Unit3门诊及住院护理常用英语口语课件.ppt

1、Unit3门诊及住院护理常用门诊及住院护理常用英语口语英语口语学习目的要求学习目的要求以实用为原则，以门诊临床日常工作为模板。以实用为原则，以门诊临床日常工作为模板。1、掌握护理程序的步骤、掌握护理程序的步骤.2、分别讲解体温、分别讲解体温,呼吸呼吸,脉搏和血压的脉搏和血压的 正常范围值正常范围值,测量方法和影响因素测量方法和影响因素。3、查体的方法、查体的方法 4、掌握注射的常用方法、掌握注射的常用方法/途径途径;及其选择注及其选择注 射部位的要求射部位的要求;掌握注射法（除静脉注掌握注射法（除静脉注 射外）的射外）的共同操作程序共同操作程序.教学内容教学内容一、一、门诊接待问候语门诊接待问

2、候语三三.Information collection （收集信息）（收集信息）二二Receiving the patient（接待病人）（接待病人）四四Physical examination（查体）（查体）五五communication.（交流）（交流）六六Comforting（安慰）（安慰）七、七、同事同事朋友用语朋友用语教学重点、难点：教学重点、难点：重点重点：1、分别讲解体温、分别讲解体温,呼吸呼吸,脉搏和血压的正脉搏和血压的正 常范围值常范围值,测量方法和影响因素测量方法和影响因素 。2、查体的方法。、查体的方法。3、掌握注射的常用方法、掌握注射的常用方法/途径途径;及其选及其选

3、择择 注射部位的要求注射部位的要求;掌握注射法（除静脉注掌握注射法（除静脉注 射外）射外）的共同操作程序。的共同操作程序。难点：掌握注射的常用方法难点：掌握注射的常用方法/途径途径;及其选及其选 择择 注射部位的要求注射部位的要求;掌握注射法（除静脉注掌握注射法（除静脉注 射外）的射外）的共同操作程序。共同操作程序。教学时间教学时间约约8课时。课时。使用教具：使用教具：多媒体幻灯片演示。多媒体幻灯片演示。（写出主要内容的名称备查）（写出主要内容的名称备查）教学过程教学过程一、一、门诊接待问候语门诊接待问候语(一一).护士与患者初次见面语护士与患者初次见面语1.What is the matte

4、r,Sir/Madam?先生先生/女士女士,你怎么啦你怎么啦?2.I feel really terrible.我感觉很难受我感觉很难受.3.Right.Now you just go and sit down here.马上坐下马上坐下.4.Ill make an appointment for you.Just 5 minutes.我通知医生我通知医生,就是就是5分钟分钟.5.Are you sure?真的吗真的吗?6.Yes,of course.当然啦当然啦.7.You are so kind,thanks.你太好啦你太好啦!8.Well.Have you got the medical

5、 record?你带你带病历病历了吗了吗?9.Yes,I have.带啦带啦.10.Thank you.谢谢谢谢.(二二).护士工作对话护士工作对话1What can I do for you？你有什么事？你有什么事？2May I help you？我能帮你什么忙？我能帮你什么忙？3Please take a seat!/Please sit down！请坐下请坐下 4Wait a moment,please 请等一等请等一等5Sorry to have kept you waiting.对不起对不起,让你久等了让你久等了6It is not serious病情不严重病情不严重 7.Dont

6、worry./There is nothing to worry about.不必顾虑。不必顾虑。8.You need a thorough r examination 你需要做一个你需要做一个全面全面检查检查9You will have to stay in hospital for several days你需要在医院里住几天你需要在医院里住几天10 You should stay in bed for a few days.你需要卧床几天你需要卧床几天11 You can keep on working./You can carry on with your work.可以继续工作可以继

7、续工作12 You should be very careful for a week or two.这一两周内，你需要很注意。这一两周内，你需要很注意。13.Try to relax and keepcalm尽量放松尽量放松保持镇静保持镇静。14 Youll soon be all right你很快就会好起来的你很快就会好起来的15 Im sure this medicine will help you a great deal这药对你肯定会很有效的这药对你肯定会很有效的 16 Feeling well again is a rather slow process，Im afraid.恐怕痊

