医学英语教学查房ppt课件.pptx

EnglishteachingroundsVIPDepartment,英语教学查房VIP管理部,Goodmorning,everycolleagues:,Welcometoourteachingrounds.,IamGrace,theheadnurseofVIPdepartment.我是Grace,VIP管理部的护士长,Today,thepeopletakepartinourteachinggroundaresupervisornurseChristina,seniornurseVillvall,primarynurseMichelle,Angel,Diana,Emily,andSilvia.今天,参加这次教学查房的有主管护师Christina,护师Vivian、护士Michelle,Angel,Dianna,Emily和Silvia。,Ourteachingroundsisseparatedintothreeparts：thefirst,morningshift,thesecond,situationconversation,thethird,discussahealthreportofVIPclient.我们的教学查房分为三个部分:第一部分,早交班,第二部分,情景会话,第三部分,讨论一位VIP会员的健康管理报告。,Now，letsbegin.,letsgetintothefirstpart:morningshift.接下来我们进入第一部分：早交班。,Morningshift早交班,7,CoupleTanghongHuicametohospitalandtookexamingations.,Mr.WangMingsawDr.YuofUrologyDept.andhadIVfluid.,Mr.XiaorenZhangcametohospitalandtookphysicalexamination.,肖文明先生来院行健康检查。,汤鸿辉夫妇来院行健康体检。,王茗先生就诊泌尿外科的喻医生并行静脉输液,8,Ms.DengyuXiancametohospitalandtookbloodtest,thentookmedicinehome.,Ms.Lihongweihadhypodermalinjection.,Mr.OuyangMingreviewedthedoctorofDermotologyDept.againandhadIVfluid.,欧阳明先生复诊皮肤科并行静脉输液。,邓玉仙女士院行血液检查,并带药回家。,李红卫行皮下注射。,9,Thatsallfortodaysmorningshift.Nextistodaysappointment.,1.Mr.ZhangLimakesanappointmentwithakidneyspecialist.张先生预约肾病专家2.Jackilinemakesaappointmentwithanexpertsinobstetric.杰克林预约产科专家Leemakesanappointmentwithacardiovascularspecialist.李预约心血管专家,10,昨天我们很好的按时完成了工作，但是停车仍然是个急需解决的问题，一旦有会员打电话给你，你必须立即打给停车场负责人王先生。,Headnurse:yesterdaywevedoneourworkontime,everyonedidyourjobverywell.butparkingisstillaproblemthatneedtobesoluted.onceyourVIPclientcontactoneofyou,youhavetocallMr.Wang,whoisinchargeofcarparking,assonnaspossible.,11,健康顾问们负责各自的会员；负责慢性病管理部；负责协助顾问们完成会员管理工作以及科室内部整洁。你们有遇到的任何问题都可以告诉我，我会尽全力帮助你们。让我们进入第二部分：情景对话,Todayourscheduleare:consultersareresponsibleforyourownVIPclient.AngelisinchargeofthepatientsofchronicwidespreaddiseaseDepartment,EmilyandDianaaregoingtoassisttheconsultersjobandinteriorpolicingup.Tellmewhenyoumeetinganyproblems,Iwilldomybesttohelpyouall.Ok,letsgetintothesecongpart:situationcovesation.,12,Thatallfortadaysmorningshift,letsgetintothesecond：situationconversation.今天第一部分内容结束，请欣赏第二部分：情景对话。,NursingEnglishconversation,VIPDept.,14,-Goodmorning.,-Goodmorning.,15,-Whatseemstobetheproblem?您怎么啦？,-Imrunningahighfeverandfeelingterriblybad.我发高烧了，感觉很难受。,16,-Howlonghaveyouhadtheproblem?发烧有多长时间了呢？,-Sincelastnight.从昨晚开始。,17,-Haveyoueverbeenourhospitalbefore?你以前来过我们医院（就诊）吗？,-Asamatteroffact,Ihavejustmovedtothiscity.