SPEAKERS NURSE (78%), INTERLOCUTOR (22%) NS NURSE SIVARANJINI 0:02 Yeah, please come and have a seat. Thank you enough. For my confirmation. Could you please state your name?IJ INTERLOCUTOR JISHA RAJ 0:11 Yeah, I can call main chair Nina'sNS NURSE SIVARANJINI 0:14 kitchen. Schubert engineer I'm one of the registered nurses working in this gastroenterology clinic. And writing thinking, yeah, you're recently under what the procedure is that correct? I have your case notes along with me. Yeah,IJ INTERLOCUTOR JISHA RAJ 0:31 yeah, no, that's right.NS NURSE SIVARANJINI 0:32 So okay, so you're come to correct for your report sister, correct?IJ INTERLOCUTOR JISHA RAJ 0:38 Yes, no, so actually, that's correct. No.NS NURSE SIVARANJINI 0:43 Okay, okay. No, okay. Jimmy, how are you feeling now? Okay,IJ INTERLOCUTOR JISHA RAJ 0:47 no, no, no, I am. I am suffering abdominal cramps, and diarrhea is very embracing. Would you please tell me knows what to do about the symptoms?NS NURSE SIVARANJINI 1:00 Yes, actually, you're diagnosed with irritable bowel syndrome, your test inputs are confirmed with that. I get for that I can give some suggestions. And before proceeding further, I would like to know more details about that. suicide. Shall I proceed withIJ INTERLOCUTOR JISHA RAJ 1:18 that? Yeah, sure. Nurse you can proceed now.NS NURSE SIVARANJINI 1:22 Okay, so how long do you have in this day? So could you please tell meIJ INTERLOCUTOR JISHA RAJ 1:26 Yeah, I started about three months ago. No, something like a diarrhea. Constipation. It has happened a few times. I gave up food that I feel like bloated and uncomfortable and it's very painful.NS NURSE SIVARANJINI 1:42 Okay, and could you please tell me what type of pain you experienced?IJ INTERLOCUTOR JISHA RAJ 1:47 Sometimes it's very low pay now sometimes it's to be a pain.NS NURSE SIVARANJINI 1:55 So How frequently do you have having this pain?IJ INTERLOCUTOR JISHA RAJ 1:59 Actually 15 out of 15 minutes?NS NURSE SIVARANJINI 2:03 boki Could you please tell me only pain scale of zero to 10 where zero is no pain and 10 is a cbap.IJ INTERLOCUTOR JISHA RAJ 2:10 I think my pain score is able seven knows.NS NURSE SIVARANJINI 2:17 Any positivity. Horrible to you. So okay, so did you noticed? What is the exact cause of this pain?IJ INTERLOCUTOR JISHA RAJ 2:27 Thankfully, as soon as I have noticed that it was also a few months ago after studying the new job, which is highly paid byNS NURSE SIVARANJINI 2:38 Okay, so I can understand you're having this problem for the past three months and also along with you have some irritable like Ababa, and also you have some constipation, diarrhea like that. And it's mostly kind of a frequency 15 minutes you have, and the main score is seven. So for that I can give some suggestions. And first of all, do you have any idea about what is the reasonable person JoeIJ INTERLOCUTOR JISHA RAJ 3:03 Manchin, I heard about his nose, but I don't know anything about that. Could you please tell meNS NURSE SIVARANJINI 3:09 Okay, okay, I'm here to help you so I can explain that. So it's no clear cause of the clear cause of irritable bowel syndrome, he does not know and we don't think that cause of irritable bowel syndrome but maybe the interstates probably over sensitive to the times so like the smooth muscles becomes more active spasms like that. So the time you can have some cramping and as you told you how bloating sensation like that so that's the reason you're having that constipation diarrhea like the node so it's all due to your irritable bowel syndrome. Now you have a clear picture about what is irritable bowel syndrome.IJ INTERLOCUTOR JISHA RAJ 3:52 Yes, I can understand what that note ki Could you please tell me about it? Yeah, could you please tell me that it reduced how to reduce my sauce?NS NURSE SIVARANJINI 4:06 Yeah, so definitely I can go with some suggestions. Firstly, I can explain more about the treatment options I can I second they can give some suggestions regarding your lifestyle. Would that be okay for you? Yeah, Venus. Oh, pg&e. So it is very important to to take your medications on time because the doctors prescribe some pain medications and also for your diarrhea and constipation for that the doctors prescribe medication so it is very important to take the medications on time and also it is very secondary I can give more suggestions recording your time so it is very important to take the diet properly and we know it is very important to change your diet pattern. So avoid high fiber foods because you are as you told you are having diarrhea so it is very important to avoid fiber rich foods and also like a gas producing foods like Beach and so you can just avoid that food and also eat regular weeks okayIJ INTERLOCUTOR JISHA RAJ 5:05 okayNS NURSE SIVARANJINI 5:07 okay okay clear with both the guide patternIJ INTERLOCUTOR JISHA RAJ 5:11 yes no so I can understand that knowsNS NURSE SIVARANJINI 5:13 okay oh good sunny Finally I can tell more about your stress management so what kind of work do you doIJ INTERLOCUTOR JISHA RAJ 5:21 I see them working in the isonzo tunnelsNS NURSE SIVARANJINI 5:25 okay so I know Jeannie as a whomever that also you are working so it must be very hectic for you. So try to manage your time and also what management so it is very important to overcome your stress. So I can suggest some activities so it will really help to overcome with your stress. So like you can do some yoga and meditations or gentle walk around your garden area so it will help you to relax your mind. Otherwise you can play with some pet animals and also if you have any children, whatever your home means, so you can just spend some time with that. Okay. Are you clear with my point? Yeah,IJ INTERLOCUTOR JISHA RAJ 6:09 sure enough I will followNS NURSE SIVARANJINI 6:11 me Okay, get an airport from the Davao Dania the clarifications with me?IJ INTERLOCUTOR JISHA RAJ 6:18 On my doubts and worries, I'm really happy now now. Thank you.NS NURSE SIVARANJINI 6:23 Oh, good. And if you follow my advice, definitely you can get the better change your condition. So I wish you a speedy recovery journey. Thank you so much. Have a nice day. Thank you. No, thank you.
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ENGLISH LANGUAGE PROFICIENCY TRAINING PROGRAMME
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