Defi Nofita Topic 2 Asking Dimensions of Symptom

English for Nursing 2
Name : Defi Nofita

Class : 2A
Nim : 3020041028
Topic 2
ASKING DIMENSIONS OF SYMPTOM
Instructional objective
The students are expected to be able to act out a conversation of asking dimensions of
symptom.
Obtaining an accurate history is the critical first step in determining the etiology of a
patient's problem. A large percentage of the time, you will actually be able to make a
diagnosis based on the history alone. The value of the history, of course, will depend on
your ability to elicit relevant information. Your sense of what constitutes important data
will grow exponentially in the coming years as you gain a greater understanding of the
pathophysiology of disease through increased exposure to patients and illness. However,
you are already in possession of the tools that will enable you to obtain a good history.
That is, an ability to listen and ask common-sense questions that help define the nature
of a particular problem. It does not take a vast, sophisticated fund of knowledge to
successfully interview a patient. In fact seasoned physicians often lose sight of this
important point, placing too much emphasis on the use of testing while failing to take the
time to listen to their patients. Successful interviewing is for the most part dependent
upon your already well developed communication skills.
Glossaries
Etiology (n) : the cause of a disease or abnormal condition
Pathophysiology (n) : the disordered physiological processes associated with disease or
injury
Related Vocabularies
Direction. Study the following vocabularies. Accomplish the sound of the words in blanks by searching
them independently. Then, add five more words.
• Feel /fiil/ (v) • Knowledge /nowlej/ (n)
• Show / sho / (v) • warning /worning/ (n)
• Pain /pan/ (n) • action /akshen/ (n)
• Alleviating factor /eleveating faktor/ • believe /beliv/ (v)
(np) • care /ker/ (v)
1
• Aggravating factor / engreveating
faktor/ (np)
Useful Expressions
Using open questions is better to build patient rapport. On the other hand, closed
questions are great if you need to get a specific answer, such as if you’re asking about the
dimensions of symptom.
The following are six dimensions of symptom and the useful expressions. Study
and practice them.
No. Dimension Questions
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 a dull pain?
3 Severity • On a scale of 0 to 10, with ten the worst, how would

you rate what you feel right now?
• What is the worst it has been?
• Does this interfere with your usual activities? In what
ways?
4 Timing • When did you first notice it?

• How long does it last?
• How often does it happen?
5 Setting • Does it occur in a particular place or under certain

circumstances?
6 Aggravating or • What makes it better?

Alleviating Factors • What makes it worse?
• When does it change?
• Have you noticed other changes associated with this?
Integrated Listening and Speaking Exercise

Direction. Accomplish the following conversation then act out the dialogue. For your clues, all the missing
expressions are provided on the table above.
Patient: Nurse, I have a pain in my chest?
Nurse: (1) when did you first notice?

Patient: It started a week ago, after exercising
2
Nurse: (2) does it move around?
Patient: Yes. Sometimes I fell it in my throat and upper jaw.

Nurse: (3) what is it? Like Sharp, dull, stabbing, aching?
Patient: I fell dull pain.

Nurse: On a scale of 0 to 10, with ten as the worst (4) how would you rate what you feel?
Right now?
Patient: I think it is about 6.

Nurse: (5) what it the worst? It has been
Patient: It has been 8

Nurse: (6) does it occur in a particular place or under certain circumstances?
Patient: Yes. It occurs in cold weather or after heavy meals.

Nurse: (7) and what makes it worse
Patient: When I exercise heavily. What is it, Nurse?
Nurse: Your doctor will explain it to you, but don’t worry.
Nursing Communication Practice

Direction. Work in pair to write a conversation scenario on the topic of ‘Asking Dimensions of Symptom’.
Practice the conversation together. You are not allowed to read aloud the scenario.
Nurse : good morning
Patient: morning, my nurse has pain in the right side of my stomach
Nurse : when did you first feel?
Patient : starting yesterday, after surgery
Nurse: how is the pain?
Patient: it feels like being stabbed
Nurse: on a scale of 0 to 10, with 10 being the worst, how would you rate how you feel right now?
Patient: approx 5
Nurse : How often does it happen?
patient: very often
Nurse: does it happen under certain circumstances?
Patient: yes, when I move and change positions
Nurse: What are the factors that relieve pain?
Patient : when I lie down and don't move much, what's wrong nurse?
3
Nurse: don't worry it's because after surgery
Patient : ok nurse, thank you
Nurse: you're welcome
Nursing Documentation
Direction. Write a nursing documentation after asking the dimensions of symptom of your patient. You
can refer to the table below for jotting down what you have to find out.
You can fill the following form.
NURSING DOCUMENTATION
I. Patient’s identity
Name : Defi Nofita Address : jl.kenanga no.3 block A
Sex : male/female*
Age : 20 Phone number : 083801651678
Assessment Results
Location of the pain: right side of stomach
Character of the pain: like being stabbed
Severity of the pain: 5
Timing: often
Setting: when move
Aggravating factor(s): when move and change positions
Alleviating factor(s): when lie down and don't move much

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English for Nursing 2

Name : Defi Nofita

ASKING DIMENSIONS OF SYMPTOM

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

3 Severity • On a scale of 0 to 10, with ten the worst, how would

4 Timing • When did you first notice it?

5 Setting • Does it occur in a particular place or under certain

6 Aggravating or • What makes it better?

Integrated Listening and Speaking Exercise

Patient: Nurse, I have a pain in my chest?

Nurse: (1) when did you first notice?

Patient: Yes. Sometimes I fell it in my throat and upper jaw.

Patient: I fell dull pain.

Patient: I think it is about 6.

Patient: It has been 8

Patient: Yes. It occurs in cold weather or after heavy meals.

Patient: When I exercise heavily. What is it, Nurse?

Nurse: Your doctor will explain it to you, but don’t worry.

Nursing Communication Practice

Character of the pain: like being stabbed

Severity of the pain: 5

Setting: when move

Aggravating factor(s): when move and change positions

Alleviating factor(s): when lie down and don't move much

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