8、愈将是一个很慢的过程恐怕痊愈将是一个很慢的过程 17.You will have to wait for twenty minutes 你需要等你需要等20分钟分钟18.Complete recovery will take a rather long time 彻底恢复需要一段很长的时间。彻底恢复需要一段很长的时间。19.You will have to come here for periodical【piridikl】check-ups 你需要你需要定期定期来门诊检查来门诊检查20.If you feel worse,please come back to the clinic righ

9、t away.要是你觉着病加重了，要是你觉着病加重了，就请马上来门诊。就请马上来门诊。(三三)再次见面再次见面1.Good morning.Mr.Wang,are you feeling all right?早上好早上好,王先生王先生!现在好点吗现在好点吗?2.Good morning.Doctor Wang,Im all right now.Thanks for your help 早上好早上好.王医生王医生.我的感觉很好我的感觉很好.谢谢你帮助谢谢你帮助.3.You are welcome.不客不客 气。气。（四）健康教育（四）健康教育1.May I give you some sugge

10、stions?我能给你一些建议吗我能给你一些建议吗?2.OK行行.3.First,have a good rest.Then,give up smoking and drinking.Have more nutritious njutris food.首先要休息好首先要休息好.然后戒烟然后戒烟,戒酒戒酒.最后食物要最后食物要有营养有营养.4.Well,dont stimulate stimjuleit the incision insin when you have a bath.对了对了,当你洗澡时不要当你洗澡时不要刺激伤口刺激伤口.二二Receiving the patient（接待病人）

11、（接待病人）1.How do you do?/Good morning!您好您好?（初次见面时使用）（初次见面时使用）/早上好！早上好！2.What can I do for you?/Can I help you?您需要我帮助吗？您需要我帮助吗？3.Ill bring you to your bed side,please follow me.This is your bed.我要领您到床边去我要领您到床边去.请跟我来请跟我来.这是您的床位这是您的床位.4.The toilet is over there.卫生间在那边卫生间在那边.5.We supply hot water.我们供应热水。我

12、们供应热水。6.Please wait a moment.Ill let your doctor know./Ill inform your doctor.请等一会儿请等一会儿,我去通知医生我去通知医生.7.Mary is the nurse/doctor in charge of you.玛丽是您的玛丽是您的负责负责护士护士/医生医生8.Please let us know if you need any help.您需要帮助时，请告诉我们您需要帮助时，请告诉我们.9.Smoking is not allowed here.这里不允许吸烟这里不允许吸烟.三三.Information coll

13、ection （收集信息）（收集信息）1.Do you mind if I ask you a few questions?您介意我问您几个问题吗您介意我问您几个问题吗?2.We need some information from you.我们需要从您这儿收集一些信息我们需要从您这儿收集一些信息.3.Is your tummy tmi still sore?您的您的肚子肚子还疼吗还疼吗?4.Does your pain come on after or before meal?您的疼痛是在饭前还是饭后发作？您的疼痛是在饭前还是饭后发作？5.Does it hurt to pass urine

14、 jurin?/when I press here?排排尿尿时痛吗？时痛吗？/当我按压这儿时痛吗？当我按压这儿时痛吗？6.Does your back ache?您的后背痛吗？您的后背痛吗？7.Do your feet swell?您的脚您的脚肿肿了吗了吗？8.Do you have a cough/fever?您咳嗽吗？您咳嗽吗？/您有发热吗？您有发热吗？9.Do you bring up any sputum spju:tm？您咳您咳痰痰吗？吗？10.Is there any radiation reidiein of the pain to the shoulder?有有放射放射到肩部的

15、痛吗？到肩部的痛吗？11.How long have you had the pain?您的痛有多长时间了？您的痛有多长时间了？12.When did the pain start?/where is your pain?疼痛从什么时候开始的疼痛从什么时候开始的/什么地方疼痛？什么地方疼痛？13.Are your periods regular?您的月经规则吗？您的月经规则吗？四四Physical examination（查体）（查体）1.Will you please undress for medical examination?请您脱下衣服做请您脱下衣服做体检体检好吗？好吗？2.Take

