By: Septi Dewi Rachmawati LOGO

Learning Objectives

Students will be able to:

Asesset and explore patients pain
condition
Deliver a therapeutic communication

Enhance Speaking & Listening skills

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Outline

Pain Asessment

Usefull expression,
Conversation & vocabulary

Group work

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 PAIN ASSESSMENT: PQRST method

P = Provokes

What causes pain?

What makes it better?
Worse?

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Q = Quality

What does it feel like?

Is it sharp?
Dull?
Stabbing?
Burning?
Crushing? ( Try to let patient describe the pain,
sometimes they say what they think you would like to
hear)

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R = Radiates

Where does the pain radiate?

Is it in one place?
Does it go anywhere else?
Did it start elsewhere and now localised to
one spot?

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S = Severity
How severe is the pain on a scale of 1 - 10?
(The rating will differ from patient to patient. )

T = Time
Time pain started?
How long did it last?

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 USEFULL EXPRESSION:
Learn from the Conversation
Example: Pain that Comes and Goes

Nurse: How long have you been having this pain?

Patient: It started in June. So for more than five months
now. My stomach hurts after some meals, but not always.

Nurse: You should have come in earlier. Let's get to the

bottom of this. Have you changed your eating habits during
this period?
Patient: No, not really. Well, that's not true. I'm eating the
same foods, but less. You know, the pain seems to come
and go.
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Nurse: How strong is the pain exactly? On a scale of one to
ten, how would you describe the intensity of the pain?
Patient: Well, I'd say the pain is about a two on a scale of
one to ten. Like I say, it's not really bad. It just keeps coming
back...

Nurse: How long does the pain last when you get it?
Patient: It comes and goes. Sometimes, I hardly feel
anything. Other times, it can last up to half an hour or more.

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Nurse: Is there a type of food that seems to cause
stronger pain than other types?
Patient: Hmmm ... heavy foods like steak or
lasagna usually brings it on. I've been trying to
avoid those.

Nurse: Does the pain travel to any other parts of

your body - chest, shoulder or back? Or does it
remain around the stomach area.
Patient: No, it just hurts here.
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Example: patient status condition

My head hurts. I have a Headache

My back hurts. I have a backache
My stomach hurts. I have a stomachache
My ear hurts. I have an earache
My tooth hurts. I have a toothache

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 Key Vocabulary

pain
stomach
to hurt
to get to the bottom of something
eating habits
to come and go
on a scale of one to ten
to keep coming back
to last (an amount of time)
heavy foods
to avoid
chest
shoulder LOGO
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 Group Work

Make a group

Make a conversation exploring pain

Use the expression and vocabulary

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