护理英语第二讲教学

1、Chapter 2Registration at Outpatient DepartmentNew words Registration redistrein n. 登记, 注册, 挂号 Registration Card:挂号证 Registration number/mark ：牌照号 Registered Nurse：注册护士 legibly：ledibli adv. 易读地 ,易辨认地 He can write as neatly and legibly as the next person if he takes his time over it. 若他不匆匆忙忙写的话，他能写得和别

2、人一样整洁、清楚. chief complains:主诉 fill up：填写 To fill up a cheque . (使)充满 Know your fill-up foods.注意腹胀食物。 Identification:身份识别，鉴定. Can I see your identification, please?我能看看您的证件吗? be detailed in：详细的 consultation：knslteinn.商量；会诊 in consultation with：通过与商量 consult：knslt v. 商讨, 向.请教, 查阅 consult with one advis

3、or：与顾问商量 consult one pillow：通夜思考 diagnose： daignuzvt.诊断，判断 diagnosis： daignusis n. 诊断 definitely：definitliad.明确地，确切地；一定地，肯定地 definition：定义Chapter 2 Unit 1 Registration CardCompanion: Mark,I will help you fill up the blanks or the registration card.Write legibly your name, age, birthday, address, tel

4、ephone number,sex and chief complains.Mark: All right. Thank you! Do I have to fill up all the blanks?Companion: Yes,it is necessary for proper identification.Mark：Do I have to be detailed in the comlaints?Companion: Definitely. Its easier for the doctor to diagnose your illness and also for the nur

5、ses to take care of you. facility: fsiliti实验室,终端设备号TCU：terminal control unit 终端控制器 终端控制设备managed care patient：诊治后的病人short-term：短期Attach:附上s.s.#:social-security number社会安全号码Primary insurer：主要承保人/保险公司Co-insurance：共负保险Attending MD：主治医师Primary care MD：初级卫生保健部门 Day surg:当日归宅手术 Rehab: ri:hb机能恢复,复原,康复 Heal

6、th center ：保健中心 MD office：医务室 Shelter： elt庇护场所 SNF: Convalescent knvlesnt养老院,康复机构 Supervised living arrangement：监护场所 Congregate kgrigeit集聚的Congregate housing：集聚场所 Applicable categories：提供的分类 Orthopedic: :upi:dik矫形外科的 rehabri:hb (=rehabilitation)恢复，康复 Neuro：neurotic njurtik神经疾病的 Neurology: njurldi神经病

7、学 reconditioningri:kndin康复锻炼 Hospice hspis care疗养 HIV treatment：human immunodeficiency imju nudifinsi virus 人类免疫缺陷病毒,艾滋病病毒 （immunity imju:nitin.免疫，豁免） peritoneal：,peritni:l腹膜的 Dialysis dailisis透析 psych ： psychologicalsaikldikl 心理学(上)的; 精神(现象)的 cognitiveknitiv认识的 Eval evaluateivljueit 评价 oncology kld

8、i (=phymatology)肿瘤学 Post-op care术后护理 Wound care 创伤护理 Medical management:内科治疗 cardiovasculark:diuvskjuladj.心血管的 cardiovascular system 循环系统 pulmonaryplmnriadj.肺的 respiratory system呼吸系统 G.I:gastrointestine 胃肠(stomach intestine ) gastrointestinal gstruintestnl tract 胃肠道 renal/genitourinary renalri:n()la

9、dj. 肾的，肾脏的 genitourinarydenitujurinriadj.泌尿生殖器的 Multisystem:n.多系统multisystem atrophy 多系统萎缩 hepatichiptikadj.肝的, 对肝有影响的 hepatitisheptaitisn.肝炎 diabetesdaibi:ti:z,-ti:sn.(=diabetes mellitus) 糖尿病 dehydrationdi:haidreinn.脱水 Crack due to dehydration, as of skin or lips. 皮肤或嘴唇因脱水而破裂。 IVs静脉使用 antibx:antibi