16、 off your clothes,please.请把衣服脱下来请把衣服脱下来.3.Lie down on the couch,please./Just lie still on the couch and relax.请躺在治疗床上请躺在治疗床上./请安静地躺在治疗床上请安静地躺在治疗床上,放松放松.4.Bend your knees,please.请屈膝请屈膝.5.Open your mouth and say ah!张开口张开口,说说:啊啊!6.Breathe deeply,please./take a deep breath,please.请深呼吸请深呼吸.7.May I examin

17、e your tummy,please?我要检查下您的肚子我要检查下您的肚子,好吗好吗?8.Roll up your sleeves,please.请卷起袖子请卷起袖子.五五communication.（交流）（交流）1.I am going to take your temperature./Please put the thermometer mmit under your armpit.我要测一下您的体温我要测一下您的体温/请把请把体温计体温计放在您的放在您的腋下腋下.2.Let me feel your pulse.让我测一下您的脉搏让我测一下您的脉搏.3.Ill test/take

18、your blood pressure.我要测量您的血压我要测量您的血压.4.Im afraid I have to prick your finger and take a drop of blood for blood sugar level.我要取一滴指血做血糖测定我要取一滴指血做血糖测定,需要刺一下手指需要刺一下手指.5.Ill take some blood from your arm now.现在我要从您的胳膊抽血现在我要从您的胳膊抽血.6.Dont take any thing by mouth after midnight until the blood is drawn to

19、morrow morning.半夜之后不要吃喝任何东西，半夜之后不要吃喝任何东西，明天早上抽血明天早上抽血.7.Please bring a specimen spesimin of your urine/stool/sputum spju:tm.请留一份尿请留一份尿/便便/痰痰的的标本标本.Please collect your MSU.请收集您的请收集您的中段尿中段尿.8.Please have your blood and urine tests done.请做一下您的血和尿试验请做一下您的血和尿试验.9.You are going to have a CT-scan of your c

20、hest/head today.今天您要做一个今天您要做一个胸部胸部/头部头部CT扫描扫描.10.Im going to do an ECG for you.我要给您做我要给您做心电图心电图。11.You are going to have a chest X-ray this morning.今天早上您要拍一个今天早上您要拍一个胸片胸片.12.You are going to have a BUE.Please keep your bladder full.您要做您要做B超超检查检查,请留尿请留尿,使膀胱充盈使膀胱充盈.13.You are going to have a GE tomorr

21、ow morning.please dont eat or drink anything after 12 oclock tonight.明天上午您要做明天上午您要做胃镜胃镜检查，今晚检查，今晚12点之后，请不要吃喝任何东西点之后，请不要吃喝任何东西.14.The results are normal n:ml.结果结果正常正常.15.You have to stop smoking and alcohol.lkhl 您必须戒烟、戒酒您必须戒烟、戒酒.16.Please take some more nourishing nrii food.请食请食营养多的营养多的食物食物.17.Im goi

22、ng to do bladder irrigation【，irgen】for you.我要给您做我要给您做膀胱冲洗膀胱冲洗18.Im going to give you oxygen【ksidn】now我要给您吸我要给您吸氧氧。20.What color of your urine?您的尿液什么颜色？您的尿液什么颜色？21.How much urine do you pass each time?您每次排尿多少？您每次排尿多少？19.You are going to have a blood transfusion.要给您输血要给您输血.22.Would you please let the

23、fluid drop more quickly?请您把液体滴速调快点儿好吗？请您把液体滴速调快点儿好吗？23.Your IV fluids must be given slowly so as not to overload yourheart您的您的静脉静脉输液必须慢速输液必须慢速,不然会增加心脏负荷。不然会增加心脏负荷。24.Take more exercises.Do some light work,have ahappy outlook,avoid excitement and too much worry.Be careful not to stumble.多做锻炼多做锻炼.做一些轻

