems
Dizzy
Cold and clammy
10. I suffer from + kinds of certain
illness
Constipation
Cancer
READING
Reading and vocabulary
Signs and symptoms are the tools for making a diagnosis, but what is the difference between the two?
The signs of an illness are the things that a doctor or nurse can see and measure.
Signs are things like spots and bleeding. Temperature, heart rate, blood pressure and
respiration rate are all signs because you can measure them. Symptoms are the
things which a patient experiences, but others can’t always see. Dizziness and
nausea are examples of symptoms.
The symptoms which make a patient seek medical help in the first place are called
the presenting symptoms. Medics describe them in terms of being either strong, mild
or weak. Sometimes the symptoms of serious illnesses like cancer and diabetes are
weak. They stay weak for a long time and the illness remains undiagnosed.
Many illnesses have the same symptoms. These symptoms are called non-specific.
Fatigue is an example of this. It’s a symptom of many kinds of illness, both chronic
and acute, and of both physical and mental disorders.
Doctors ask patients about the onset of the symptoms, what they feel like, what relieves them
and what makes them worse. The more detail they have, the faster they can make a diagnosis.
3 Comprehension
Decide whether these statements are true (T) or false (F) according to the text.
1 You need signs and symptoms for a diagnosis.
2 You can’t see symptoms.
3 Patients presenting symptoms are either strong, mild or weak.
4 Killer diseases can have weak symptoms.
5 Non-specific symptoms help a lot with diagnosis.
6 Too much information slows up diagnosis.
4 Vocabulary
A nurse wants to know about symptoms and asks the questions a–g.
Write the number of the correct symptom 1–7 after each question.
The first is done for you.
1 diarrhoea
2 spots
3 numbness
4 fever
5 swelling
6 nausea
7 dizziness
a Can you feel this? 3
b Do you have them on your back too?
c How high is it?
d When you have an attack, do you fall over?
e Was there any blood in it?
f Do you still feel sick?
g How long has it been this big?

5 Further vocabulary practice
Underline the correct words in italics to complete the sentences.
The first one is done for you.
1 I have aches and pains / in pain / painful all over my body.
2 My pulse is up to 150 per minute and I feel dizzy / dizziness / to be dizzy.
3 I’ve got an itchy / itchiness / itch rash on the back of my hand.
4 My leg is cut and bruising / bruised / bruise from the accident.
5 He feels nauseous / nausea / nauseating and needs to sit down.
6 She has a small lump / lumpy / lumps on her breast.
7 Her spine is deform / deformed / deformity.

CHAPTER 5
DESCRIBING SYMPTOM
PRONUNCIATION

Competency: After Completed This Chapter, Students Will Be Able To

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COMPETENCY

After completed this chapter, students will be able to:

1. Give communicative response to patient’s complaint

A. EXPRESSION FOR A NURSE B. EXPRESSION FOR A PATIENTS

1. What’s your problem? 1. I am really unwell

1 You need signs and symptoms for a diagnosis.

2 You can’t see symptoms.

3 Patients presenting symptoms are either strong, mild or weak.

4 Killer diseases can have weak symptoms.

5 Non-specific symptoms help a lot with diagnosis.

6 Too much information slows up diagnosis.

The first is done for you.

a Can you feel this? 3

b Do you have them on your back too?

c How high is it?

d When you have an attack, do you fall over?

e Was there any blood in it?

f Do you still feel sick?

g How long has it been this big?

Underline the correct words in italics to complete the sentences.

The first one is done for you.

1 I have aches and pains / in pain / painful all over my body.

2 My pulse is up to 150 per minute and I feel dizzy / dizziness / to be dizzy.

3 I’ve got an itchy / itchiness / itch rash on the back of my hand.

4 My leg is cut and bruising / bruised / bruise from the accident.

5 He feels nauseous / nausea / nauseating and needs to sit down.

6 She has a small lump / lumpy / lumps on her breast.

7 Her spine is deform / deformed / deformity.

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