10、oticsntibaitiks抗生素hydration:haidreinn.补液TPN : total parenteralprentrl nutrition全胃肠外营养 pain management止痛 routeru:tn.途径 Po：take orally;by mouth im：intramuscular injection sc pump：刻度泵epidural:epidjurl 硬膜外的 ease pain pump镇痛泵feeding tube management：管道营养NG tube ：（NGT） Nasogastric Tube J tube：jejunum didu:

11、nmtube 空肠造瘘管 G tube：gastric tube 胃管Unit 2 Registration Appiontment Dialogue 1 Mr.Johnson :Hello! Id like to see a doctor for consultation as soon as possible. Clerk: Have you come here for consultation before? Mr.Johnson : No,I havent. Clerk: The earliest possible time Dr.Smith can see you is at ten

12、 oclock in the morning the day after tomorrow. Can you come then? Mr.Johnson : Yes ,I can. Clerk: May I have your name, please? Mr.Johnson : Jack P.Johnson. Clerk: Your address? Mr.Johnson : Number 25, Sec.3, Cambridge Rd（a city in Massachusetts just north of Boston .road）. Clerk: Your age,please. M

13、r.Johnson : Fifty-five years old. Clerk: And your telephone number. Mr.Johnson : Its 524-6981. Clerk: Thank you, Mr.Johnson.Dr.Smith will be expecting you the day after tomorrow at ten oclock in the morning. Mr.Johnson : Oh,by the way,Id like to know how I could get here by subway. Clerk: Get off th

14、e main subway station and get out from ExitC,you will see a coffee shop nearby,walk on your right side,for about 5 minutes until you see the building just right in front of you. That building is the hospital. Mr.Johnson : Ok , Thank you. Clerk: You are welcome. Is there anything else I can be of hel

15、p? Mr.Johnson : NO. Thank you. Dialogue 2 Mr.Johnson: Excuse me,could you tell me where the Outpatient Department is? Hospital Attend:Oh,yes. You just go straight ahead and you will see a lady sitting at the desk on your left. Mr.Johnson: Thank you. （at the outpatient waiting room） Clerk: May I help

16、 you，sir？ Mr.Johnson :Yes，I have an appointment with Dr.smith. My name is Jack P.Johnson. Clerk: Just a moment,please. Clerk: Ok Mr.Johnson,your appointment is at 10am,with Dr.smith. Mr.Johnson:So Dr.smith is waiting for me at the clinic. Clerk: Yes, Mr.Johnson. You can go to his clinic now,which is

17、 located on the sixth floor of this building. Mr.Johnson:Could you please briefly orient me to this hospital? Clerk: Of course! I understand this is your first time in our hospital,we have four buildings. Where you are now is the main building,where the Admission Emergency Department and all the cli

18、nics are located.the yellow building on the right side is for all the inpatient,and the other two green buildings are the special units.Our laboratory is on the third floor,and X-ray Department on the fourth floor. The first floor right side is the AE Department,and on the left side there are some s

19、hops,like the flower shop/pharmacy shop/cafe. Mr.Johnson: Thank you,now I know something about the hospital.Clerk: Mr.Johnson,you can go up to the medical clinic now,please.Mr.Johnson: All right. See you then.学习资料 Wikipedia： the free encyclopedia 1. A nurse identifies a 2-mm su

20、perficial open blister over a patients sacrum. The nurse would document this as as being which of the following stages of pressure ulcers?A. IB. IIC. IIID. IVB. Skin not intact. There is partial thickness loss of the epidermis, as evidenced by a blister or shallow crater.A. stage I - skin is intact,

21、 with red area that does not blanch with external pressure.C. stage III - pressure ulcers are identified by full thickness skin loss. Subcutaneous tissue may damaged.D. stage IV - ulcers are identified by full thickness skin loss with extensive destruction to tissues, or damage to muscle, bone, &

22、; supporting structure.2. A nurse identifies a 2-mm superficial intact redenned area that does not blanch over the patients sacrum. Which of the following instructions would the nurse give to the patients caregiver?A.“Massage the area four times each day.”B.“Perform ROM exercises with the patient.”C

23、.“Keep the area covered with a sterile dressing.”D.“Reposition the patient regularly throughout the day.”D. The nurse should reposition an immobile patient every two hours while in bed and every hour while sitting in a chair in order to prevent pressure ulcers.A.Masssaging the area will help to incr

