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Role Play Assessment in Nursing Care

The nurse assessed a 25-year-old female patient named Miss M complaining of a sore throat. Through examination, the nurse determined the nursing diagnosis was acute pain. The nurse's interventions included teaching the patient deep breathing relaxation techniques to reduce her pain. After practicing the techniques, the patient reported her pain had reduced from a 4 to a 3 on a scale of 1 to 10. The nurse then returned later to administer medication.

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0% found this document useful (0 votes)
933 views4 pages

Role Play Assessment in Nursing Care

The nurse assessed a 25-year-old female patient named Miss M complaining of a sore throat. Through examination, the nurse determined the nursing diagnosis was acute pain. The nurse's interventions included teaching the patient deep breathing relaxation techniques to reduce her pain. After practicing the techniques, the patient reported her pain had reduced from a 4 to a 3 on a scale of 1 to 10. The nurse then returned later to administer medication.

Uploaded by

MarinaLestari
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
  • Role Play Assessment
  • Nursing Intervention and Evaluation

INTERPERSONAL ENGLISH

ROLE PLAY ASSESSMENT, NURSING DIAGNOSES, NURSING


INTERVENTION, IMPLEMENTATION, AND EVALUATION OF
PATIENT WITH SORE THROAT

BY :

MURNI ALHAMIDAH 1611316023


MARINA LESTARI 1611316027

Lecturer : Ns. Dewi Eka Putri, [Link].J

FACULTY OF NURSING
ANDALAS UNIVERSITY
2016
In the afternoon at the hospital Padang area, a nurse named .... will to assess patient
named Miss M with complaint sore throat .

Nurse : “Good afternoon,miss” (greeted with a friendly)


Patient : “Good afternoon, nurse.”
Nurse : “Excuse me, my name is Nurse “M”. what do you feel now, miss?
Patient : “ my throat is painful”
Nurse : “Today, I need to collect your personal data. I’m going to ask you some
question and examination head to toe”
Patient : “Certainly, nurse.”
Nurse : “the purpose of examination your health condition to accelerate healing
process. Time about 15 minutes. Are you ready?”
Patient : “ yes, of course”
Nurse : “Ok Miss, what is your name?”
Patient : “My name is M….”
Nurse : “How old are you Miss?”
Patient : “I’m 25 years old.”
Nurse : “Where do you live?”
Patient : “I live in Limau Manis.”
Nurse : “Are you married?”
Patient : “No, I’m single, nurse.”
Nurse : “Do you have any health Insurance?”
Patient : “Yes, I have health insurance.”
Nurse : “What is it?”
Patient : “My health insurance is BPJS, nurse.”
Nurse : “What is your occupation?”
Patient : “I’m a lawyer”
Nurse : “Sorry Miss. Are you saying that your throat is painful ?
Patient : “Yes nurse, my throat is very painful”
Nurse : “When did you first feel your pain?”
Patient : “I have this pain since 2 days ago.
Nurse : “What is your pain like? Sharp, dull, or stabbing,?”
Patient : “It’s like dull pain,nurse.”
Nurse : “Owh, on a scale of 1 to 10, with ten the worst. How would you rate, what you
feel right now?”
Patient : “I think it is about 4.”
Nurse : “do you ever before had sore throat?”
Patient : “no, I never had sore throat”
Nurse : “ do you like eating fried foods and soft drinks?”
Patient : “ yeah, I like eating fried foods and soft drinks”
Nurse : “Ok, first I’m going to check your vital sign, Miss.”
Patient : “Ok”
Nurse : “oke,, I have finished to check your vital sign, your blood pressure is 100/80
mmHg, your temperature 36,5°C, your respirate is 21x/minute, and your heart
rate is 86x/minute.
Patient : “Is that normal nurse?”
Nurse : “I want to observe your head and your hair.”
Patient : “ yes, nurse”
Nurse : “and then I will check your nose. Please you breath!”
Patient : “Is that normal nurse?”
Nurse : “yes, miss. oke, next... I would like to examine your mouth, Are you ready?”
Patient : “oke, I ready”
Nurse : “Miss. Please you smile!”
Patient : (doing the instruction)
Nurse : Would you show your teeth?
Patient : (doing the instruction)
Nurse : “it’s good. Can you open your mouth?
Patient : “yes...AAAAAAA.”
Nurse : “now, I want to check your reflex, please say “AAAHHH”
Patient : “AHHH, aouwhh”
Nurse : “Would you flex your neck with ear toward your left and right shoulder?”
Patient : “ ok, nurse” (doing the instruction)
Nurse : “ next, I want to press your stomach.”
“does it hurt here?”… and here?”
Patient : “ no”
Nurse : “ next, I will check your reflex of knee” (nurse do it)
Nurse : “oke Miss. I have finished to assessment your personal data and examination
head to toe. Based on assessment that I did before, I conclude that nursing
diagnosis is acute pain.”
Patient : “Okey, nurse. I believe you to be able the resolve my problem”
Nurse : “Ok miss, next, we will develop nursing interventions and the results will be
used as a reference for nursing action”
Patient : “What we should do to help relive my pain?”
Nurse : “I would plan deep breathing relaxation techniques. Are you ready with this
nursing intervention?
Patient : “Yes, I ready to do deep breathing relaxation techniques. But how to do deep
breathing relaxation techniques, nurse?”
Nurse : “ oke, now Iwill explain how to reduce your pain. First, take a deep breath and
hold it for 3-5 seconds, then breath out through your mouth slowly. Do it 5
to 10 times.
Ok,miss. First I will do it.
Next we will together do it.
After that, you can to practice it.
Patient : “I will do it” (doing the instruction)
Nurse : “ emmmmm okey, good miss.”
Nuse : “how do you feel, now?”
Patient : “ I feel happy, because I already know how to overcome the pain in my throat
with deep breathing relaxation techniques.”
Nurse : “can you repeat again?”
Patient : “ yes, I will repeat again. (doing the instruction)
Nurse : “ very good miss. You have been able to do deep breathing relaxation
techniques when it is painful. Before, your pain is 4. How about your pain,
now?”
Patient : “emmm, I think it is about 3
Nurse : “So, your pain already reduced,miss. and then about 20 minutes later, I came
to give medicine
Patient : “thank’s you very much nurse”
Nurse : “you’re welcome”

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