復旦醫(yī)學學術英語課件Unit 6 Life and Medicine

Unit6

LifeandMedicineCollegeEnglishCenterCollegeofForeignLanguagesandLiteratureFudanUniversityPage137Kick-offAPieceofNews羅瑞卿女兒推動尊嚴死亡Page137-166IssuestobecoveredVariousmodelsofend-of-lifecareandthecommonalitiesanddifferencesbetweenthemVariedopinionsonend-of-lifecareandeuthanasiaPalliativecare,hospicecare,comfortcare:similaritiesanddifferencesPage137-166TextAFindingCareattheEndofLifeNationalInstituteonAgingPage138TextAFindingCareattheEndofLifeNationalInstituteonAgingPage138Lead-in

Page136HowmuchdoyouknowabouthospicecarepalliativecarecomfortcaremanagementcareWatchthevideoclipandseehowhospicecareisdefined.HospicephilosophyofdeathLead-in

Page136HospicePhilosophyRegardingDeathGeneralConcept?HomeSetting?HospiceUnitBeautifulunit/wardtodwell/accommodateLead-in

Page136HospicePhilosophyRegardingDeathGeneralConceptHelpingtherightdeathMakingthedyingasmeaningfulaspossibleHomeSettingMakingthedyingascomfortableaspossibleManagingsymptomsbyvisitingnursesHospiceUnitBeautifulunit/wardtodwell/accommodateHowhasthemeaningofpalliativecarechanged?

(Pre.6)

Page140,P9-10TraditionallyRecentlyonlysymptomcareclosetohospicecareKnowledgeofthesubjectmatterPage141,P11MultidisciplinaryHealthCareTeam? ?Therapists??OthersAsNeededKnowledgeofthesubjectmatterPage141,P11MultidisciplinaryHealthCareTeamDoctors NursesTherapistsCounselorsSocialWorkersOthersAsNeededKnowledgeofthesubjectmatterPage141,P11Support? ??KnowledgeofthesubjectmatterPage141,P11SupportMedical SocialEmotionalKnowledgeofthesubjectmatterPage141,P12SourcesofCoverage? ??KnowledgeofthesubjectmatterPage141,P12SourcesofCoverageMedicareCovers DepartmentofVeteransAffairsforVeteransPrivateHealthInsuranceProvidersKnowledgeofthesubjectmatterPage141,P13Choices/OptionsinPalliativeCareTreatmenttocureaterminaldiseaseComfortCareKnowledgeofthesubjectmatterPage141,P13Choices/OptionsinPalliativeCareHospiceCareContinuedPalliativeCarewithEmphasisonComfortCareWhatwillhospicecaredo?

Page140-141Tomake?Tomanage?Tofulfill?Tomeet?Whatwillhospicecaredo?

Page140-141TomakethedyingascomfortableaspossibleTomanagethepainaswellaspossibleTofulfillwhateverthewishesthedyingholdTomeetwhatevertheneedsthedyinghaveLanguageFocusesanemia-emiaabloodcondition（血癥）leukemiauremiaPage140,P9-10LanguageFocusesRecently,thetermpalliativecarehascometomeanmorethanjusttreatingsymptoms.Gradually,hehascometoknowhismistake.…palliativecarenowoftenreferstoacomprehensiveapproachtoimprovingthequalityoflifeforpeoplewhoarelivingwithpotentiallyfataldiseases.Page140,P9-10Jackasacaseinpoint/atypicalexample

RetiredfromtheU.S.AirForceDiagnosedwithchronicobstructivepulmonarydiseaseatageseventyMoredifficultbreathingasthediseaseprogressedAbletoreceivethecomfortcareandemotionalsupportthroughthepalliativecareprovidedbytheVeteransHealthAdministration,whilereceivingtreatmentforhispulmonarydiseaseThepalliativecareprogramaroundthehouseandothersupportforJack’swife,makingiteasierforhertocareforJackathomePage141,P14LanguageFocus

COPD:chronicobstructivepulmonarydiseaseAsthediseaseprogressed

pulmonarylung（肺）pulmonologypulmonitisPage141,P14Howhastheend-of-lifecarechangedovertime?(Pre.1)Page139,P1KnowledgeofthesubjectmatterPage141,P12LocationsforPalliativeCare? ???athomeKnowledgeofthesubjectmatterPage141,P12LocationsforPalliativeCareHospitals NursingHomesOutpatientClinicsSpecializedClinicsAthomeThereisno“right”placetodie.

