HELP

Intermediate Level
for Nurse
Supported by

NEC - NATIONAL ENGLISH CENTRE

LET’S PRACTICE ENGLISH
WITH
MR THUNDER
NO DOUBT
NO SHY
NO WORRY
JUST SPEAK UP..!!
PRACTICE , PRACTICE
Aaaannddddd
PRACTICE
BECAUSE PRACTICE
MAKES PERFECT
BE CONFIDENT
 Understanding Symptoms

Target :
• Students understand the difference between
symptoms and signs, know and be able to say
the symptoms and signs for various diseases in
English
Reading
THE SYMPTOMS OF CORONARY HEART DISEASE - 1
Chest pain (angina) or shortness of breath is the earlies
sign of CHD. Aperson may feel heaviness, tightness,
pain, burning, pressure or squeezing, usually behind
the breastbone but sometimes also in the arms, neck
or jaws.
These signs usually bring the patient to a doctor for the
first time.
Nevertheless, some people have heart attacks without
ever having any of these symptomps.
Reading
THE SYMPTOMS OF CORONARY HEART DISEASE - 2
It is important that there is a wide range of severity for
CHD. Some people have no symptoms at all. Some have
mild intermittent chest pain, and some have more
pronounced and steady pain.
Still others have CHD that is severe enough to make
normal everyday activities difficult. Because CHD varies
so much from one person to another, the way a doctor
diagnoses and treat CHD may also vary a lot.
 SPEAKING
ASKING ABOUT THE SYMPTOMS (1)
• Mrs. Smith has been taken into hospital because of persistent pain on her
right hip. The nurse asks her some questions about her health.
• Nurse : “Mrs. Smith. How are you?”
• Patient : ”I’m a bit down because I don’t think I’m feeling well.”
• Nurse : “Do you have any complaints?”
• Patient : ”I have pain on my right hip.”
• Nurse : “Have you checked about your complaint in the last one year?”
• Patient : ”No, I haven’t. I just consume natural medicine like traditional
herbal and have balm to reduce the pain.”
• Nurse : “How long have you felt this uncomfortable situation?”
• Patient : ”I have severe pain recently.”
 SPEAKING
ASKING ABOUT THE SYMPTOMS (2)
• Nurse : “How many glasses do you drink in a day?”
• Patient : ”I drink two cups of coffee and three or four glasses of water a day.”
• Nurse : “How about your urine habit?”
• Patient : ”At first, there was nothing wrong with it. But recently I’ve just had
little urinate.”
• Nurse : “How many times do you urinate in a day?”
• Patient : ”One or two times in a day.”
• Nurse : “Hmm, you may have Kidney stone.”
• Patient : ”Are you sure?
• Nurse : “We can not say it exactly. You have to take some tests such blood and
urine test to make sure what disease you have. I’ll tell the doctor about your
complaints.”
• Patient : ”I see. I hope there’s nothing serious with me.”
 USEFUL EXPRESSIONS

• How long have you felt this pain/complaint/situation?

• Do you suffer from ….
• What about your bowels? Is there any blood in your stool?
• Do you get any pain when you urinate?
• Any pain in your chest?
• Hmmm, You may have …..
• It’s probably….
• It sounds like …..
• It could be …..