Inbound 1038255337324761777

Assessment Guide
PATIENT INFORMATION
1. What is your name? 5. What is (you/his/her) telephone number?
2. Is there anyone with you? 6. Who can we call to tell them that you are here?
3. What is the name of the person who can make important decisions 7. Do you have medical insurance?
with you? 8. Do you have your insurance card with you?
4. Is this person here with you?
GENERAL QUESTIONS
1. Do you have an appointment?
2. Is it urgent? 12. How long ago?
3. What's the matter? 13. Do you take medication every day?
4. How can I help you? 14. Are you on any sort of medication?
5. How are you feeling? 15. Was/Is it prescribed by a doctor?
6. When was the last time you ate? 16. Do you have the container with you?
7. When was the last time you drank something? 17. What is the name of the medication?
8. What did you eat/drink? 18. Are you allergic to any medication?
9. Have you taken any medications within the last 6 hours? 19. Are you feeling alright?
10. Which medication? 20. Are you feeling any better?
11. How many pills did you take?
SYMPTOMS
1. What's the problem? 10. Was there blood in it?
2. What are your symptoms? 11. Blood in your urine?
3. When did your problem start? 12. Blood in your excrement?
4. When did the pain start? 13. Vaginal bleeding?
5. On a scale of 1 to 10 how much does it hurt? 14. Have you had a stroke?
6. Does the pain radiate (move)? 15. Do you have any allergies?
7. Do you have fever? 16. Is there any possibility you might be pregnant?
8. Do you feel like you want to throw up? 17. How long have you been feeling like this?
9. Have you thrown up?
DRUGS OVERDOSE – BITES AND STINGS
1. Which drug did you take? 4. What animal bit/stung you? 7. How much alcohol do you drink a
2. Did you smoke something? 5. Did a person bite you? week?
3. Were you drinking? 6. How long ago?
OBSTETRICS/ GYNECOLOGY
1. When was your last period? 9. Have you ever had a caesarean/c-section?
2. Have you reached menopause? 10. How many times did you give birth?
3. Is your period regular? 11. Were you raped?
4. Have you had any bleeding other than your period? 12. Do you have vaginal discharge
5. Are you pregnant? 13. Are you using birth control?
6. Are you in labor? 14. Have you has your tubes tied?
7. How close together are the pains? 15. Do you have any sexually transmitted diseases (STD)?
8. Did your water brake?
BEING EXAMINED-
QUESTIONS
1. Can I have a look? 4. Can you lift your right arm? 7. Can you open your mouth, please?
2. Where does it hurt? 5. Does it hurt when I press here? 8. Can you feel this?
3. Can you bend your neck? 6. Could you roll up your sleeve?
PATIENT/ DOCTOR REQUEST

1. I'd like to see a doctor me 10. I'm not well
2. I'd like to make an appointment to see Dr. Robinson 11. I have cut my self
3. I would like to make a phone call 12. I have a headache
4. I want to leave 13. I have a splitting headache
5. I'm not feeling well 14. I have a flu
6. I'm not feeling very well 15. I have a pain in my neck
7. I feel ill 16. My knees are hurting
8. I am in pain 17. May I have some painkillers?
9. I feel sick 18. My back hurts
19. I have sore throat/headache /rash 21. My joints are aching
20. I'm very congested 22. I have a lump I have a swollen ankle
23. I'm asthmatic/diabetic /epileptic 28. I think I might be pregnant
24. I need another inhaler/ some more insulin 29. I'm allergic to antibiotics
25. I'm having difficulty breathing 30. I'm suffering from indigestion/ diarrhea
26. I've been feeling very tired 31. I have a rash
27. I've been feeling depressed
INSTRUCTIONS FOR PATIENTS

