《護(hù)理英語(yǔ)》課件Part 2

1、護(hù) 理 英 語(yǔ)PPT模板下載：/moban/ 行業(yè)PPT模板：/hangye/ 節(jié)日PPT模板：/jieri/ PPT素材下載：/sucai/PPT背景圖片：/beijing/ PPT圖表下載：/tubiao/ 優(yōu)秀PPT下載：/xiazai/ PPT教程： /powerpoint/ Word教程： /word/ Excel教程：/excel/ 資料下載：/ziliao/ PPT課件下載：/kejian/ 范文下載：/fanwen/ 試卷下載：/shiti/ 教案下載：/jiaoan/ Part 2Unit 1Taking a History Unit 2Symptoms and SignsU

2、nit 3Physical AssessmentUnit 4Mental State ExaminationUnit 5InvestigationsPart 2Unit 6Explaining Nursing DiagnosisUnit 7Discussing TreatmentUnit 8Giving Bad NewsUnit 1 Taking a HistoryChen Xu, 48 years old, is admitted to hospital for a lump in her right breast. A month ago, she noticed this lump wh

3、en she looked at herself in the mirror after a bath. At that time, she didnt pay much attention to it. But several days was worried and went to see a doctor. She was then hospitalized for an operation.CaseAUnit 1 Taking a HistoryConversationBUnit 1 Taking a HistoryUnit 1 Taking a HistoryUnit 1 Takin

4、g a HistoryUnit 1 Taking a HistoryBackgroundcUnit 1 Taking a HistoryUnit 1 Taking a HistoryUnit 1 Taking a HistoryUnit 1 Taking a HistoryGreet the patient and introduce yourself. Good afternoon, my name is Miss Morgan.dSentence patternsUnit 1 Taking a History2. Personal details Patients name Please

5、tell me your first and last name. Could you please tell me your first and last name? Can you spell your last name for me please?Unit 1 Taking a History Determine the patients age, height and weight How old are you?When were you born? How much do you weigh? What is your height? Unit 1 Taking a Histor

6、y Determine the patients occupationWhat do you do for a living? How long have you worked in your present job? What did you do before your present job? Is your work stressful? Is there much physical activity associated with your work? How long have you been retired? Unit 1 Taking a History3. Current

7、and past medical history Do you have any current health problems, things such as diabetes or high blood pressure? If the patient answers yes, ask the following questions:How long have you had this condition? Are you seeing a doctor for this condition? Do you know what doses you take? How often do yo

8、u take this medication? Unit 1 Taking a History Have you had any recent illnesses or health problems other than the one that brought you in today?Things like a sore throat or a cold or flu? Do you have any allergies? Things like food allergies or allergies to medications?Unit 1 Taking a History4. Dr

9、ug history Are you taking any prescription medications, such as pills, injections and inhalers? Do you use any alternative treatments or remedies for any health problems? Are you taking any over-the-counter (OTC) medicines? Unit 1 Taking a History5. Family history Is there a history of (high blood p

10、ressure, cancer, asthma, diabetes etc.) in your family? Does anyone in your family have a serious illness? Parents healthAre your parents alive and well?Do your parents have any health problems?How old are they?If the patients parent has passed away, ask the following questions:Unit 1 Taking a Histo

11、ryIm sorry to hear that. What was the cause of your mothers (fathers) death?How old was she (he) when she (he) died? What did he (she) die of? Childs healthAre you married?Do you have any children?How old are they?Do they have any health problems? Unit 1 Taking a History6. Lifestyle (social) history

12、Do you smoke? How much do you smoke? How old were you when you started smoking? Do you drink beer, wine or spirits? How often do you drink? How often do you drink alone? How much do you drink? Have you noticed a recent increase or decrease in your weight? A young pale woman has just been admitted to

13、 emergency room with a complaint of abdominal pain. Following the doctors order, the nurse took history and did some examination to get symptoms and signs. The patient felt nervous because that was her first time going to the hospital.caseAUnit 2 Symptoms and SignsUnit 2 Symptoms and SignsConversati

