疼痛评估 Assessing Pain at the Bedside

By the end of this module you can…

• Ask where the pain is, and have the patient point to it.
• Take a 0 to 10 pain score and say it back correctly.
• Ask what the pain feels like: stabbing, dull, burning, cramping.
• Ask whether it is constant or comes in waves, and what makes it worse.
• Offer pain relief, say when you will check again, and spot pain that can’t wait.

Key vocabulary

Fourteen words from this module. Tap the speaker to hear each one.

What the pain feels like

• 疼痛téng tòngPain
• 刺痛cì tòngStabbing pain
• 钝痛dùn tòngDull ache
• 烧灼感shāo zhuó gǎnBurning feeling
• 绞痛jiǎo tòngGripping, cramping pain
• 胀痛zhàng tòngFull, pressing ache

Scoring, relief & pattern

• 评分píng fēnScore (pain score)
• 止痛药zhǐ tòng yàoPainkiller
• 打针dǎ zhēnTo give an injection
• 持续chí xùConstant, continuous
• 阵发性zhèn fā xìngComes in waves (paroxysmal)
• 加重jiā zhòngTo get worse
• 缓解huǎn jiěTo ease, relief
• 忍rěnTo bear it, put up with it

Ten core phrases

The lines from this module’s take-home phrase sheet. In the course you can print them on one page for your pocket.

1. 请问哪里疼？请您指一下。Qǐng wèn nǎ lǐ téng? Qǐng nín zhǐ yí xià.Where does it hurt? Please point to it.
2. 零到十分，您现在几分？Líng dào shí fēn, nín xiàn zài jǐ fēn?From zero to ten, what is it right now?
3. 是什么样的疼？Shì shén me yàng de téng?What kind of pain is it?
4. 是一直疼，还是一阵一阵疼？Shì yì zhí téng, hái shi yí zhèn yí zhèn téng?Is it constant, or does it come in waves?
5. 疼了多久了？Téng le duō jiǔ le?How long has it been hurting?
6. 动的时候会更疼吗？Dòng de shí hou huì gèng téng ma?Does it hurt more when you move?
7. 是不是胸口疼？有没有喘不上气？Shì bu shì xiōng kǒu téng? Yǒu méi yǒu chuǎn bu shàng qì?Is it chest pain? Any trouble breathing?
8. 我看一下医嘱，帮您拿止痛药。Wǒ kàn yí xià yī zhǔ, bāng nín ná zhǐ tòng yào.Let me check your orders and get you a painkiller.
9. 您不用忍着。Nín bú yòng rěn zhe.You don’t have to put up with it.
10. 我一会儿再来看您。Wǒ yí huìr zài lái kàn nín.I’ll check on you again shortly.

What’s in Module 4

1. Part 1 · Warm-UpWarm-Up: Where, and How Long?
2. Part 2 · The Words for PainReading the Pinyin · Saying 疼 vs. Charting 痛 · Vocabulary · Flash Cards · Pain Map · Where It Hurts
3. Part 3 · Asking About the PainThe Pain Assessment Script · Ask, Then Act · Key Patterns · Asking About the Pain · How Patients Describe Pain · The 0 to 10 Pain Scale · How Long, and What Makes It Worse
4. Part 4 · Acting on the AnswerTelling the Patient What You Will Do · Sentences That Calm a Patient · Pain That Cannot Wait
5. Part 5 · Follow-Up QuestionsComparing With Earlier Pain · Signs of Pain You Can See
6. Part 6 · Role-PlayRound 1 · Guided Conversation · Round 2 · Controlled Practice · Rounds 3, 4 & 5 · Independent
7. Part 7 · Knowledge CheckModule 4 Knowledge Check
8. Part 8 · Wrap-UpModule 4 Homework · Take-Home Phrase Sheet · Module 4 Wrap-Up · 下次见