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2018

THE RULES
EVALUATION
Individual and Group Assignments
(spoken and written)

MID TEST 30 %
FINAL TEST 35 %
Daily Evaluation &
Individual/ Group Task 25 %
Personality Performance
PRESENCE 10 %

PRESENCE TAKING EXAMS


≥ 80% Allowed
< 80% Allowed + Task
≤ 50% Not Allowed

RANGE SCORE GRADE


75 – 100 A
Lecturers: 63 – 74 B
51 – 62 C
Nita Yuanita, S.Pd., M.Si. 36 – 50 D
Irsyad Nugraha, M.Pd. ≤35 E
4 th ENGLISH
FOR
Taken from:
NURSING
 Ardiansyah,“Let’s Speak English ,
Nurse!”
 Leo. A. Pramudya, “English for the
Professional Nurses” Course Book 1
 Leo. A. Pramudya, “English for the
Professional Nurses” Course Book 2
 Jack C. Richards “Person to Person”
DIMENSION OF SYMPTOM
 Raymond Murphy “English Grammar
in Use”
 Imam D. Djauhari “ Mastery on
& NURSES’ DIAGNOSING REPORT
English Grammar”

Lecturers:
Mrs. Nita Yuanita, S.Pd., M.Si.
Mr. Irsyad Nugraha, M.Pd
Nurses have to be able to explore the
patient’s complaints by asking a certain
question about dimension of symptoms.

The patient’s responses are reported in


nursing documentation and then it is reported
to the physician on duty as Nursing Report and
Nursing Diagnosis
DIMENSION OF SYMPTOM
Location
Frequency/ Timing
Quality/ Character
Quantity/ Severity
Setting/ Cause of Pain
Aggravating/ Alleviating / Triggering Factor
Patient : Nurse, I have pain in my chest
Nurse : When did you first notice it?
Patient : It started a week ago, after exercising.
Nurse : Does it move around?
Patient : Yes, sometimes I feel it in my throat and upper jaw
Nurse : What is it like? Sharp, dull, stabbing, aching?
Patient : I feel dull pain
Nurse : On a scale 0 to 10, with ten as the worst,
how would you rate your pain?
Patient : I think it’s about 6
Nurse : What is the worst it has been?
Patient : It has been an 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 worst?
Patient : When I exercise heavily. What is it, nurse?
Nurse : Your doctor will explain it to you, but don’t worry
LOCATION
Describe the exact location of pain

Possible questions about asking the dimension of


symptom:
Show me where the pain is?
Where do you feel it?
Could you point at the pain you feel?
Does it move around?
Possible Patient’s responses:
It is in + (a part of the body)
The pain is around my + (part of the body)
FREQUENCY/ TIMING
The sequence of pain (time of onset; duration of pain: minutes, hours,
days; pattern of variation and frequency)

Possible questions about asking the dimension of symptom:


When did you first notice it?
How long does it last?
How often does it happen?
Is it occasional, frequent or constant?

Possible Patient’s responses:


It started… 3 (days, hours) ago
It last in about 5 minutes
It is recurrent (very often, in two hours)
QUALITY/ CHARACTER
Describe the intensity of pain in patient’s terms

Possible questions about asking the dimension of symptom:


What is it like?
Is it sharp, dull, stabbing, aching?
Do you feel… (sharp/ dull/ stabbing/ aching)?

Possible Patient’s responses:


It is…(sharp pain)
I feel… (sharp/ dull/ stabbing/ aching)

Dull: (adj.) rasa tidak begitu sakit tapi berlangsung terus; Stabbing: (n.adj.) sakit yang berdenyut,
seperti pukulan; Sharp: (n.adv) rasa sakit yang menusuk- nusuk; Aching: (n.adj.) sakit yang
berlangsung terus menerus; Trobbing: (adj.) sakit seperti pukulan berulang- ulang; Nauseating:
(adj.) memuakan, membuat mual; Hot, Burning: (adv.adj.) sakit seperti terkena api; Squeezing:
(adj.) rasa sakit yag menekan; Numb: (v.adj.) mati rasa
QUANTITY/ SEVERITY OF PAIN
Chart the intensity of the symptom

Possible questions about asking the dimension of symptom:


On a scale 0 to 10, with ten the worst, how would you rate your
pain/rate what you feel right now?
What is the worst it has been

Possible Patient’s responses:


I think it… (the scale is 6)/ It is…
The worst/ It has been 8
SETTING/ CAUSE OF PAIN
Where is the patient (e.g. at home, in the car), what is the patient
doing (e.g. running, exercising, sleeping), who is the patient with (e.g.
mother, spouse) when the symptom occur?
Possible questions about asking the dimension of symptom:
Does this interfere with your usual activities?
In what ways?
Does it occur in a particular place or under certain circumstances?
Do you know the cause of your pain?