事实上，我刚到这个城市。,18,-OK.Inthatcase,youhavetofillinthisregistrationcard.Yourage,gender,addressandthingslikethat.好的。请您先填写表格，您的名字、年龄、地址、等。,-Noproblem.好的。,19,-Hereismyregistrationcard.WhichdepartmentshouldIregisterwith?这是我的就诊卡，请问我应该挂哪科的号？,-Youdbettergotothemedicaldepartment.TheregistrationfeeisTenyuan.你应该挂内科，挂号费10元。,20,-Thankyou.,-Yourewelcome.,21,-Thankyousomuch!,-Excuseme,madam,IwillarrangeforDr.Litoseeyou,sheistheprofessoroftheInternalDepartment.就诊李医生，她是内科专家。,22,NowImgoingtotakeyourtemperatureandbloodpressure.Pleasetakeoffyourcoat,Iwillputthethermometerunderyourarmpit,dontmoveandrollupyourcuff,putyourpalmupandkeepyourarmstretchedandrelaxed,Iwillcheckitin10minutes.测量体温及血压,-OK.,23,Letmecheckthethermometer,Yourbodytemperatureis39,yourbloodpressureis90/60mmHg,Iamgoingtobringyoutoseethedoctor,pleasefollowme!您的体温是39，血压是90/60，我现在带您去看医生，请跟我来。,-OK,24,YouvedoneyouappointmentandIwillgoandgetthemedicineforyou,pleasewaithereandhavearest.你的就诊已经结束了，我现在去给你拿药，请你在这儿稍等并休息会儿。,Thankyousomuch!bytheway,canIsmokehere?请问我可以在这儿吸烟吗？,25,Sorry,madam,smokingisnotallowedhere.YourdiagnosticisURI,soyoucannotsmokeanymoreoratthismomentatLeast,itwillbemoreworseifyoudonotfollowme.对不起，这儿不能吸烟，你的诊断是上呼吸道感染，更加不能吸烟，尤其在这段时间不行，否则会加重感染。,26,-OK.Butcanyoutellmehowtogettothebathroom,please?能告诉我洗手间在哪儿吗？,-Goalongthecorridoruntilyouseethesignonyourright.letmetakeyouthere.沿着走廊一直走，在您的右手边。我带您过去吧。,-Thanksalot.,27,Howsyourfeelingnow?Doyouneedsomemorewarmwatertodrink?您感觉怎么样了？还需要喝些温水吗？,-Ifitsnottrouble,pleasegivemeanotherone，thankyou.如果不麻烦，请再给我一杯,谢谢。,28,-Youcanhavearesthereandyouneedtodrinkmorewatertolawdownyourbodytemperature.Iwillgoandgetthemedicineforyou.您在这休息一会儿，多喝温水降低你的体温。我去给您取药。,-Thankyou.,29,-Excuseme,madam,hereisthedoctorsprescriptiontoyou,youjustfollowtheorder.这是医生给您开的处方，请遵医嘱服用药物。,-HowshouldItakethismedicine?怎样服用这些药？,-Threetimesaday,takeonetabletatime.一天三次，每次一片。,30,-Duringthistime,youhavetodrinkmorewaterandtakemorerest.Ifyourestillfeelinguncomfortable,youhavetocomebackandseethedoctoragain.,这段时间，你要多喝些水和以及多休息，如果感觉有什么不舒服的要及时复诊。,-Thankyousomuch,Bye-bye.,31,Allright,letsgetintothethirdpart:discussahealthreportofVIPclient.Atfirst,pleaseletMichelleintroducethehealthreportofVIPclient.第二部分内容结束，请欣赏第三部分：讨论一个VIP客户的健康报告。首先，请Michelle介绍他的健康报告。,HealthReport,Discussion,33,34,HeisworkinginXiangtTanforyears.Hewassufferingfromgastritis,hypertensionandnephrolith,hisfatherhadhypertensionandhismothergotgastriccarcinoma.,一直在湘潭工作，既往史：胃炎、高血压、肾结石。