4 Patient care

Communication with the patient and their family members or close ones has an essential role in patient care. In order to create a feeling of safety, it is important that the patient can speak their native language.

4.1. Deterioration of a patient’s general state

An EMS unit has arrived at the location and now meets the family member. The family member says that the patient is in the bedroom, and she has been feeling really bad all day.

Pm: Are you a family member? What is the problem here?

D: I’m her daughter. I come here daily to see my mum. She’s been really disoriented and frail today.

Pm: Hello, you have been feeling unwell today. How are you feeling now?

P: I’ve been better, I might as well die soon.

Pm: Are you in pain? Are you nauseous? Do you feel dizzy?

P: Nauseous… dizzy…

Pm: Right… what is her social security number?

D: I don’t remember. Let me check it on her Kela-card.

Pm: We’ll take your blood pressure now and attach this sensor on your fingertip. I’ll take your temperature from your ear. It is 39.2°C.

Pm: Have you passed urine normally? Have you had a stinging sensation when urinating?

P: I haven’t really thought about it.

Pm: I’ll listen to your lungs, breathe in, please. Do you know if she has any diseases? Is she on any medication?

D: I don’t remember them all. I’ll check the medicine list. Hang on, please, I’ll get it from the kitchen.

Pm: Can you say for how long your mother has suffered from dizziness and weakness?

D: During the last two days she apparently hasn’t eaten properly, and she has been frail.

Pm: Does she have symptoms of influenza?

D: Not that I have noticed.

Pm: How is her functional capacity normally?

D: She is usually in pretty good condition and runs her own errands, but she does move slowly though.

Pm: Does she use a rollator?

D: She uses the rollator when she goes out or when she goes to the grocery store nearby.

Pm: Does she have visits from home care?

D: No, she hasn’t had visits from home care.

Pm: The situation now is that you have fever. We’ll take you to the emergency clinic. Before we go, I’ll insert a cannula in the back of your hand. Please stay still. This will pinch a little. You’ll be given
medicine soon.

Pm: We’re now helping you sit up on this chair, and then we’ll take you into the living room where you get to lie on the stretcher.

Asking about a patient’s
condition

How are you?
How do you usually feel?
Have you felt like this before?

I’m fine. / I feel good.
I don’t feel good. / I feel bad.
Not (too) bad.

Discussion with the patient

Do you understand?
Excuse me.
Excuse me, I didn’t hear what you said.
Excuse me, I didn’t understand what
you said.

Can you speak up, please? / Can you
speak a bit louder, please?
Can you speak more slowly, please?
Can you repeat, please?

Exercises

SVENSKA-ENGLISH

SUOMI-ENGLISH