医学英语教学查房

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局部:第一局部,早交班,第二局部,情景会话,第三局部,讨论一位VIP会员的健康管理报告。Now，let’sbegin.let’sgetintothefirstpart:morningshift.接下来我们进入第一局部：早交班。Morningshift

早交班

7编辑pptCoupleTanghongHuicametohospitalandtookexamingations.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编辑pptMs.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编辑pptThat’sallfortoday’smorningshift.Nextistoday’sappointment.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编辑ppt

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，一旦有会员打给你，你必须立即打给停车场负责人王先生。Headnurse:yesterdaywe’vedoneourworkontime,everyonedidyourjobverywell.butparkingisstillaproblemthatneedtobesoluted.onceyourVIPclientcontactoneofyou,youhavetocallMr.Wang,whoisinchargeofcarparking,assonnaspossible.11编辑ppt健康参谋们负责各自的会员；负责慢性病管理部；负责协助参谋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。让我们进入第二局部：情景对话Todayourscheduleare:consultersareresponsibleforyourownVIPclient.AngelisinchargeofthepatientsofchronicwidespreaddiseaseDepartment,EmilyandDianaaregoingtoassisttheconsulter’sjobandinteriorpolicingup.Tellmewhenyoumeetinganyproblems,Iwilldomybesttohelpyouall.Ok,let’sgetintothesecongpart:situationcovesation.12编辑pptThatallfortaday’smorningshift,let’sgetintothesecond：situationconversation.

今天第一局部内容结束，请欣赏第二局部：情景对话。NursingEnglishconversationVIPDept.14编辑ppt-Goodmorning.

-Goodmorning.

15编辑ppt-Whatseemstobetheproblem?

您怎么啦？-I’mrunningahighfeverandfeelingterriblybad.

我发高烧了，感觉很难受。16编辑ppt-Howlonghaveyouhadtheproblem?

发烧有多长时间了呢？-Sincelastnight.

从昨晚开始。17编辑ppt-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编辑ppt-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编辑ppt-Hereismyregistrationcard.WhichdepartmentshouldIregisterwith?

这是我的就诊卡，请问我应该挂哪科的号？

-You’dbettergotothemedicaldepartment.TheregistrationfeeisTenyuan.你应该挂内科，挂号费10元。20编辑ppt-Thankyou.-You’rewelcome.21编辑ppt-Thankyousomuch!

-Excuseme,madam,IwillarrangeforDr.Litoseeyou,sheistheprofessoroftheInternalDepartment.就诊李医生，她是内科专家。22编辑ppt

NowI’mgoingtotakeyourtemperatureandbloodpressure.Pleasetakeoffyourcoat,Iwillputthethermometerunderyourarmpit,don’tmoveandrollupyourcuff,putyourpalmupandkeepyourarmstretchedandrelaxed,Iwillcheckitin10minutes.测量体温及血压-OK.23编辑pptLetmecheckthethermometer,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。

-OK24编辑pptYou’vedoneyouappointmentandIwillgoandgetthemedicineforyou,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编辑pptSorry,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，否那么会加重感染。26编辑ppt

-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编辑pptHow’syourfeelingnow?Doyouneedsomemorewarmwatertodrink?您感觉怎么样了？还需要喝些温水吗？-Ifit’snottrouble,pleasegivemeanotherone，thankyou.如果不麻烦，请再给我一杯,谢谢。28编辑ppt

-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编辑ppt

-Excuseme,madam,hereisthedoctor’sprescriptiontoyou,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编辑ppt

-Duringthistime,youhavetodrinkmorewaterandtakemorerest.Ifyou’restillfeelinguncomfortable,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编辑pptAllright,let’sgetintothethirdpart:discussahealthreportofVIPclient.Atfirst,pleaseletMichelleintroducethehealthreportofVIPclient.第二局部内容结束，请欣赏第三局部：讨论一个VIP客户的健康报告。首先，请Michelle介绍他的健康报告。HealthReportDiscussion33编辑pptSuguoJunMale男51years51岁Hanpeople汉族Married已婚SuguoJun苏国军HeisDirectorofPolicyResearchofXiangtanMunicipal.Hewassufferingfromgastritis,hypertensionandnephrolith,hisfatherhadhypertensionandhismothergotgastriccarcinoma.他是湘潭城市政策研究主任。他生前患有胃炎、高血压和肾结石,他的父亲有高血压和他妈妈都得到了胃癌。34编辑pptHeisworkinginXiangtTanforyears.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编辑ppt8.13th.2011,phonedtheclientandtoldhimabouthishealthexaminationresults,clientknewallwetold.Thecertainproblemofhimexaminationisgastritisassociatedwithhelicobacterpylori.2011年8月13日，健康顾问电话告知会员健康检查结果，会员表示明白。他的主要健康问题是幽门螺杆菌感染、胃炎。8.9th.2011,hecametothehospital,andtooktheregularhealthexaminationsuiteandTTMscan.2011年8月9日，会员来院,做了常规健康检查和TTM扫描。8.7th.2011，hephonedthehealthconsultantandsaidthathehadgotstomachpainin1hourandhadtakensomemedicinewhichthemoreunkonwn,tostopthepainbuteffectless.2011年8月7日,电话联系健康顾问,说胃痛了1小时并且说服用了未知名的止痛药，但止痛效果不明显，健康顾问嘱其就诊，会员因私人原因未予执行。36编辑ppt8.24th.2011,healthconsultantremindedclientcomingtothehospitalandseethedoctoragain.2011年8月24日，健康顾问提醒会员复诊。8.15th.2011,hecametohospitalandsawDr.LiuZheng,thechiefofHealthManagementCenter,andtookmedicinehome,whichtreatedforhelicobacterpyloriandhypertension.2011年8月15日，会员来到医院,就诊健康管理中心主任刘政,开药对症治疗幽门螺旋杆菌感染和高血压。9.2nd.2011,hecametohospitalandtookECG,Echocardiographyand14CUreabreathtest,thensawDr.LiuZheng.Dr.Liusaidthathehadtocontinuetotakeantihypertensivemedicine.2011年9月2日，他来到医院,做了心电图、超声心动图、14C尿素呼吸测试,然后看了刘郑医生。刘医生说,他还得继续采取抗高血压药。37编辑ppt9.2th.2021,hecametohospitalandtookECG,Echocardiographyand14CUreabreathtest,thensawDr.liuzheng.Dr.liusaidthathehadtocontinuetotakeantihypertensivemedicine.2021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编辑pptAllaboveisthehealthreportofaVIPclient.健康顾问汇报病历完毕。Therehavethreehealthproblemexisted三个健康问题Gastritis胃炎HypertensionNephrolith肾结石Hypertension高血压Now,let’sfocusondiscussingabout下面，我们就这三个问题进行分析和指导。39编辑pptEmily,pleaseexpatiatetheconceptionofhypertension请护士Emily对高血压定义进行阐述。40编辑pptHypertensionisthehealthconditionthatoccurswhenthesystolicpressureishigherthan140mmHgorthediastolicpressureishigherthan90mmHgbeforeorwithouttakinganyantihypertensivedrugs.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编辑pptHeredity遗传Obesity肥胖

