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Asking The Dimensions of Symptom

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ASKING THE DIMENSIONS

OF SYMPTOM
Kadek Maya Cyntia Dewi, S.S.,M.Pd
LANGUAGE COMPETENCY
Objectives :
1. Participants will be able to give communicative response to patient’s complaints.
2. Participants will be able to ask the dimensions of symptom

Related nursing skill : Communication techniques on asking dimensions of symptom


Vocabulary
1. Dull : Rasa tidak terlalu sakit tetapi berlangsung terus
2. Stabbing : Sakit yang berdenyut seperti pukulan
3. Sharp : Rasa sakit yang menusuk-nusuk
4. Aching : Rasa sakit yang berlangsung terus menerus
5. Aggravating Factors : Faktor-faktor yang memberatkan (penyakit)
6. Alleviating Factors : Faktor-faktor yang meringankan (penyakit)
EXPRESSIONS : ASKING THE DIMENSIONS OF SYMPTOM

Language Focus Expression

1. Location • Where do you feel it?

• Does it move around?

• Show me where.

2. Quality or Character • What is it like? Is it sharp, dull,

stabbing, aching?

• Do you feel……..?
EXPRESSIONS : ASKING THE DIMENSIONS OF SYMPTOM

Language Focus Expression

3. Severity • In the scale of 0 to 10, with 10 the worst, how would you rate what

you feel right now?

• What is the worst it has been?

• Does this interfere your usual activities? In that ways.

4. Timing • When did you first notice it?

• How long does it last?

• How often does it happen?


EXPRESSIONS : ASKING THE DIMENSIONS OF SYMPTOM

Language Focus Expression

5. Setting • Does it occur in a particular place or

under certain circumstances?

6. Aggravating or Alleviating Factors • What makes it better?

• What makes it worse?

• When does it change?

• Have you noticed other changes

associated with this?


Conversation
Patient : Nurse, I have a pain in my chest.
Nurse : When did you first notice it?
Patient : It started a week ago, after having exercises.
Nurse : Does it move around?
Patient : Yes, it moves to the throat and upper jaw
Nurse : What is it like? Sharp, dull, stabbing, aching?
Patient : I feel dull pain
Nurse : On scale of 0 to 10, with 10 as the worst, how would you rate what you feel right now?
Patient : I think it is 6
Nurse : What is the worst it has been?
Patient : It’s 8
Nurse : Does it occur in a particular place or under certain circumstances?
Patient : Yes, it occurs in a cold weather or after heavy meals
Nurse : What makes it worse?
Patient : When I take heavy exercise. What health problem do I have, nurse?
Nurse : You may have angina, but let me consult to your doctor.
DULL ACHING AGGRAVATING
DULL ACHING AGGRAVATING

SEVERITY
SEVERITY
ALLEVIATING
ALLEVIATING

SYMPTOM DIMENSION ANGINA


SYMPTOM DIMENSION ANGINA

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