MODUL 5

GENERAL ASSESSMENT
Groups Name :
1. Emilia Indra Suteja 15C11493
2. Emma Fitriantini 15C11494
3. Ena Dwipayani 15C11495
4. Gita Septi Dwi Utami 15C11496
5. Herlin Octa Viani 15C11497
Outline :

Definition

Purpose

Useful expression

Case
1. Definition
Is a process to gathering an information about a
patient's demographic data, current health and
illness status, history of past health and illnesses that
we collect by interviewing patients, or their family.
2. Purpose
To collect patients demographic data
To know patients current health and illness status
To know patients history of past health and illnesses
3. Vocabulary useful expression
Part 1 : Collecting demographic data
Explaining what you are going to do immediately.
For the ex:
a. It is time for me to
b. I just want to......
c. I would like to...... Interview you
d. I am going....... Assess you health condition
e. I need to...........
Part2 : Current health and illness status
1. Current Health Status
a. Would you tell me about your condition?

2. Elimination Pattern:
a. How many times a day do you do your...?
b. Do you have any problem with your...? (bowel
motion? Waterworks?)
c. Is the stool formed or lose?
d. Is your waterworks sluggish?
Part3 : history of past health and illness
This part helps you interview your patient to gain
information about his/her past health-illness.
1. Asking common communicable disease
a. Have you ever had+ a kind of disease..?
Response: yes, I have/ No, I havent
b. How old were you when got it?
Response: I was about... years old.
2. Asking about immunizations
a. Have you ever been immunized against+ (a
kind of disease. See above)?
b. Have you ever got...+ (a kind of disease. See
above)... immunizations?

3. Asking common communicable disease

Are you allergic to... a certain+ (food/
medication)
4. Case
Patient: Good morning nurse
Nurse: Good morning sir, may I help you?
Patient: Yes nurse, here I came to do annual medical check up
Nurse: Alright sir. Now I need to collect your personal data.
Patient: Okay
Nurse: Sorry what is your complete name?
Patient: My name is Emilia Indra Suteja
Nurse: How old are you?
Patient: 19 years old
Nurse: What is your address?
Patient: My address on . street, Tabanan
Nurse: Your phone number, please?
Patient: My phone number is 083114999176
Nurse: Are you married?
Patient: No, Im single
Nurse: Do you have any Health Insurance?
Patient: Yes, I have
Nurse: What is your occupation?
Patient: Im a student
Nurse: Who is your next of kin?
Patient: My parent
Nurse: Well Ms Emi Im done to collect your data. Please wait a
moment, Ill call the doctor
Patient: Okay nurse.
THANK YOU.