Thingstoconsiderwhenchoosingtherightplacetodie:ThemostsensibletypeofcareAvailabilityofsuchcareAvailabilityofsupportsystemManagementofthecostPage139,P2WhatissaidaboutGeorge?

(Pre.2)Page139,P2AGE?PASTHISTORY?DECINSIONABOUTMEDICALTREATMENT?CHOICESOFMEDICALSERVICE?REQUIREMENTSABOUTCARINGSETTING?Whatadvantagesdoesahospitalhaveoveranursinghomeforend-of-lifecare?(Pre.3)Availabilityofmedicalresources,includingdoctors,nursesandfacilityaroundtheclockAnythingelseyoucanaddtothat?AdvantagesofNursingHomePrearrangedplansforend-of-lifecareEstablishmentofarelationshipbetweenthestaffandfamilyMorepersonalizedcarePrivacyarrangement:timealonePage139,P4LanguageFocuses臨終之際/生命垂危之時/生命終了之時/彌留之際attheendoflife生命垂危的人/臨終者/彌留之際的人thedyingperson臨終看護end-of-lifecare根據需要/按需asneededwhenneeded??Page139,P5What’stheroleoffamilyandfriendswhenthepatientiscaredathome?(Pre.4)Takingonajobwhichisbigphysically,emotionally,andfinancially；Hiringahomenurseforadditionalhelp;Arrangingforservices(suchasvisitingnurses)andspecialequipment(likeahospitalbedorbedsidecommode)Page140P6-8LanguageFocuses來去自由comeandgofreely樂意擔負一項工作bewillingtotakeonajobPage140,P6Whatneedstobeconsideredtomakecomfortcareavailableathome?

(Pre.5)HealthinsurancePlanningbyaprofessional,suchasahospitaldischargeplannerorasocialworkerHelpfromlocalgovernmentalagenciesDoctorsupervisionathomePage140P6-8LinguisticallyandSociallyHealthinsurancemightonlycovertheseservicesorequipmentiftheyhavebeenorderedbyadoctor.Lookatthesentencelinguisticallyandsocially.Page140P7KnowledgeofthesubjectmatterhomenursevisitingnursesahospitalbedbedsidecommodeHealthinsurancehospitaldischargeplannersocialworkerAreaAgencyonAgingPage140,P6-8DoeseverythingmakeanysenseinChina’ssetting?

NursingHome?Palliativecare?Hospicecare?End-stagecare?Page142,P17Whatmightbeoneofthemisconceptionsaboutchoosinghospice?

(Pre.7)StoppingtreatmentspecificallyaimedatcuringanillnessequalsdiscontinuingalltreatmentAgoodexample:AnolderpersonwithcancerDiscontinuationofchemotherapybutcontinuationofmedicationforhypertensionPage142,P17Whatmightbeoneofthemisconceptionsaboutchoosinghospice?

(Pre.7)ChoosinghospiceisapermanentdecisionDeloresEighty-twowithfailingkidneysBeginninghospicecarenotwantingtogothroughdialysis,soDeloresChanginghermindandbeginningdialysisinthehopesofonedayholdingherfirstgreat-grandchild.Page142,P18Whatmightbeoneofthemisconceptionsaboutchoosinghospice?

(Pre.7)ChoosinghospiceisapermanentdecisionArtBuchwaldeighty-onereal-lifehumoristandWashingtonPostcolumnistDecidedagainstthekidneydialysissuggestedbyhisdoctorBignewswithstabilizedconditionLeavinghospicewithoutthreatofdeathPage142,P19LanguageFocus

chemotherapychemical,chemistry（化學）chemoreceptorchemosensoryPage142,P17LanguageFocus

dialysisdia-through,across（通過）diarrheadiagnosis-lysisloosening,decomposition,orbreakingdown（分離；分解；溶解）cytolysischemolysisPage142,P17AssignmentforGroupPresentation

Livingwills,likeeuthanasia,havebeenlegallyacceptedinsomecountries.HoweverisittrueinChina?Worktogetherwithyourpartnersandconductasurveyaboutit.