Unit-3门诊及住院护理常用英语口语ppt课件

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 陈长梅陈长梅Unit 3学学习目的要求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）射外）的共同操作程序的共同操作程序.5、描述伤口的基本护理方法、描述伤口的基本护理方法.学习目的要求以实用为原则，以门诊临床日常工作为模板。1、掌握教学内容教学内容一、一、门诊接待问候语门诊接待问候语三三.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内容一、门诊接待问候语三.Information 教学重点、教学重点、难点：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 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）的共同操作程序。射外）的共同操作程序。难点难点：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 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 射射外）的共同操作程序。外）的共同操作程序。教学重点、难点：重点：2、查体的方法。3、掌握注射的常用方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）教学过程教学过程教学时间一、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.Whatisthematter,Sir/Madam?先生先生/女士女士,你怎么啦你怎么啦?2.Ifeelreallyterrible.我感觉很难受我感觉很难受.一、门诊接待问候语3.Right.Nowyoujustgoandsitdownhere.马上坐下马上坐下.4.Illmakeanappointmentforyou.Just5minutes.我通知医生我通知医生,就是就是5分钟分钟.3.Right.Now you just go and 5.Areyousure?真的吗真的吗?6.Yes,ofcourse.当然啦当然啦.7.Youaresokind,thanks.你太好啦你太好啦!5.Are you sure?8.Well.Haveyougotthemedicalrecord?你带你带病历病历了吗了吗?9.Yes,Ihave.带啦带啦.10.Thankyou.谢谢谢谢.8.Well.Have you got the medi(二二).护士工作对话护士工作对话1WhatcanIdoforyou？你有什么事？你有什么事？2MayIhelpyou？我能帮你什么忙？我能帮你什么忙？3Pleasetakeaseat!/Pleasesitdown！请坐下请坐下(二).护士工作对话4Waitamoment,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 4Wait a moment,please5Sor7.Dontworry./Thereisnothingtoworryabout.不必顾虑。不必顾虑。8.Youneedathoroughrexamination 你需要做一个你需要做一个全面全面检查检查 7.Dont worry./There is9Youwillhavetostayinhospitalforseveraldays你需要在医院里住几天你需要在医院里住几天10 Youshouldstayinbedforafewdays.你需要卧床几天你需要卧床几天9You will have to stay in hos11 Youcankeeponworking./Youcancarryonwithyourwork.可以继续工作可以继续工作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。11 You can keep on working./Y13.Trytorelaxandkeepcalm尽量放松尽量放松保持镇静保持镇静。14 Youllsoonbeallright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13.Try to relax and keep15 16 Feelingwellagainisaratherslowprocess，Imafraid.恐怕痊愈将是一个很慢的过程恐怕痊愈将是一个很慢的过程 17.Youwillhavetowaitfortwentyminutes 你需要等你需要等20分钟分钟 16 Feeling well again is a 18.Completerecoverywilltakearatherlongtime 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.Youwillhavetocomehereforperiodical【piridikl】check-ups 你需要你需要定期定期来门诊检查来门诊检查18.Complete recovery will 20.Ifyoufeelworse,pleasecomebacktotheclinicrightaway.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。20.If you feel worse,please(三三)再次见面再次见面1.Goodmorning.Mr.Wang,areyoufeelingallright?早上好早上好,王先生王先生!现在好点吗现在好点吗?(三)再次见面2.Goodmorning.DoctorWang,Imallrightnow.Thanksforyourhelp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.Youarewelcome.不客不客 气。气。2.Good morning.Doctor Wang,（四）健康教育（四）健康教育1.MayIgiveyousomesuggestions?我能给你一些建议吗我能给你一些建议吗?2.OK行行.（四）健康教育3.First,haveagoodrest.Then,giveupsmokinganddrinking.Havemorenutritiousnjutrisfood.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.3.First,have a good rest.Th4.Well,dontstimulatestimjuleittheincisioninsinwhenyouhaveabath.