Nama : Nunung Safitri

Kelas : III B
Tugas : B.Inggris Keperawatan

CHAPTER 1
Nama : Mr.Ridwan
Age : 23th years old
Sex : Male
Address : Panumbangan
City, state : Indonesia
Phone : 085113451099
Religion : Muslim
Marital status : Single
Health insurance : BPJS
Current occupation and little : Student
Next of kin : Mr.Sandy
Reason for contact : Dyspepsia
Date, time of contact : September 10, 2019

Part 1  Collecting Demographic Data Elements

Nurse : Assalamu’alaikum sir. It is time for me to interview your asses your
health condition.
Patien : Wa’alaikumsalam, yes please.
Nurse : What is your name ?
Patient : My name is Ridwan.
Nurse : How old are you ?
Patient : I’m 23th years old
Nurse : Where do you live ?
Patient : I live in Panumbangan.
Nurse : What is your phone number ?
Patient : My phone number 085113451099
Nurse : What is your religion ?
Patient : I’m muslim.
Nurse : Are you merried ?
Patient : No, i’m single.
Nurse : Do you have any health insurance ?
Patient : Yes, I have BPJS card.
Nurse : What is your occupation ?
Patient : I’m student in STIKes MUHAMMADIYAH CIAMIS.
Nurse : Who is your next of kin ?
Patient : My Father, her name is Sandy.
Nurse : What make you come to this hospital ?
Patient : I had pain in my upper abdomen.

Part 2  Current-Health and illness status

Nurse : Would you tell me about your health condition recently ?
Patient : I am usually healthy, but in the past few days I’ve felt abdominal pain,
nausea and vomiting.
Current health status
Elimination pattern
Nurse : Do you have any problem with your bowel movement and waterwark?
Patient : No I haven’t

Part 3  History of Past Health and illnesses

Assessment Step : Asking Common Communicable Dissease
Nurse : Have you ever had a heart disease?
Patient : No I haven’t
Nurse : Are you allergic to antibiotic ?
Patient : No, I don’t have
Assessment Step : Asking about immunizations
Nurse : Have you ever got polio immunization ?
Patient : Yes I have

CHAPTER 2
Location
Nurse : Where do you feel it ?
Patient : I had pain in my upper abdomen.
Quality
Nurse : What does the pain look like?
Patient : It feels like being stabbed
Severity
Nurse : On a scale of 0 to 10, with ten 10 the worst, how would you rate what
you feel right now
Patient : I think 5.
Timing
Nurse : How often does it happen ?
Patient : Every time i eat late.
Setting
Nursig : Have you taken anything for it ?
Patient : I only consume medicine magh.