Complete the conversations using the information from the cases.

Nurse: Where do you have pain?

Kate: I have pain in my                    . Nurse: How much pain do you have?

Kate: I have                                pain. Nurse: What would you rate your pain out of 10?

Kate: I would rate my pain      out of 10. Nurse: When did your pain start?

Kate: My pain started                     ago. Nurse: Is your pain constant or intermittent? Kate: My pain is               .

 

CASE B

Bob is a 46 year old man. For the first time, he is having moderate pain in his chest and he feels it moving down his arm. He rates his pain 5 out of 10. The pain is constant and has a tingling feeling. 10 minutes later Bob’s son drives Bob to St. Patrick’s Hospital Emergency for medical help. A nurse sees Bob and asks questions. How would the nurse him some questions?

Nurse:                                      ? Bob: I have pain in my chest.

Nurse:                                   ? Bob: It moves down my arm.

Nurse:                                   ? Bob: I have a moderate pain.

Nurse:                                   ? Bob: I would rate my pain 5 out of 10. Nurse:    ?

Bob: My pain started 10 minutes ago. Nurse:? Bob: My pain is constant.

14. Translate the conversation from Russian into English.

  In a GP's surgery                                                                                                                   

GP: Mrs. Andrews, isn’t it? Good morning, I’m Dr. Adams. I am your GP.

                                                                                   ?

(Что с Вами случилось?)

Mrs. Andrews: Nothing really. As usual I was working in my office when I suddenly felt

                                 (сильную боль) in my stomach. It                (усиливалась), that's why I decided not to wait and see a doctor immediately.

GP:                                                                                                                           ?

(Где конкретно Вы чувствуете боль?)

Mrs. Andrews: Right here.                                                                                          .

(C правой стороны внизу).

GP: I see.                                                                                                      ?

(Не могли бы Вы описать характер боли?)

                                                                                 ? (Она колющая, схваткообразная или пульсирующая?)

Mrs. Andrews: I’m not sure, but I think it is                           (пульсирующая).

GP: Uhu-h. And                                                                                         ?

(Боль сосредоточена на одном месте?)

Mrs. Andrews: No,                                                                                                .

(Она переходит в низ живота и в область таза).

GP: I see. Let me palpate your abdomen.                                                      ?

(Боль усиливается, когда я нажимаю вот здесь?)

Mrs. Andrews: Да.                                                                                       .

(Становится гораздо больнее)

GP:

                                                                                                                                     ?

(Не могли бы Вы оценить интенсивность боли по шкале от 1 до 10?)

Mrs. Andrews: Hmmm...I would say it’s 6, but when you push on the right side it’s all 9.

GP: OK. I see.                                                                                                        ? (Наблюдаете ли Вы какие-либо сопутствующие симптомы, такие как рвота, диарея, озноб, повышенная температура?)

Mrs. Andrews: Yes, at first                                                                     

(был легкий озноб и температура поднялась до 38). I took some painkillers and

                                                                     .

(мне стало немного лучше).

GP: I see. And                                                                                     ?

(Усиливается ли боль при ходьбе?)

Mrs. Andrews: Yes. I can barely walk.                                                        .

(Болит невыносимо сильно)

GP: It seems that you have appendicitis. We should take some analysis to make the right diagnosis.

 

 

VOCABULARY The mechanism of pain

15. Match the words with their Russian equivalents.

1. drugs	a) фантомные боли в конечностях
2.  acupuncture	b) чувствовать боль от ран
3.  survive	c)  иглоукалывание
4. our body’s defences	d) сильнодействующие препараты
5.  fractures	e) длиться всю жизнь
6. nerve endings	f) посылать сигналы

7. phantom limb pain	g) нервные окончания
8. send messages	h) переломы
9. last a lifetime	i) неспособный чувствовать боль
10. unable to feel pain	j) избегать повреждений
11. avoid damage	k) выживать
12. feel pain from wounds	l) защита нашего организма