14、onBUnit 2 Symptoms and SignsUnit 2 Symptoms and SignsUnit 2 Symptoms and SignsBackgroundcUnit 2 Symptoms and SignsUnit 2 Symptoms and SignsUnit 2 Symptoms and SignsUnit 2 Symptoms and SignsUnit 2 Symptoms and SignsUnit 2 Symptoms and Signs1. Expression used by nurses Greeting and introductionCan I h

15、elp you?What can I do for you?Whats the trouble with you?Did you make an appointment with the doctor?Have you been in hospital before?May I ask some questions about your health?Sentence patternsdUnit 2 Symptoms and Signs DiagnoseWhat seems to be the problem?How long have you been feeling unwell/ une

16、asy?What symptoms do you have?How long have you had the pain?Do you have a fever?Did your sickness occur shortly after eating food?Have you lost appetite?Have you vomited blood and/or had black, tarry stools?Unit 2 Symptoms and Signs2. Expression used by patients Common expressionI was sick yesterda

17、y, but Im much better now.Im afraid Im not feeling well.I never got something like this before.Unit 2 Symptoms and Signs Head symptomsIve got a headache.My head hurts. I feel dizzy.I blacked out (fainted). Stomach and bowel symptomsI get nauseated (I feel sick).Ive got diarrhea.Ive got constipation.

18、My stomach is funny.Unit 2 Symptoms and Signs Skin symptomsIve got a rash (broken out in a rash).I keep scratching.Ive got sensitive skin.I am badly sunburned. Sleep symptomsI cant get to sleep.I suffer from insomnia.I have nightmares.Unit 3 Physical AssessmentWang Juan, 56 years old, was diagnosed

19、with hypertension yesterday. She was told she should be hospitalized in the department of cardiology today. Now, she is suffering from acute dizziness and headaches. You are her charge nurse, Jane. Please give her a physical assessment to find out her health problems.CaseAUnit 3 Physical AssessmentC

20、onversationBUnit 3 Physical AssessmentUnit 3 Physical AssessmentUnit 3 Physical AssessmentBackgroundcUnit 3 Physical AssessmentUnit 3 Physical AssessmentUnit 3 Physical Assessment1. Introduce yourself, if necessary Good afternoon, my name is Jane.Im Jane, your charge nurse.Sentence patternsdUnit 3 P

21、hysical Assessment2. Giving explanation Purpose I need to listen to your, please. What were going to do today is I am going to examine your , so I can find out whats causing this Show consideration to patientsAre you ok?You may feel a little bit of discomfort.It might hurt but Ill be quick.It will f

22、eel very , but only for a moment.Unit 3 Physical Assessment3. Vital signs TemperatureI need to take your temperature.I am going to put this in your ear.Can I put this thermometer under your arm?Your temperature is normal.Your temperature is lightly/a little high.Your temperature is below normal.Unit

23、 3 Physical Assessment PulseI need to take your pulse.May I feel your wrist? Please give me your wrist.Your pulse is regular/irregular/strong/weak/faint/fast/rapid. Blood pressureI need to take your blood pressure.I am going to put a tourniquet on your arm.Please keep your arm still.Unit 3 Physical

24、Assessment4. Position the patient Lying downPlease lie down on your back/ on the couch/ over there.Please unbutton your shirt.Please remove your trousers.Please undo your trousers.Please bend your knees slightly.Please turn over/turn onto your left/right side.I have finished. You can dress now. Unit

25、 3 Physical Assessment Standing up and lifting Please stand up.Please bend forward/back as soon as possible.Please lift/raise your left/right leg.Please put your arms forward.Unit 4 Mental State ExaminationHelen Weaver is a 45-year-old executive secretary. She has been divorced for 3 years and has t

26、wo sons, 13 and 15 years of age. She is brought into the emergency department (ED) by her sister. She has some slashes on her wrists and they are bleeding. Her sister states that both of Mrs. Weavers sons are CaseAUnit 4 Mental State Examinationvisiting their father for the summer. Mrs. Weaver has b

27、ecome more and more depressed after terminating a 2-year relationship with a married man 4 weeks ago. According to her sister, during the 3 years after her divorce, Mrs. Weaver talked constantly about not being pretty or good enough and doubted that anyone could really love her. After receiving trea

