How To Use Tenses Correctly
1. Using the present simple (eg: do, make, come)
2. Using the past simple (eg: did, made, came)
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3. Using the present perfect (eg: has done, has made, has come)
Very generally, the present perfect connects a past action or state to the present. Once you’ve given the background of the case, it is likely that you will move on to focus on elements of the situation. Although they began in the past, they are more clearly linked to the present.
4. Using the present continuous (eg: is doing, is making, is coming)
Use present simple for something which is unchanging/likely to be true for a long time (eg, patient’s profile).
Use past simple for background information set specifically in the past (eg, background to patient’s condition).
Use present perfect for information which links the past to the present (eg, responses to the patient’s condition which are consistent with the past which doesn’t have a specific time reference or use a time reference with for or since).
Use present continuous for current information which requires a present reaction or response and is likely to be different to the past (eg, developments in the patient’s situation which are distinct from/different to the past).