24、体力活动，保持良好的心态，避免兴奋和过度忧虑，小心不要摔倒做一些轻体力活动，保持良好的心态，避免兴奋和过度忧虑，小心不要摔倒25.How are you today?How was your sleep last night?How is your appetite?您今天怎么样？您昨晚睡得怎么样？您的食欲怎么样？您今天怎么样？您昨晚睡得怎么样？您的食欲怎么样？26.Did you pass motion yesterday?/Are your bowel movements normal?昨天您排便了吗？昨天您排便了吗？/您的大便正常吗？您的大便正常吗？六六Comforting（安慰）（安慰

25、）1.Never mind!/It doesnt matter!没关系没关系2.Dont worry!不要担心不要担心3.Dont be nervous.You are in good hands.不要紧张不要紧张,操作者是高手操作者是高手!4.You will recover soon!您很快就会康复的您很快就会康复的!5.Please come back to see the doctor for check-up in two weeks.请两周后来复查请两周后来复查!七、七、同事同事朋友用语朋友用语1.Morning/Good morning!早晨好！早晨好！or Good morni

26、ng every body 大家早晨好！大家早晨好！2.How are you?你好吗？你好吗？3.I am fine.Thanks!How about you?我很好，谢谢。你呢？我很好，谢谢。你呢？4.I am fine too.我也一样。我也一样。5.How is your family?你家里好吗？你家里好吗？6.We are all fine.Thanks 很好，谢谢。很好，谢谢。7.How are you doing?你好吗？你好吗？8.Good/Great.好！好！9.How is your work?最近工作怎么样？最近工作怎么样？10.OK./Fine./Not bad.不算

27、太坏。不算太坏。11.I must be going.我不得不走了。我不得不走了。12.See you soon/See you later.再见！再见！13.Keep in touch,Please!保持联系。保持联系。Practice一、单选题：请选出一个最恰当的答案。一、单选题：请选出一个最恰当的答案。1We didnt want to get in trouble,_ we parked in the lot around the corner.A.so B.but C.because D.although2.Are you and Richard in the same apartm

28、ent building?No,we _.A.isnt B.werent C.are D.arent3My brother is studying hard to be _.A.writer B.write C.a writer D.writes4If you _ faster,we could have turned in the project before the deadline.A.work B.had worked C.have worked D.working5She has computer class _ noon.A.with B.at C.on D.in6My famil

29、y and I _ through the desert on our last vacation.A.drive B.drives C.driving D.drove7_ time do you spend on your homework every day?A.How much B.How well C.How often D.How long8What programs _?He mostly uses Microsoft Word and Excel.A.is he using B.does he use C.he used D.he use9Since they changed j

30、obs,their life _ been much easier.A.are B.was C.has D.had10Is that Martins new car?Yes,its _.A.him B.himself C.his D.he11What television shows did you watch when you were a child?I _ watch comedies.A.was B.liked C.used to D.did12My _ usually goes to the office on foot.A.best friend B.best friends C.

31、best friend she D.best friend is13If we _ some more money,we could go away this weekend.A.are having B.have C.had D.would have14We went to the doctor _ she couldnt seem to get rid of her cold.A.so B.for C.that D.because15The secretary asked me _ I wanted to meet with.A.who B.how C.why D.when16If you

32、 feel full,dont _ any more of that pizza.A.ate B.eating C.eat D.eats17I forgot my keys on the desk._ giving me a lift home?A.Could you B.Can you C.Will you D.Would you mind18My classmates and I enjoy doing similar things._ favorite activity is going cycling.A.Our B.We C.Us D.They19Amy lives in Thail

33、and now.She _ at a large university there.A.teach B.taught C.is teaching D.teaching20She always gets good evaluations.She must be _ employee in the company.A.the most valuable B.more valuable C.the valuable D.valuable21Has he ever _ to swim?A.learned B.learn C.learning D.learns22When I last saw them

34、,my sisters were on their way _ the mall.A.on B.in C.at D.to23I want to send the Smiths an email.Do you have _ email address?A.they B.them C.their D.there24The movie was over before we had time _ the plot.A.for understand B.to understand C.understanding D.understand25_ was a big parade in front of t