28、tment in the ED, Mrs. Weaver is seen by a psychiatrist. The initial diagnosis is dysthymia with suicidal tendency. The nurse, Ms. Weston, admits Mrs. Weaver to the unit from the ED.Unit 4 Mental State ExaminationConversationbUnit 4 Mental State ExaminationUnit 4 Mental State ExaminationUnit 4 Mental

29、 State ExaminationBackgroundcUnit 4 Mental State ExaminationUnit 4 Mental State ExaminationUnit 4 Mental State ExaminationUnit 4 Mental State ExaminationNursing assessment questions:1. To assess clients insight into feeling stateHow would you describe your mood? How do you feel most days?2. To deter

30、mine clients awareness of behavioral changesHave you noticed a change in your behavior within the past month?Sentence patternsdUnit 4 Mental State Examination3. To determine sensitivity to others observations of behavioral changesDo you feel that people are noticing a change in your behavior, such a

31、s irritability or hyperactivity?4. To determine clients current quality of lifeDo you take pleasure in anything?Do you enjoy them as much as you previously did?Can you imagine an event or situation that would give you pleasure?Have you been able to enjoy food and/or sex over the past month?Unit 4 Me

32、ntal State Examination5. To establish behavioral patternsWhen did you first begin to feel depressed or elated?Did others comment that your mood seemed more depressed (or higher) than usual?Have you ever felt this way before? When? What was it like?6. To determine sleep patternsHow is your sleep? Are

33、 you able to fall asleep at night?Do you find yourself waking up early and being unable to return to sleep?Do you sleep more than usual in a 24-hour period? How much?Unit 4 Mental State Examination7. To determine nutritional/metabolic statusHow was your appetite in the past month?How much weight did

34、 you lose or gain in the past month?Have you noticed any change in your weight?8. To assess fatigability How is your energy level?Do you feel tired every day?Do you ever feel as though your limbs are heavy?Do you have more energy than usual?Unit 4 Mental State Examination9. To evaluate cognitive abi

35、litiesHow has your concentration been?Are you able to attend to things such as reading the newspaper?Can you concentrate on projects or activities to finish them?What has your decision making been like?Have you had racing thoughts?10. To determine clients level of self-worth/self-esteemHow have you

36、felt about yourself lately?Have you felt guilty more than usual about things you are done?Unit 4 Mental State Examination11. To determine presence of sensorimotor retardationHave you felt particularly slowed down, or have others told you that you seemed to move or speak more slowly than usual?12. To

37、 evaluate presence of mania/hypomaniaHave you felt particularly “speeded up” to the point where you noticed it or someone told you this?Unit 4 Mental State Examination13. To determine suicidal/homicidal intent/planHave you had thoughts of death or suicide? How often?What specially have you thought a

38、bout doing to harm yourself?What prevented you from committing suicide?Have you had thoughts of harming or killing someone else? How often?What specially have you thought about doing to harm someone else?Unit 4 Mental State Examination14. To assess for effective coping mechanisms/strategiesWhat have

39、 you been doing lately to manage your feelings? Has it helped?15. To assess pervasiveness of clients present mood stateHow has your mood affected your job? Your family? Your social life? Your interpersonal relationships? Unit 4 Mental State Examination16. To determine presence and effectiveness of a

40、ny past treatmentHave your received treatment from a mental health professional in the past? What kind of treatment? Did it help?17. To determine the clients use of substancesDo you now or have you ever in the past used alcohol or drugs? If so, when and how often?Unit 4 Mental State Examination18. T

41、o determine if the client is having hallucinationsHave you heard (sounds, voices, messages), seen (lights, figures), smelled Do you feel you are being watched? Followed?19. To determine if the hallucinations instruct the client to harm self or others What are the voices like that you hear? What do t

42、hey say? Are they troubling for you?Unit 5 InvestigationsHuang Ming is a 36-year-old married man. He has a family history of cancer. For the early detection of cancer, he has decided to take a physical examination every year. But he does not know what the necessary tests are and when to take them. S

43、o he is calling the local hospital.CaseAUnit 5 InvestigationsConversationBUnit 5 InvestigationsUnit 5 InvestigationsUnit 5 InvestigationsBackgroundcUnit 5 InvestigationsUnit 5 InvestigationsUnit 5 Investigations1. Receiving and finishing the callHello. This is the surgery department. Can I help you?