Possible Patient’s responses:


It occurs in cold weather
It occurs if I eat fat
AGGRAVATING/ ALLEVIATING/
TRIGGERING FACTORS
Possible questions about asking the dimension of symptom:
What makes it better/ worst?
When does it change?
Have you noticed other changes associated with this?

Possible Patient’s responses:


It becomes more painful when walking/ standing
If I lie down on bed, I feel better
If I smoke, the cough gets nasty
*Aggravating factors: (n) factor yang memperburuk; Alleviating factors: (n) factor yang
meringankan; Triggering factors: (n) faktor yang memicu
TASK 1. Translate these sentences into communicative English!
1. Dimana anda merasakan sakitnya?
2. Apakah anda pernah memperhatikan ada perubahan lain sehubungan dengan
rasa sakit ini?
3. Apa yang bisa mengurangi rasa sakit itu?
4. Kapan rasa sakit itu berubah?
5. Berapa lama sakit itu berlangsung?
6. Bagaimana rasa sakit itu mempengaruhi kegiatan anda sehari-hari?
7. Apakah sakitnya menyebar?
8. Berapa lama sakitnya berlangsung?
9. Tolong tunjukan dimana sakitnya?
10. Kapan pertama kali anda merasakan sakitnya?
11. Berapa sering rasa sakit itu terjadi?
12. Sakinya seperti apa? Terasa menusuk? Agak sakit tapi terus berlanjut?terasa
sakit tiba-tba dating dan hilang lalu dating lagi?
13. Apa yang menjadikan rasa sakit itu makin buruk?
14. Berapa skala terburuk yang pernah anda rasakan?
15. Dalam skala 1 sampai 10 dengan 10 yang teruruk.
Bagaimana tingkat rasa sakit anda sekarang?
TASK 2.
Listen to your lecturer to complete the conversation below!

Nurse : What seem to be the problem?


Visitor : Oh, my God! It’s (1) …. It’s killing me!
Nurse : Where does (2) … the most?
Visitor : Right here! It hurts right here.
Nurse : How long has it felt like this?
Visitor : I felt OK when I woke up, and then, suddenly, I had
this really (3) …
Nurse : Do you have a history of stomach pain?
Visitor : (4) … , and I haven’t done anything out of the
ordinary
Nurse : I think that we are going to have to get you to an
(5) … right away
Visitor : Thank you for helping me
NURSE’S DIAGNOSIS REPORT
Report the patient’s condition/ complaint and determine
Nursing diagnosis

Reporting:
He/ She complains about his/ her + part of the body
has + health problem
suffer from
Diagnosing:
He/ She may have… + a disease
seem to have + health problem
Patient :
Nurse, help me.
Nurse :
What’s wrong with you?
Patient :
I have a pain in my stomach.
Nurse :
You said your stomach pain?
Patient :
Yes nurse, it’s in the upper part of my abdomen, it’s a
burning pain that get worse when I bend over
Nurse : OK I will report your condition to the doctor. Let’s consult
to your doctor for sure.
…………………………………………………………………………………
Doctor : What is the patient’s complaining about, nurse?
Nurse : She is complaining pain in her stomach, she may have
gastric disorder, Doc
Doctor : What are the symptoms?
Nurse : She feels a burning pain in the upper part of her abdomen,
and it getting worsen when she bend over,, she has gastric
peptic ulcer in her past health history record
Doctor : Well, let’s check her condition
GROUP TASK: PERFORM A ROLE PLAY
Basic Conversation to Perform a Role Play
Conversation 1
Patient : Call a nurse
Nurse : Ask what’s the problem
Patient : State his/her complaints
Nurse : Repeat patients expression for sure and ask the patient to answer
the question about dimension of symptoms
Patient : Response to nurse questions about dimension of symptoms
Nurse : Tell the patient that you will report the conditions to Doctor
Conversation 2
Doctor : Call a nurse, ask about the patient’s complaints
Nurse : Tell the doctor about the symptom and your diagnosis
Doctor : Tell the nurse to welcome the patient to medical room
Nurse : Ask the patient to come in to medical room
END SECTION