alcoholabuse滥用酒精

lacksexercises缺乏运动Etc.Themajorriskfactors:Thismembrhasheredityfactor.该客户就有遗传因素。Heredity遗传42编辑ppt

Silvia,pleasetellusthecausesofhypertension请护士Silvia对高血压的病因进行阐述。43编辑pptHypertension

高血压Essentialhypertension原发性高血压Secondaryhypertension继发性高血压44编辑pptEssentialhypertensionetiologyisnotclear,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编辑pptSecondaryhypertensionisaclearetiology,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编辑pptLetAngeltalkaboutthesymptomofHypertension.请护士Angel对高血压病症进行阐述。47编辑pptMainsymptom症状Headache头痛Dizziness头昏眼花Palpitation心悸Tinnitus耳鸣Insomnia失眠Fatigue疲劳Etc.48编辑pptItisthecauseandcriticalfactorofcardiovasculardisease,meanwhileeffectsthefunctionandstructureoftheorgansandresultinfailure.因其是多种心脑血管疾病的重要病因和危险因素,影响重要器官的结构和功能并最终导致衰竭。49编辑pptPleaseDianatellusthetreatmentofhypertension.请护士Diana对高血压治疗进行阐述。50编辑pptTotreathypertensionhastwomethod两种治疗方法

drugtreatment药物治疗non-drugtreatment非药物治疗

51编辑pptIt’salongprocessandcomplex,mostofthepatientshavetocontrolthehypertensionbytakingdrugsinlifespan,excepttheminoritypatientsjustcontrolhypertensionthroughchangingthelifestyle,beingfoundearlier.etc.高血压的治疗是一个漫长而复杂的过程,除少数病人早期发现，病情较轻，又能遵照健康生活方式控制血压的人可采取非药物治疗外，绝大多数病人需要终生药物治疗。52编辑pptPleaseViviantellusthehealtheducation.请护士Vivian对高血压健康宣教进行阐述。53编辑pptHealtheducation1、accordingtothedoctor’sprescriptiontakingdrugsontime.遵医嘱按时服药和复查。2、Monitoringthebloodpressureanytimeandthefunctionalobservation.血压及全身功能监测3、smokeabatement,cigarettequitting,rationaldiet。戒烟、限酒、合理膳食.4、Keeptheweight.保持适宜体重5、Takingaerobicexercises。有氧运动

6、regular

lifestyle,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编辑pptPleaseChristinatellussomepointsofprecautiontoadd.请护士Christina补充。55编辑pptThekeypointofpreventinghypertensionistocontrolthemainhazardfactors.防治重点在于控制主要危险因素。Therehassomemisapprehensionoftreatinghypertension:三大误区:unwillingtotakemedicine不愿服药negativeattitude不按医嘱服药withoutprescription

totakemedicine.不难受不服药56编辑pptSo,tothepatientwhohasgothypertensionneedstoknowandunderstandthattakemedicinefortreatinghighbloodpressureinlifespanisinevitable,doreclienttakingmedicinewithoutfollowingthephysician’sprescription,orwillresultindamagetotheorgans.因此,对已经需要接受服药的患者一定要灌输一种概念：即药物治疗必须终生，切忌不可随意停药，以免对身体造成严重损害。可根据医生建议选择副作用较小且适合自己的药物进行治疗。57编辑pptSummary概括Welldone,everyone.It’sallfortoday’steachinggrounds.Ithinkwe’vegotsomedataorinformationfromeveryone’sspeechthatcanhelpustodoourjobbetterandservetheVIPclientwell.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编辑pptSummaryThroughdiscussingthehealthreport,beforeweworkingoutaplanforclients,wehavetoknowtheiractualsituation,andlearnthatifwhetherthedoctor’sprescriptionisharmfultoourclientornot.通过对健康报道,在我们为会员制订方案之前,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编辑pptSummaryInVIPDepartment,wehavetoservethebestservicetoourclient,eithertheserviceorusingourexpertisetopromotetheirhealth.在VIP部门,我们必须用最好的效劳给我们的会员,用效劳和我们的专家来促进他们的健康。60编辑pptFinally,let’swelcomeHannah,theco-chirfnurse,thechiefofVIPDept.toGiveusaspeech.最后，我们欢送主管护师，VIP的赵主任为我们进行总结61编辑