44、 / What can I do for you? /May I help you?I think Id better let you go. Ill talk to you later.I have to get back to work. Ill call you later tonight. Its kind of late. Why dont we talk about it tomorrow?I wont keep you any longer. Ive really got to go. Ill get back to you when I get the office. Sent

45、ence patternsdUnit 5 Investigations2. Collecting patient informationMay I take your phone number and ID number?How are you feeling today? /Whats the trouble? /Whats wrong with you? When did your problem start? /How long have you been sick? /What are your symptoms?Unit 6 Explaining Nursing DiagnosisL

46、i, 35 years old, has been admitted to the hospital for having suffered recurrent upper abdominal pain for 2 months. He feels pain especially at night, having difficulty in sleeping; taking antiacids cannot relieve the pain. He has no problem with his appetite and spirit. Medical diagnosis based on e

47、ndoscopy result is duodenal ulcer. Now after having the physical examination and history data collection, his charge nurse, Lucy, is going to tell him about several nursing diagnoses.CaseAUnit 6 Explaining Nursing DiagnosisConversationBUnit 6 Explaining Nursing DiagnosisUnit 6 Explaining Nursing Dia

48、gnosis BackgroundcUnit 6 Explaining Nursing DiagnosisUnit 6 Explaining Nursing DiagnosisUnit 6 Explaining Nursing Diagnosis Communication skills with clients who have special needsd1. Situation 1 Clients who cannot speak clearlyListen attentively, be patient, and do not interruptAsk simple questions

49、Allow time for understanding and response Use visual cuesUnit 6 Explaining Nursing Diagnosis2. Situation 2 Client who are unresponsiveCall client by name during interactionCommunicate both verbally and by touchSpeak to client as though he/she could hearExplain all procedures and sensationsProvide or

50、ientation, place, and time to personAvoid talking about client to others in his/her presenceAvoid saying things client should not hearUnit 7 Discussing TreatmentJulie, a five-year-old girl was apparently in good health until about three days prior to her admission. At that time she began to sneeze a

51、nd complain of some nasal obstruction and a sore throat. Her cough was persistent and non-productive. She has had a fever for the past few days, and today it was 39.5 degrees (centigrade). Now, her charge nurse, Jane, is coming to ask the patient about her condition and give some suggestions to her

52、mother.CaseAUnit 7 Discussing TreatmentConversationBUnit 7 Discussing TreatmentUnit 7 Discussing TreatmentUnit 7 Discussing TreatmentBackgroundcUnit 7 Discussing TreatmentUnit 7 Discussing Treatment1. Penicillin allergy test（青霉素過(guò)敏試驗(yàn)）We will give you some penicillin injections. First, I will give you

53、 a penicillin allergy test.Have you used penicillin before?Are you allergic to it?Please untie your belt and pull your trousers lower.Please bend your left leg and relax your muscles. Sentence patternsdUnit 7 Discussing Treatment2. Injection (注射)Its time for me to give you IV fluids.The fluids can p

54、rovide energy for heart functions and prevent you from electrolytic imbalances after operation.Your IV fluids must be given slowly so as not to overload your heart.Unit 7 Discussing Treatment3. Collecting samples (采集標(biāo)本)Mr. Li, here are a glass and a box. Please collect your first urine in the glass

55、and some of your stools in the box tomorrow morning.Please put the samples in the basket at the corner of the nurses office. If you do not have any stool tomorrow, you may collect it the day after tomorrow. Unit 7 Discussing Treatment4. Placing an intravenous tube (靜脈插管)The doctor is going to place an intravenous catheter in your neck vein to check the blood volume of the heart.Please turn your head to the right.I am going to sterilize the skin with some tincture.The medicine will soon start to take effect and you will feel more co