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.4.Well,dont stimulate st二二Receivingthepatient（接待（接待病人）病人）1.Howdoyoudo?/Goodmorning!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.WhatcanIdoforyou?/CanIhelpyou?您需要我帮助吗？您需要我帮助吗？二Receiving the patient（接待病人）3.Illbringyoutoyourbedside,pleasefollowme.Thisisyourbed.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.Thetoiletisoverthere.卫生间在那边卫生间在那边.5.Wesupplyhotwater.我们供应热水。我们供应热水。3.Ill bring you to your bed 6.Pleasewaitamoment.Illletyourdoctorknow./Illinformyourdoctor.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 6.Please wait a moment.I8.Pleaseletusknowifyouneedanyhelp.您需要帮助时，请告诉我们您需要帮助时，请告诉我们.9.Smokingisnotallowedhere.这里不允许吸烟这里不允许吸烟.8.Please let us know if you n三三.Informationcollection （收集信息）（收集信息）1.DoyoumindifIaskyouafewquestions?您介意我问您几个问题吗您介意我问您几个问题吗?2.Weneedsomeinformationfromyou.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.三.Information collection3.Isyourtummytmistillsore?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？3.Is your tummy tmi still5.Doesithurttopassurinejurin?/whenIpresshere?排排尿尿时痛吗？时痛吗？/当我按压这儿时当我按压这儿时痛吗？痛吗？6.Doesyourbackache?您的后背痛吗？您的后背痛吗？7.Doyourfeetswell?您的脚您的脚肿肿了吗了吗？5.Does it hurt to pass urine 8.Doyouhaveacough/fever?您咳嗽吗？您咳嗽吗？/您有发热吗？您有发热吗？9.Doyoubringupanysputumspju:tm？您咳您咳痰痰吗？吗？8.Do you have a cough/fever?10.Isthereanyradiationreidieinofthepaintotheshoulder?有有放射放射到肩部的痛吗？到肩部的痛吗？11.Howlonghaveyouhadthepain?您的痛有多长时间了？您的痛有多长时间了？10.Is there any radiation rei12.Whendidthepainstart?/whereisyourpain?疼痛从什么时候开始的疼痛从什么时候开始的/什么地什么地方疼痛？方疼痛？13.Areyourperiodsregular?您的月经规则吗？您的月经规则吗？12.When did the pain start?/wh四四Physicalexamination（查体）（查体）1.Willyoupleaseundressformedicalexamination?请您脱下衣服做请您脱下衣服做体检体检好吗？好吗？2.Takeoffyourclothes,please.请把衣服脱下来请把衣服脱下来.四Physical examination（查体）3.Liedownonthecouch,please./Justliestillonthecouchandrelax.请躺在治疗床上请躺在治疗床上./请安静地躺请安静地躺在治疗床上在治疗床上,放松放松.4.Bend your knees,please.请屈膝请屈膝.3.Lie down on the couch,pleas5.Openyourmouthandsayah!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.5.Open your mouth and say ah7.MayIexamineyourtummy,please?我要检查下您的肚子我要检查下您的肚子,好吗好吗?8.Rollupyoursleeves,please.请卷起袖子请卷起袖子.7.May I examine your tummy,pl五五communication.（交流）（交流）1.Iamgoingtotakeyourtemperature./Pleaseputthethermometermmitunderyourarmpit.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.五communication.（交流）2.Letmefeelyourpulse.让我测一下您的脉搏让我测一下您的脉搏.3.Illtest/takeyourbloodpressure.我要测量您的血压我要测量您的血压.2.Let me feel your pulse.4.ImafraidIhavetoprickyourfingerandtakeadropofbloodforbloodsugarlevel.我要取一滴指血做血糖测定我要取一滴指血做血糖测定,需需要刺一下手指要刺一下手指.5.Illtakesomebloodfromyourarmnow.现在我要从您的胳膊抽血现在我要从您的胳膊抽血.4.Im afraid I have to prick 6.Donttakeanythingbymouthaftermidnightuntilthebloodisdrawntomorrowmorning.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.6.Dont take any thing by mout7.Pleasebringaspecimenspesiminofyoururine/stool/sputumspju:tm.请留一份尿请留一份尿/便便/痰痰的的标本标本.PleasecollectyourMSU.