24、ease blood flow but the priority treatment to prevent further breakdown is positioning.B.Performing ROM exercises with the patient will help to prevent the complications of immobility, but frequent repositioning, pressure relief devices and skin care can help prevent pressure ulcers.C.A dressing can

25、 be used to expedite healing. However, the main instruction should be to reposition the patient according to schedule.1.Pressure ulcer -also known as bedsore, pressure sores or decubitus ulcers-is a localized erythematous area that does not blanch, is warm to touch, and ultimately leads to a break i

26、n the skin -is an area of skin that breaks down when you stay in one position for too long without shifting your weight. This often happens if you use a wheelchair or you are bedridden, even for a short period of time (for example, after surgery or an injury).The constant pressure against the skin r

27、educes the blood supply to that area, and the affected tissue dies.Areas where bony prominences are less padded by muscle and fat,such as the hip bones, tailbone and heels of the feet, are most susceptible to bedsores. Stage I:Stage I: The skin is intact. A reddened area on the skin that, when press

28、ed, The skin is intact. A reddened area on the skin that, when pressed, is non-blanchable is non-blanchable (does not turn white).This indicates that a pressure (does not turn white).This indicates that a pressure ulcer is starting to develop. ulcer is starting to develop. Stage II:Stage II: The ski

29、n is not intact. There is partial thickness skin loss of The skin is not intact. There is partial thickness skin loss of the epidermis or dermis.The the epidermis or dermis.The ulcer is superficial and presents as an abrasion, ulcer is superficial and presents as an abrasion, blister, or shallow cra

30、ter.The blister, or shallow crater.The skin blisters or forms an open sore.The area skin blisters or forms an open sore.The area around the sore may be red and irritated. around the sore may be red and irritated. Stage III:Stage III: Full thickness skin loss occurs. Damage or necrosis of Full thickn

31、ess skin loss occurs. Damage or necrosis of subcutaneous tissue extends down to, but not through the fascia. The skin subcutaneous tissue extends down to, but not through the fascia. The skin breakdown now looks like a crater where there is damage to the tissue below breakdown now looks like a crate

32、r where there is damage to the tissue below the skin. the skin. Stage IV:Stage IV: The pressure ulcer has become so deep that there is full thickness The pressure ulcer has become so deep that there is full thickness skin loss with extensive tissue destruction, tissue necrosis, or damage to skin los

33、s with extensive tissue destruction, tissue necrosis, or damage to the muscle, bone, or supporting structures (tendons and joints) the muscle, bone, or supporting structures (tendons and joints) Considerations:In individuals with darker skin, discoloration, warmth, edema, induration, or hardness may

34、 be indicators.The ulcer appears as a defined area of persistent redness in lightly pigmented skin, whereas in darker skin tones, the ulcer may appear with persistent red, blue, or purple.1.The ulcer has become a crater involving damage or necrosis of subcutaneous tissues. 2. The skin is intact but

35、shows a persistent pink or red area that does not turn white when you press it with your finger. 3. The decubitus ulcer is now extremely deep, having gone through the muscle layers and now involving underlying organs and bone. 4. The ulcer is an open sore that does not extend through the full thickn

36、ess of the skin. 5. The wound may look like a mild sunburn. Short Quiz:Identify which stage of bedsore is being described.Stage 3Stage 1Stage 4Stage 2Stage 1Stage 1Stage 3Stage 2Stage 4AssessmentA.Risk factors/ Etiology1. Prolonged pressure caused by immobility2. Malnutrition3. Infection4. Skin dryn

37、ess4. Equipments such as casts, restraints, traction devices, etc.Goal/Planning1. To prevent or relieve pressure and stimulate circulation. Frequent change of position; turn client every 1 - 2 hours, and in the very frail at least 1 hour. Active and passive exercises to promote circulation.2. Good diet. A good and balanced diet contributes to healing, as well as avoiding severe and nutritional weight loss.3. To keep skin clean and healthy and prevent the occurrence of a pressure ulcer. wash skin with mild soap and blot comp