N: Good Morning, Mrs.

P: Good Morning, Nurse.

N: Well, Im nurse Umu. Today is my shift. I would like to ask you some questions to fill your
admission form.
Whats your name?
P: Im Dytha Hanggara Indah.
N: How can I address you?
P: Please call me Dytha.
N: How do you spell it?
P: D y t h a.
N: Ok, Mrs. Dytha, how old are you?
P: Im 19 years old.
N: Where and when you was born?
P: I was born in Sleman, May 31st, 1994
N: Where do you live?
P: I live in Bedingin, Sumberadi, Mlati, Sleman.
N: Whats your occupation?
P: Im a student
N: Are you married?
P: No, Im single.
N: Whats your religion?
P: Im moslem.
N: Whats your last education?
P: In senior high school.
N: Well, what seems to be bothering you?
P: Ahh, my back! Ive got back pain.
N: How long has it been bothering you?

P: It started about 2 days ago.

N: Can you describe the pain?
P: When I sit down or lay down and then I have to stand up, it hurts.
N: Where is it? Could you point the pain?
P: Here, right here. (pointing lower back)
N: On a scale of 0 to 10, with 10 being the worst, how would you rate what you feel that pain?
P: 7. I think it must be 7.
N: Do you know the cause of your pain?
P: No, I dont know.
N: Did you take any medicine for it?
P: No, I didnt.
N: What is the pain like?
P: Its sharp.
N: What makes the pain better?
P: I dont know
N: What makes the pain worst?
P: When I have to bend my back forwards.
N: Is there any associated symptoms?
P: Ngg.. No.
N: How often do you feel the pain?
P:
N: Well, now Im going to check your vital signs.
P: Okay.
N: Nah, would you mind lying down in this bed, please?
P: Okay.
N: Be careful, your back, Mrs.

P: Dont worry.
N: First of all, I want to measure your body temperature. I need to place this under your right
armpit.
P: Sure.
N: Just keep it there for about 5 minutes. Now, I would like to count your pulse. Please give me
your left hand, I want to check your pulse by your wrist.
P: Oh, sure.
N: Its 96 times a minute.
P: Okay.
N: And then I want to measure your blood pressure. Now, roll your sleeve up please.
P: Okay.
N: Please, raise your arm. I want to put this cuff to your arm.
P: Oh, sure.
N: Now, please breathe normally, Mrs. Im going to count your respiration.
P: What is my blood pressure, nurse?
N: It still in the normal range. Its 120/80 mmHg
P: Okay.
N: Nahh, you respiration is 20 times a minute.
P: Is it normal?
N: Yes it is.
P: Well.
N: Okay, its enough. Would you take that thermometer from your armpit?
P: Oh, sure.
N: Well, its 37C. its normal.
P: Okay. And now, can I get up?
N: Oh, sure. Just be careful with your back.
P: Sure, its okay.

N: Now, did you ever take a deep breath to decrease your pain when it comes?
P: No, never.
N: Okay, Im going to tell you this one. Look, and then you can try it after me.
P: Okay.
N: *take a deep breath*..in..out. Okay, try it now
P: *do the same thing as what nurse did*
N: You can take a deep breath as much as you want. Well, please wait here. I will come to
doctor to give this form. Ill be back as soon as possible.
P: Okay, thank you, nurse.
N: Youre welcome.