1. Stand up 9. Follow my fingers with your eyes
2. Relax 10. Stick out your tongue
3. Show me with your fingers 11. Shrug your shoulders
4. Open your mouth, please 12. Touch my finger with your finger
5. Cough, please 13. Please have a seat
6. Take a deep breath 14. The doctor's ready to see you now
7. Breathe out through your mouth 15. Don`t drink or eat until you are told it is ok.
8. Close your eyes
MEDICAL HISTORY
1. Have you had this problem before? Influenza shot
2. How often? (Measles, Mumps and Rubella) MMR Vaccine
3. Have you ever had a surgery? Pertussis
4. Are you allergic to shellfish? Chickenpox
5. Do you have a coronary heart disease/kidney disease? Pneumonia
6. Have you been vaccinated against Tetanus? Hepatitis A and B
7. Have you received 3 or more shots for Tetanus? Haemophilus influenza type B
8. Which vaccines or inoculations you have received? Diphtheria
9. Have you traveled out of the country recently? Polio
Malaria
Intervention Expressions
1. I need to do rectal exam 6. I want you to see a specialist
2. I need to do a pelvic exam 7. The doctor needs to take an X-ray
3. I'm going to take your blood pressure/ temperature/ pulse 8. The doctors need an ultrasound
4. The doctor needs a blood sample/urine sample/ stool sample 9. Your blood pressure's quite low/normal/ rather high/ very high
5. I want to send you for an x-ray 10. Your temperature's quite low/normal/ rather high/ very high
Treatments and Advice

1. I'm going to prescribe you some antibiotics 6. It is important to give you a shot/ medication/ painkillers/ liquids
2. Take two of these pills three times a day 7. It is important to give you an IV
3. Take this prescription to the pharmacist (DRUGSTORE) 8. You should stop smoking
4. You're going to need a few stitches 9. You should cut down on your drinking
5. I'm going to give you an injection 10. You need to try and lose some weight
WITH THE PHARMACIST

1. Do you have any painkillers/ paracetamol/ aspirin penicillin?
2. Do you know a good doctor/dentist? 10. Does it have any side-effects?
3. Can you recommend anything for a cold? 11. It can make you feel drowsy
4. I'd like some toothpaste/paracetamol 12. You should avoid alcohol
5. I have a prescription here from the doctor 13. You could try this cream if it doesn't clear up after a week, you
6. Do you have anything to help me stop smoking? should see your doctor
7. Have you tried nicotine patches? ¿ 14. Do you have anything for a sore throat/ chapped lips /a cough/
8. Can I buy this without a prescription? athlete's foot?
9. It's only available on prescription
DENTIST/ HYGIENIST
1. Would you like to come through? 10. I'm going to give you an injection
2. When did you last visit the dentist? 11. Let me know if you feel any pain
3. Have you had any problems? 12. Would you like to rinse your mouth out?
4. A little wider, please 13. You should make an appointment with the hygienist
5. I'm going to give you an x-ray 14. You have an abscess
6. You have a bit of decay in this one 15. I've got toothache
7. You need two fillings 16. One of my fillings has come out
8. I'm going to have to take this tooth out 17. I've chipped a tooth
9. Yo you want to have a crown fitted? 18. How much will it cost?
19. I'd like a clean and polish, please
OPHTHALMOLOGIST
1. I'd like to have an eye test, please
2. The frame on these glasses is broken. Can you repair it? 8. Could you read out the letters on the chart, starting at the top?
3. Do you sell sunglasses? 9. Could you close your left eye, and read this with your right?
4. How much are these designer frames? 10. Do you do hearing tests?
5. My eyesight's getting worse 11. I need a new pair of glasses/ pair of reading glasses/glasses case
6. Do you wear contact lenses? /contact lenses
7. Are you short-sighted or long-sighted?

Inbound 1038255337324761777

Uploaded by

Copyright:

Available Formats

Inbound 1038255337324761777

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Inbound 1038255337324761777

Uploaded by

Copyright:

Available Formats

Assessment Guide

PATIENT/ DOCTOR REQUEST

INSTRUCTIONS FOR PATIENTS

Treatments and Advice

WITH THE PHARMACIST

You might also like