请收集您的请收集您的中段尿中段尿.7.Please bring a specimen 8.Pleasehaveyourbloodandurinetestsdone.请做一下您的血和尿试验请做一下您的血和尿试验.9.YouaregoingtohaveaCT-scanofyourchest/headtoday.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.ImgoingtodoanECGforyou.我要给您做我要给您做心电图心电图。8.Please have your blood and u11.YouaregoingtohaveachestX-raythismorning.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.11.You are going to have a che13.YouaregoingtohaveaGEtomorrowmorning.pleasedonteatordrinkanythingafter12oclocktonight.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.13.You are going to have a GE 14.Theresultsarenormaln:ml.结果结果正常正常.15.Youhavetostopsmokingandalcohol.lkhl您必须戒烟、戒酒您必须戒烟、戒酒.16.Pleasetakesomemorenourishingnriifood.请食请食营养多的营养多的食物食物.14.The results are normal n17.Im going to do bladder irrigation【，irgen】for you.我要我要给您做您做膀胱冲洗膀胱冲洗18.Imgoingtogiveyouoxygen【ksidn】now我要给您吸我要给您吸氧氧。17.Im going to do bladder irr20.Whatcolorofyoururine?您的尿液什么颜色？您的尿液什么颜色？21.Howmuchurinedoyoupasseachtime?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.20.What color of your urine?22.Wouldyoupleaseletthefluiddropmorequickly?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.YourIVfluidsmustbegivenslowlysoasnottooverloadyourheart您的您的静脉静脉输液必须慢速输液必须慢速,不然会增加不然会增加心脏负荷。心脏负荷。22.Would you please let the fl24.Takemoreexercises.Dosomelightwork,haveahappyoutlook,avoidexcitementandtoomuchworry.Becarefulnottostumble.多做锻炼多做锻炼.做一些轻体力活动，保持良好的做一些轻体力活动，保持良好的心态，避免兴奋和过度忧虑，小心心态，避免兴奋和过度忧虑，小心不要摔倒不要摔倒24.Take more exercises.25.Howareyoutoday?Howwasyoursleeplastnight?Howisyourappetite?您今天怎么样？您昨晚睡得怎么样？您今天怎么样？您昨晚睡得怎么样？您的食欲怎么样？您的食欲怎么样？26.Didyoupassmotionyesterday?/Areyourbowelmovementsnormal?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？25.How are you today?How was 六六Comforting（安慰）（安慰）1.Nevermind!/Itdoesntmatter!没关系没关系2.Dontworry!不要担心不要担心3.Dontbenervous.Youareingoodhands.不要紧张不要紧张,操作者是高手操作者是高手!六Comforting（安慰）4.Youwillrecoversoon!您很快就会康复的您很快就会康复的!5.Pleasecomebacktoseethedoctorforcheck-upintwoweeks.请两周后来复查请两周后来复查!4.You will recover soon!七、七、同事同事朋友用语朋友用语1.Morning/Goodmorning!早晨好！早晨好！orGoodmorningeverybody大家早晨好！大家早晨好！2.Howareyou?你好吗？你好吗？七、同事朋友用语3.Iamfine.Thanks!Howaboutyou?我很好，谢谢。你呢？我很好，谢谢。你呢？4.Iamfinetoo.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。3.I am fine.Thanks!How abou7.Howareyoudoing?你好吗？你好吗？8.Good/Great.好！好！9.Howisyourwork?最近工作怎么样？最近工作怎么样？7.How are you doing?10.OK./Fine./Notbad.不算太坏。不算太坏。11.Imustbegoing.我不得不走了。我不得不走了。12.Seeyousoon/Seeyoulater.再见！再见！13.Keepintouch,Please!保持联系。保持联系。10.OK./Fine./Not bad.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。1Wedidntwanttogetintrouble,_weparkedinthelotaroundthecorner.A.soB.butC.becauseD.although2.AreyouandRichardinthesameapartmentbuilding?No,we_.A.isntB.werentC.areD.arent3Mybrotherisstudyinghardtobe_.A.writerB.writeC.awriterD.writesPractice一、单选题：请选出一个最恰当的答案。