护理英语教学

1、Chapter 2Registration at Outpatient DepartmentNew wordsRegistration 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，他能写得和别人一样整

2、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 advisor：与顾问商量co

3、nsult 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, telephone number,s

4、ex 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 nurses to take car

5、e 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 Health center ：保健中心

6、 MD office：医务室 Shelter： elt庇护场所 SNF: Convalescentknvlesnt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：neuroticnjurtik神经疾病的 Neurology:njurldi神经病学 reconditioningri:k

7、ndin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 kldi (=phymatology)肿瘤学

8、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 )gastrointestinalgstruintestnl tract胃肠道 renal/genitourinary renalri:n()ladj. 肾的，肾脏的 genitourinarydeni

9、tujurinriadj.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:antibioticsntibaitiks抗生素hydration:

10、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:nmtube 空肠造瘘管 G tube：gastric

11、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 oclock in the morning the d

12、ay 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. Mr.Johnson : Fifty-five years

13、 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 the main subway station and ge

14、t 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 help? Mr.Johnson : NO. Thank yo

15、u. 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 you，sir？ Mr.Johnson :Yes，I

16、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 located on the sixth floor

17、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 clinics are located.the yellow

18、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 shops,like the flower shop/ph

19、armacy 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 superficial open blister over

20、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, with red area that does not

21、 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, & supporting structure.2. A

22、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. “Keep the area covered w

23、ith 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 increase blood flow but the

24、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 be used to expedite hea

25、ling. 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 in the skin -is an area o

26、f 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 reduces the blood supply

27、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 pressed, The skin is intact.

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

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

30、 forms an open sore.The area blister, or shallow crater.The 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 thickness skin loss occurs. Da

31、mage 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 crater where there is damage

32、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 loss with extensive tissue

33、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 be indicators.The ulcer

34、 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 shows a persistent pink

35、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 thickness of the skin. 5. The

36、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 dryness4. Equipments such as

37、 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

38、 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 completely dry with soft towel. frequent skin inspection, esp. over the bony prominences. remove an

39、y foreign material from the bed source of irritation. Keep sheets tightly stretched on bed to prevent wrinkles.Treatment1.Debridement to remove moist, devitalized tissue. sharp debridement use of a scalpel or other instrument use to scrape off dead tissues mechanical debridement wet-to-dry dressings

40、.2.Wound cleansing use NSS for most cases. use minimal mechanical force when cleansing to avoid trauma to the wound bed. avoid use of antiseptics (e.g. hydrogen peroxide, iodine).3.Dressings protect the wound moistened gauze film (transparent) hydrocolloid (moistened and oxygen retaining)For a perso

41、n in bed: 1. Change position at least every 2 hours. 2. Use a special mattress that contains foam, air, gel, or water. 3. Raise the head of bed as little and for as short a time as possible.For a person in a chair: 1. Change position at every hour. 2. Use foam, gel, or air cushion to relieve pressur

42、e.3. Reduce friction by: Lifting rather than dragging when repositioning. 4.Using corn starch on skin.5. Avoid use of donut-shaped cushions.Donut-shaped cushions can increase your risk of getting a pressure ulcer by reducingblood flow and causing tissue to swell. facility: fsiliti实验室,终端设备号TCU：termin

43、al 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 Mr.Johnson : Oh,by the way,Id like to know how I could get here by subway. Clerk: Get off the main subway station and get out from ExitC,you will see a coffee shop nearby,wa