问病史 Pain and Function History

By the end of this module you can…

• Ask where it hurts, how long, and how it started.
• Take a 0 to 10 pain score and say it back correctly.
• Ask what the patient can’t do now, and when it hurts.
• Ask about health, medicines and other treatments, without judgment.
• Ask the red-flag questions and say where the patient needs to go, then set goals in the patient’s own words.

Key vocabulary

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

Pain & history

• 疼téngPain; to hurt
• 几分jǐ fēnWhat score (0 to 10)?
• 多久duō jiǔHow long
• 受伤shòu shāngTo get injured
• 手术shǒu shùSurgery, operation
• 止痛药zhǐ tòng yàoPainkiller
• 目标mù biāoGoal

Everyday activities

• 走路zǒu lùWalking
• 上下楼shàng xià lóuGoing up and down stairs
• 弯腰wān yāoBending over
• 穿袜子chuān wà ziPutting on socks
• 睡觉shuì jiàoSleeping
• 提东西tí dōng xiCarrying things
• 坐久了zuò jiǔ leAfter sitting a long time

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. 您哪里不舒服？疼了多久了？Nín nǎ lǐ bù shū fu? Téng le duō jiǔ le?Where is the problem? How long has it hurt?
2. 是受伤了，还是慢慢开始的？Shì shòu shāng le, hái shi màn màn kāi shǐ de?Was it an injury, or did it come on gradually?
3. 零分是不疼，十分是最疼，您现在几分？Líng fēn shì bù téng, shí fēn shì zuì téng, nín xiàn zài jǐ fēn?Zero is no pain, ten the worst: what is it now?
4. 现在有什么事情做不了？Xiàn zài yǒu shén me shì qing zuò bu liǎo?What can’t you do now?
5. 什么时候会更疼？做什么会好一点？Shén me shí hou huì gèng téng? Zuò shén me huì hǎo yì diǎn?When is it worse? What makes it better?
6. 晚上会疼醒吗？Wǎn shang huì téng xǐng ma?Does the pain wake you at night?
7. 小便有没有解不出来，或者控制不住？大便呢？Xiǎo biàn yǒu méi yǒu jiě bu chū lái, huò zhě kòng zhì bu zhù? Dà biàn ne?Any trouble passing urine, or holding it? And your bowels?
8. 有没有做过推拿、针灸或者拔罐？Yǒu méi yǒu zuò guo tuī ná, zhēn jiǔ huò zhě bá guàn?Have you had tuina, acupuncture or cupping?
9. 您住几楼？有电梯吗？Nín zhù jǐ lóu? Yǒu diàn tī ma?Which floor do you live on? Is there an elevator?
10. 您最希望能重新做什么事情？Nín zuì xī wàng néng chóng xīn zuò shén me shì qing?What do you most want to be able to do again?

What’s in Module 2

1. Part 1 · Warm-UpWarm-Up: Your Daily Life
2. Part 2 · The Words for PainReading the Pinyin · Saying 老毛病 vs. Charting 慢性 · Vocabulary · Flash Cards · Say the Score Back
3. Part 3 · Taking the HistoryThe History Script · What Can’t You Do Now? · Key Patterns · When Does It Hurt? · Health History and Medicines · Goals in the Patient’s Words
4. Part 4 · Home, Habits and Red FlagsHome, Work and Family · What Have You Tried? · Red Flags: Doctor, ER or 911?
5. Part 5 · Concerns & ReviewWhat Patients Say · What Does It Feel Like? · Putting It Together
6. Part 6 · Role-PlayRound 1 · Guided Conversation · Round 2 · Controlled Practice · Rounds 3, 4 & 5 · Independent
7. Part 7 · Knowledge CheckModule 2 Knowledge Check
8. Part 8 · Wrap-UpModule 2 Homework · Take-Home Phrase Sheet · Module 2 Wrap-Up · 下次见