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·英語學(xué)習(xí)·

護(hù)患情境會話

老年人跌倒的防護(hù)

Preventing an Elderly from Falling Accident

交流

病人：好的。另外告訴您，我今天多鍛煉了一點時間，有點累，這是不是與我跌倒有關(guān)？

護(hù)士：可能有關(guān)，我認(rèn)為引起您今天跌倒的原因有幾個呢。

病人：好的，我會注意的。我現(xiàn)在疼痛好多了，我想回家了。

護(hù)士：那我扶您回家。

病人：謝謝。

護(hù)士：您昨天晚上是不是在外面館子吃的晚飯？您能告訴我您吃了些什么？

病人：我是在外面吃的晚飯，主要吃了點蝦、油炸三果、蘿卜絲餅，還有蔬菜。

Interactions

Nurse: Did you have your supper in a restaurant last night? What kind of foods did you have?

Patient: Yes. I had my dinner last night in a restaurant. I had shrimps, fried nuts, fried radish cake and some vegetables.

Patient: Okay. Also, I exercised a bit longer today than usual and I was tired. Does this have something to do with my fall?

Nurse: Maybe. I think there are several factors that caused your fell.

Patient: I will be more careful next time. My sore is much better. I want to go home now.

Nurse: Let me accompany you home.

Patient: Thanks.

點評

跌倒是老年人尤其是高齡老人(>75歲)日常生活中經(jīng)常要發(fā)生的事。引起跌倒的原因很多，有病理因素如感官、心血管、運動及神經(jīng)系統(tǒng)等疾病，有環(huán)境因素如光線太暗、地面太滑等，有心理因素如急躁，另外還有自身衣著如褲子太長、鞋不合腳等。老年人跌倒不能馬上扶起，應(yīng)先進(jìn)行體檢，排除骨折和關(guān)節(jié)嚴(yán)重?fù)p傷后才可扶起。王女士的跌倒與她視力不好、急躁、路上光線太暗以及鍛煉時間太長有關(guān)。

Comments

Many elder persons especially those in senility (>75 years old) suffer fall in their daily living. The reasons that caused their falls may be due to: pathological factors such as special senses disorders, neurological and cardiovascular diseases, muscular-skeletal problems; environmental factors such as dim and slippery place; psychological factors such as impatience; and dressing factors such as trousers that are too long or shoes that are too big. We should not help a fallen elder up before a thorough check. The causes of Ms. Wang’s fell were related to poor vision, impatience, a dim pathway, and exercising too long.

老年人的飲食指導(dǎo)

Dietary Instructions for an Elderly

背景

患者殷女士，72歲，曾有膽囊炎史。因昨晚赴晚宴后3 h突感右上腹疼痛，伴嘔吐30 min后入院。入院后經(jīng)體格檢查，右上腹有壓痛點，墨菲氏征(+)，初步診斷為慢性膽囊炎急性發(fā)作。第二天晨李護(hù)士巡視病房時，病人疼痛已明顯緩解。

Background

Patient Ms.Yin, 75 year old, has a history of gallbladder disease, was admitted to the hospital with sudden pain at the right upper abdomen for 30 minutes and vomited for half an hour after participating in a party last night. The physical examination indicated positive Morphy’s sigh. The diagnosis was acute episode of chronic cholecystitis. Nurse Li came to see her the next morning and found that the patient’s pain was gotten better.

交流

護(hù)士：殷婆婆，我是您的床位護(hù)士，您現(xiàn)在肚子痛好點了嗎？

病人：好多了，謝謝您。

Interactions

Nurse: Grandma Yin, I am the nurse in charge of your treatment. Is your abdomen pain getting better?

Patient: Oh, it’s much better now. Thank you.

(汪小華)