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Explaining in plain English

Words patients understand, and how to handle difficult moments.

12 minutes · A free lesson from Speaking

The interlocutor plays a lay person. Assessors listen for language the patient can understand — and for you checking that they did. A medical term is fine if you explain it; a string of them is not.

Medical term → plain English

hypertensionhigh blood pressure
analgesiapain relief, painkillers
anticoagulanta blood thinner — a medicine that makes your blood less likely to clot
benignnot cancer
oedemaswelling, usually caused by fluid
dyspnoeabreathlessness
myocardial infarctiona heart attack
fracturea broken bone
haemorrhagebleeding
pyrexiaa temperature, a fever
nil by mouthnothing to eat or drink
suturesstitches
prognosishow things are likely to go
chroniclong-term
acutesudden, often short-term
intravenousinto a vein, through a drip

Difficult moments

Anger

Refusal

Worry

Not knowing

Lesson quiz

Check what you have learned. Choose an answer to see whether it is right, and why.

Quick check: How would you explain "oedema" to a patient?

  1. Inflammation of a bone
  2. A kind of infection
  3. Swelling, usually caused by fluid
Show the answer

C: Swelling, usually caused by fluid — Name it, explain it, give an example.

Quick check: A patient refuses a treatment. Which response is best?

  1. “You have to take it.”
  2. “It's your decision. Can I explain why we've suggested it?”
  3. “Fine, I'll write down that you refused.”
Show the answer

B: “It's your decision. Can I explain why we've suggested it?” — Respect the decision and make sure it is an informed one.

Quick check: Which reply avoids false reassurance?

  1. “We'll keep a close eye on you and tell you as soon as the results are back.”
  2. “Don't worry, everything will be fine.”
  3. “It's nothing serious.”
Show the answer

A: “We'll keep a close eye on you and tell you as soon as the results are back.” — Reassure with what you will do, not with promises you cannot keep.

Quick check: What does "chronic" mean in plain English?

  1. Very serious
  2. Sudden
  3. Long-term
Show the answer

C: Long-term — Patients often think chronic means severe.

Practise: two more role-plays
Marked as soon as you finish — free with an account.
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