Making suggestions to patients or coworkers is an important part of the job for many health care professionals. Teachers, supervisors, and trainers (almost everyone who works with others) also need to know how to suggest improvements without hurting feelings or provoking resistance.
If you know how to use helping verbs in English, you’ll be a lot more comfortable when you need to give advice or suggest some changes. Read the basic tips below, then go to Practice Giving Advice to choose the best such verbs to complete a sample conversation. (These examples all use health care situations, but they can easily be adapted to use in other circumstances.)
Go directly to a particular section for examples or practice:
Practice Giving Advice (link above-- a different page) has other ways to give advice and an exercise to practice using helping verbs in a nurse-patient conversation.
Here are some examples (with helping-- auxiliary-- verbs in italics), followed by a short explanation.
The most common helping verb for suggesting what someone needs to do is ‘should.’ (It has the same meaning as ‘ought to’—the idea that what’s suggested is best and the listener has good reason to do it.) ‘Could’ offers an idea for the listener to consider, but doesn’t ‘push’ it as the best. ‘Must’ means there are no options.
These verbs (should, ought to, could, and must, as well as would or will) do not change form the way most English verbs do. (They have no forms ending in –s, -ed, or –ing.) They go before the main verb in a sentence. The main verb will also be in its infinitive form (without an –s, -ed, or –ing ending.)
There are times when direct advice is not appropriate. If you want to make a suggestion, but do not want to be pushy (or don’t have the authority to insist), you can turn your advice into a question, or use ‘could’ or ‘would’ instead of ‘should’ or ‘must.’
A brief grammar explanation:
Questions need a helping verb before the main verb in almost every case. Often the auxiliary verb will be ‘do’ (or ‘does’ or ‘did’), followed by a verb in the base or infinitive form.
For perfect tenses (when speaking about something that began in the past and is continuing), use ‘have’ (or ‘has’ ’or had’) and then a past participle (usually ending in ‘ed’ or ‘en’ but sometimes irregular.)
For something going on right now or planned for the future, you might use the verb ‘be’ (‘is,’ ‘are,’ ‘was, ‘were’), with the main verb in the –ing form. These three verbs DO change form. If you would like more detailed explanations, see Question Formation, The Verb To Be, and Past and Present Perfect Tense Use.
· “Don’t eat or drink anything after midnight. Your stomach needs to be empty for surgery. It’s a safety precaution.”
· “If you have a cold, don’t visit anyone in the hospital. It’s important to avoid introducing new germs to patients with low immunity.”
· “You must not stop taking this medication on your own. If the side effects are bothering you and you want to discontinue it, call us right away so we can arrange something else.”
· “Jim, you should never go from one patient’s room to another without changing gloves. We don’t want to spread infection!”
· “You shouldn’t ever shout in the psych ward. Everyone’s nerves are on edge by the end of the day anyway.”
Remember to avoid double negatives in English. So if you say ‘never,’ don’t also use ‘not.’ SeeNegative Sentences for a review of ways to make negative statements in English.
Practice Giving Advice continues this discussion. It gives ways to offer advice without using auxiliary verbs and then a gapfill exercise to practice many different kinds of suggestions. Complete the gaps in the conversation between a discharge nurse and a patient by choosing the appropriate helping verbs.