INTERMEDIATE NURSE LEVEL

Healthcare Language Program

HELP PROGRAM
 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
 History taking

Able to simulate in-depth interviews with a patient in

English in the process of "History Taking"

READING
PREVENTION OF KIDNEY STONES
DISEASE
People who have had more than one kidney
stone are likely to form another. Therefore,
prevention is very important. To prevent stones
from forming, their cause must be determined.
The urologist will order laboratory tests, including
urine and blood test. He or she will also ask about
the patient’s medical history, occupation, and
dietary habits.
 READING (Cont.)
PREVENTION OF KIDNEY STONES
DISEASE
If a stone has been removed, or if the patient has passed a
stone and saved it, the lab can analyze the stone to determine
its composition. A patient may be asked to collect his or her
urine for 24 hours after a stone has passed or been removed.
The sample is used to measure urine volume and levels of
acidity, calcium, sodium, uric acid, oxalate, citrate and
creatinine (a byproduct of protein metabolism. The doctor will
use this information to determine the cause of the stone. A
second 24-hour urine collection maybe needed to determine if
the prescribed treatment is working.
 SPEAKING (1)
A 50 years old widow is admitted to hospital with a 10-months history
of indigestion. On admission she is anxious and pale
• Nurse : “Good morning. I’m nurse Roberta. Am I disturbing you? I’d like to ask
you a few questions. I have to take down your history”
• Patients : “Please do .”
• Nurse : “What is your full name?”
• Patients : “Mary Campbell. C-A-M-P-B-E- double L.”
• Nurse : “What was your maiden name?”
• Patients : “O’Brien.”
• Nurse : “Where are you from?”
• Patients : “I’m form Ireland. Indeed, I was born in Belfast in 1945 but I grew up in
London.”
• Nurse : “Are you married?”
• Patients : “I’m a widow unfortunately.”
Speaking cont.(2)

• Nurse : “What was the cause of your husband’s death?”

• Patients : “He died in a car crash.”
• Nurse : “How long were you married?”
• Patients : “Ten years.”
• Nurse : “Have you got any children?”
• Patients : “Yes, a boy and a girl.”
• Nurse : “How old are they?”
• Patients : “My son is twenty, my daughter is thirteen.”
Speaking cont.(3)
• Nurse : “And what’s your job?”
• Patients : “I’m a shop assistant.”
• Nurse : “Have you still got your parents?”
• Patients : “My father died of lung cancer but my other is still alive”
• Nurse : “How old was your father when he died?”
• Patients : “He was 71.”
• Nurse : “When did you have your first periods?”
• Patients : “When I was 12.”
Speaking cont.(4)
• Nurse : “Are you still having your periods?”
• Patients : “Yes.”
• Nurse : “Did you have any trouble during your pregnancies?”
• Patients : “No I didn’t.”
• Nurse : “Are you allergic to any medicines or food?”
• Patients : “I was allergic to one kind of antibiotic when I was child,
but I don’t remember its name.”
• Nurse : “Have you had all the childhood diseases?”
• Patients : “As far as I can remember, I’ve had whooping cough,
German measles and chicken pox but I haven’t had
mumps.”
Speaking cont.(5)

• Nurse : “Is there any history of nervous diseases, syphilis,

metabolic disorder, blood disorder, stones or gout in
your family?”
• Patients : “No. Nothing like that”
• Nurse : “Any family history of diabetes or hypertension?”
• Patients : “My mother has high blood pressure.”
• Nurse : “Any trouble with your liver, I mean, have you
ever had jaundice, hepatitis or anything like
that?”
• Patient : “No, never”
Speaking cont.(6)
• Nurse : “Have you ever had any palpitations, or swelling of
the ankles?”
• Patient : “Well, I’ve had palpitations every now and then”
• Nurse : “Have you had any trouble with your heart?”
• Patient : “No, never”
• Nurse : “Have you had any operations?”
• Patient : “I’ve had my appendix out.”
• Nurse : “Any other problems with your health in the
past??”
• Patient : “No, apart from occasional migraine-type
headaches”
Speaking cont.(7)

• Nurse : “Do you suffer from constipation or

diarrhea?”
• Patient : “No, I don’t.”
• Nurse : “Have you ever had kidney trouble?””
• Patient : “No, not at all.”
• Nurse : “What about your blood pressure? How
often do you have it measured?”
• Patient : “Once a month and it’s all right”
Speaking cont.(8)
• Nurse : “How much do you weigh?”
• Patient : “I weighed 70 kilos last year . Now I weigh
60.”
• Nurse : “What’s your appetite like?”
• Patient : “Rather poor lately. I often have indigestion
and sometimes heartburn and regurgitation. Is it
serious?”
• Nurse : “No, not serious.”
• Patient : “Goodbye.”
Useful expressions: (1)
• What is your full name?
• Are you married?
• Have you got any children?
• Did you have any trouble with your…?
• Are you allergic to any medicines or food?
• Have you had all the childhood diseases?
Useful expressions: (2)

• Is there any history of…?

• Any family history of…?
• Have you had any operations?
• Any other problems with your health in the past?
• Do you suffer from…?
• What is your appetite like?