家族史：父亲患有高血压，母亲患有胃癌。,35,36,37,9.2th.2011,hecametohospitalandtookECG,Echocardiographyand14CUreabreathtest,thensawDr.liuzheng.Dr.liusaidthathehadtocontinuetotakeantihypertensivemedicine.,2011年9月2号，会员来院行心电图检查，心脏彩超，复诊碳-14吹起实验。并复诊刘政主任，刘主任建议服用抗高血压药物。,38,Hypertension高血压,39,Emily,pleaseexpatiatetheconceptionofhypertension请护士Emily对高血压定义进行阐述。,40,Hypertensionisthehealthconditionthatoccurswhenthesystolicpressureishigherthan140mmHgorthediastolicpressureishigherthan90mmHgbeforeorwithouttakinganyantihypertensivedrugs.高血压是指未服用降压药物的情况下，两次或两次以上非同日测得收缩压高于140毫米汞柱或舒张压高于90毫米汞柱。,41,Heredity遗传,42,Silvia,pleasetellusthecausesofhypertension请护士Silvia对高血压的病因进行阐述。,43,Hypertension高血压,Essentialhypertension原发性高血压,Secondaryhypertension继发性高血压,44,Essentialhypertensionetiologyisnotclear,someriskfactors,suchaslessexercise,unreasonablediet,obesity,age,geneticfactorsmaycausehypertension.原发性高血压病因不是很明确，某些危险因素，如运动减少，饮食不合理，肥胖，高龄，遗传因素可能引起高血压。,45,Secondaryhypertensionisaclearetiology,bysomeprimarydiseases,suchaskidneydisease,endocrinediseases.继发性高血压病因是可以明确的，多由一些原发性疾病引起，如肾脏疾病、内分泌疾病等。,46,LetAngeltalkaboutthesymptomofHypertension.请护士Angel对高血压症状进行阐述。,47,48,49,PleaseDianatellusthetreatmentofhypertension.请护士Diana对高血压治疗进行阐述。,50,51,52,PleaseViviantellusthehealtheducation.请护士Vivian对高血压健康宣教进行阐述。,53,6、regularlifestyle,havegoodrest,keepastableemotion。生活规律，保证充足睡眠，良好的精神状态和情绪稳定。,54,PleaseChristinatellussomepointsofprecautiontoadd.请护士Christina补充。,55,56,57,Welldone,everyone.Itsallfortodaysteachinggrounds.IthinkwevegotsomedataorinformationfromeveryonesspeechthatcanhelpustodoourjobbetterandservetheVIPclientwell.做得好,各位，今天我们教学查房的内容是一位高血压会员，大家都说得很好，但既然是个案查房，就要结合患者本人，而不是就这种疾病进行查房，我们更多的是要关注会员的特异性。,58,Throughdiscussingthehealthreport,beforeweworkingoutaplanforclients,wehavetoknowtheiractualsituation,andlearnthatifwhetherthedoctorsprescriptionisharmfultoourclientornot.通过对健康报道,在我们为会员制订计划之前,我们还要知道他们的实际情况,了解治疗方案是怎样的？选取什么药物?有何副作用？。,59,InVIPDepartment,wehavetoservethebestservicetoourclient,eithertheserviceorusingourexpertisetopromotetheirhealth.在VIP部门,我们必须用最好的服务给我们的会员,用服务和我们的专家来促进他们的健康。,60,Finally,letswelcomeHannah,theco-chirfnurse,thechiefofVIPDept.toGiveusaspeech.最后，我们欢迎主管护师，VIP的赵主任为我们进行总结,61,Hypertensionisachronicdisease,chronicdiseaseself-managementapproachinrecentyears,theriseofinternationalpatientforchronicdiseasetreatmentandmanagementmethods.高血压是一种慢性病，慢性病自我管理方法是今年来国际上兴起的针对慢性病的患者的治疗和管理方法,62,Asahealthmanagementdivision,weshouldteachself-managementinpati