Listen to the audio of these terms:
ache
I’ve got a lot of aches.
It aches a lot.
analgesia
capsule
drug chart
It hurts a lot
injection
PCA
patient controlled analgesia
pain
I’m in pain.
It’s painful
pain scale
painkillers
rate your pain
suppository
tablet
Lesson 5: Talking about pain
Read the text about pain
Describing pain
There are many different ways to describe pain.
1. Pain
usually means a sharp pain.
also makes compound words like:
back pain shoulder pain hip pain
You say: I’ve got a pain in my stomach / hip / knee.
You say: It’s very painful.
2. Ache
usually means a dull pain
a few expressions which must use ache: toothache stomach ache earache headache
there is also a fixed expression aches and pains e.g. I’ve got a lot of aches and pains
3. It hurts
you can use hurt to mean general ache or pain e.g. My toe hurts a lot.
Where does it hurt?
Activity 1: Complete these sentences using the verbs below.
painful back pain hurts aches sharp stomach ache
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I fell over. My knee ____________a lot now.
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I have arthritis. My knee ____________a bit in the mornings.
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I have an infected toe. It’s very ___________ especially when I stand up.
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I think I ate something that was bad. Now I have a bad _____________.
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I had a car accident last year. Most of the time I have severe ________________and my hip aches a lot.
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I get a ____________ pain in my right shoulder when I try to lift my arm.
Read the text and complete activity 2:
Pain scales
There are three main pain scales that are used by patients to tell nurses about their pain. These are:
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PIPP or Premature Infant Pain Profile - nurses look at the expression on the baby’s face and whether the baby is crying.
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Wong-Baker Faces – this scale is often used by children who can pick a face which shows what their pain is like.
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The Numerical scale – patients pick a number from 0 (no pain) to 10 ( the worst pain you can imagine)
Activity 2:
Match the numbers to the correct pictures:
1 = PIPP 2 = Wong-Baker Faces 3 = Numerical Pain scale
Number __________
Number _________________-
Number _________________________
Activity 3: Match the questions about pain with their answers.
1 Can you tell me where the pain is? a The pain’s really bad.
2 What’s the pain like? b It’s an eight.
3 How bad is the pain? c Yes, it aches all the time.
4 How would you rate your pain from zero to ten? d It’s very painful.
5 Does it hurt all the time? e It’s in my hip.
Activity 4: Watch the video on Youtube at https://www.youtube.com/watch?v=aQYvd6T76og
Answer the questions after the video.
1. Why doesn’t Mrs Browne feel well?
a She has a stomach ache.
b Her tooth hurts.
c She has a lot of pain.
2. Where is her pain?
a In her left hip
b In her right knee.
c In her right hip.
3. What is her pain like?
a It’s only a bit painful.
b It hurts a little bit.
c It hurts a lot.
4. How does Mrs Browne rate her pain on the pain scale?
a She says it’s a five.
b She says it’s a sad face.
c She says it’s an eight.
5 The nurse says she can bring some painkillers because Mrs Browne _________.
a only had them a few minutes ago.
b wants them.
c had some tablets a long time ago.
Types of painkillers.
The medical term for painkillers is ‘analgesia’. When you talk to patients you should say ‘painkillers’. Analgesia can be given in several ways:
1 tablet – medicine with a hard cover
2 capsule – medicine with a soft cover
3 injection - a sharp object which pushes medicine into the skin
4. suppository – medicine which is put into the rectum and dissolves
5. PCA (Patient Controlled Analgesia) – medicine in a large syringe which is connected to the patient. The patient pushes a button when they want some analgesia
Activity 5: Label the painkillers
_________________________________________________
__________________________________________________
____________________________________________
__________________________________________________
_________________________________________________
Activity 6: Complete the dialogue then make a video of the dialogue.
Use these phrases:
all the time
what the pain is like
rate your pain
some pain killers,
more than four
get you some
a lot of pain
where the pain is
Nurse : What’s the problem?
Patient: I’ve got ___________________________________.
Nurse : Can you tell me ______________________________________________?
Patient: It’s in my right hip.
Nurse : Can you tell me ___________________________________________?
Patient: It’s very bad.
Nurse : How would you _________________________________ on a scale of zero to ten?
Patient:. It’s an eight.
Nurse :Does it hurt __________________________________?
Patient: It’s worse when I try to walk.
Patient: Can I have __________________________________ please?
Nurse :. Let me check your drug chart.
Nurse : You had some pain killers ________________________________ hours ago.
Nurse : I can __________________________________ now.
Patient: Thanks, nurse.
Nurse : I’ll be back in a few minutes with your tablets.