35、he university campus.A.Their B.They C.These D.There26My teacher was living in Dubai when she _ her future husband.A.will meet B.met C.was meeting D.meets27Before _ a decision on what to order,John asked the waiter for his recommendation.A.make B.made C.making D.being made28There isnt _ milk left.I n

36、eed to go out and get some.A.many B.some C.no D.any29If you dont slow down,you _ have a heart attack.A.would B.will C.can D.should30The project was _ complicated than they had expected.A.so B.most C.more D.too31My father is a surgeon._ works in a hospital.A.It B.Father C.He D.She32If you _ eating so

37、 much junk food,youll lose weight.A.stopped B.stop C.might stop D.are stopping33.A 65-year-old male is admitted to your unit.He says,“My wife and I have not been apart for 45 years”.Your best response would beA.“It must be difficult for you to be separated from her.”B.“Your wife will be able to visi

38、t you every day.”C.“Youll be fine once you get adjusted to the hospital routine.”D.“Your time in the hospital will pass very quickly.”34.A client recently diagnosed with lung cancer says to the nurse,“Im still going to smoke”.The nurses best response to this client would beA.“I cant believe you woul

39、d still want to smoke.”B.“When did you start smoking?”C.“Lets talk more about this.”D.“Im sure your family will be upset.”35.A client brought to the emergency department appears very anxious and tearful.The nurses best response would beA.“Im sure you have been in the hospital before.”B.“There is rea

40、lly nothing to worry about.”C.“I know this is frightening for you.”D.“The hospital really isnt so bad.”36.A newborn died from an intraventricular hemorrhage（颅内出血）（颅内出血）.Which of the following responses would be most appropriate for the nurse to make to the mother?A.“Well at least your baby is with G

41、od now and is not suffering from brain damage.”B.“Would you like for me to be with you while your hold your baby?”C.“I know that it does not seem possible right now,but you can get pregnant again.”D.“Just try to think about how wonderful your pregnancy was.”37.Which of the following statements,if ma

42、de by a patient who has terminal cancer,demonstrates the stage of bargaining as described in the theory of death and dying?A.“I know Im going to get better.”B.“I have put my financial affairs in order.”C.“I do not understand why this happened to me.”D.“I plan to be around until my grandsons graduati

43、on.”38.A nurse is assessing the stoma（人造孔）（人造孔）of a client after a urethrostomy（尿道（尿道造造口术）口术）.Which of the following would the nurse expect to note?A.Pale.B.Red and moist.C.Dry.D.Dark-colored.39.A patient has a nasogastric（鼻胃管）（鼻胃管）tube which is draining（引流）（引流）large amounts of fluid.To which of the

44、 following nursing diagnoses would a nurse give priority?A.Diarrhea.B.Risk for infection.C.Ineffective thermoregulation.（体温调节无效）（体温调节无效）D.Risk for fluid volume deficit.40.To which of the following nursing diagnosis would a nurse give priority when caring for a patient in the immediate postoperative

45、period following an ileostomy?（回肠造口术）（回肠造口术）A.Fluid volume deficit.B.Body image disturbance.C.Pain.D.Diarrhea（腹泻）（腹泻）.41.A patient who has a borderline personality disorder（边缘性人格障碍）（边缘性人格障碍）asks the nurse on a psychiatric unit（精神科病房）（精神科病房）if she may stay up beyond the designated bedtime（规定的就寝时间）（规定

46、的就寝时间）.When the nurse says no,the patient says,“The nurse on duty（值班）（值班）last night let me stay up late.”Which of the following responses by the nurse would be therapeutic?A.“You shouldnt have been given that privilege.（特权）（特权）”B.“You can stay up for one more hour.”C.“Why do you want to stay up?”D.“

47、Everyone is required to go to bed now.”42The most appropriate approach for the staff to take with the client who demonstrates manipulative or aggressive behavior is toA.allow the clients favorite nurse to be her primary counselor.B.sedate（镇静剂）（镇静剂）the client with medication at signs of aggression.C.set clear limits on the clients behavior.D.tell the client that his behavior is disruptive（捣乱的）（捣乱的）to other clients.谢谢！