4Ifyou_faster,wecouldhaveturnedintheprojectbeforethedeadline.A.workB.hadworkedC.haveworkedD.working5Shehascomputerclass_noon.A.withB.atC.onD.in6MyfamilyandI_throughthedesertonourlastvacation.A.driveB.drivesC.drivingD.drove7_timedoyouspendonyourhomeworkeveryday?A.HowmuchB.HowwellC.HowoftenD.Howlong4If you _ faster,we coul8Whatprograms_?HemostlyusesMicrosoftWordandExcel.A.isheusingB.doesheuseC.heusedD.heuse9Sincetheychangedjobs,theirlife_beenmucheasier.A.areB.wasC.hasD.had10IsthatMartinsnewcar?Yes,its_.A.himB.himselfC.hisD.he11Whattelevisionshowsdidyouwatchwhenyouwereachild?I_watchcomedies.A.wasB.likedC.usedtoD.did8What programs _?He mo12My_usuallygoestotheofficeonfoot.A.bestfriendB.bestfriendsC.bestfriendsheD.bestfriendis13Ifwe_somemoremoney,wecouldgoawaythisweekend.A.arehavingB.haveC.hadD.wouldhave14Wewenttothedoctor_shecouldntseemtogetridofhercold.A.soB.forC.thatD.because12My _ usually goes to th15Thesecretaryaskedme_Iwantedtomeetwith.A.whoB.howC.whyD.when16Ifyoufeelfull,dont_anymoreofthatpizza.A.ateB.eatingC.eatD.eats17Iforgotmykeysonthedesk._givingmealifthome?A.CouldyouB.Canyou C.WillyouD.Wouldyoumind15The secretary asked me _18MyclassmatesandIenjoydoingsimilarthings._favoriteactivityisgoingcycling.A.OurB.WeC.UsD.They19AmylivesinThailandnow.She_atalargeuniversitythere.A.teachB.taughtC.isteachingD.teaching20Shealwaysgetsgoodevaluations.Shemustbe_employeeinthecompany.A.themostvaluable B.morevaluableC.thevaluableD.valuable18My classmates and I enjoy d21Hasheever_toswim?A.learnedB.learnC.learningD.learns22WhenIlastsawthem,mysisterswereontheirway_themall.A.onB.inC.atD.to23IwanttosendtheSmithsanemail.Doyouhave_emailaddress?A.theyB.themC.theirD.there21Has he ever _ to swim?24Themoviewasoverbeforewehadtime_theplot.A.forunderstandB.tounderstandC.understandingD.understand25_wasabigparadeinfrontoftheuniversitycampus.A.TheirB.TheyC.TheseD.There26MyteacherwaslivinginDubaiwhenshe_herfuturehusband.A.willmeetB.metC.wasmeetingD.meets24The movie was over before w27Before_adecisiononwhattoorder,Johnaskedthewaiterforhisrecommendation.A.makeB.madeC.makingD.beingmade28Thereisnt_milkleft.Ineedtogooutandgetsome.A.manyB.someC.noD.any29Ifyoudontslowdown,you_haveaheartattack.A.wouldB.willC.canD.should27Before _ a decision on 30Theprojectwas_complicatedthantheyhadexpected.A.soB.mostC.moreD.too31Myfatherisasurgeon._worksinahospital.A.ItB.FatherC.HeD.She32Ifyou_eatingsomuchjunkfood,youllloseweight.A.stoppedB.stopC.mightstopD.arestopping30The project was _ compl33.A65-year-oldmaleisadmittedtoyourunit.Hesays,“MywifeandIhavenotbeenapartfor45years”.YourbestresponsewouldbeA.“Itmustbedifficultforyoutobeseparatedfromher.”B.“Yourwifewillbeabletovisityoueveryday.”C.“Youllbefineonceyougetadjustedtothehospitalroutine.”D.“Yourtimeinthehospitalwillpassveryquickly.”33.A 65-year-old male is admi34.Aclientrecentlydiagnosedwithlungcancersaystothenurse,“Imstillgoingtosmoke”.ThenursesbestresponsetothisclientwouldbeA.“Icantbelieveyouwouldstillwanttosmoke.”B.“Whendidyoustartsmoking?”C.“Letstalkmoreaboutthis.”D.“Imsureyourfamilywillbeupset.”34.A client recently diagnose35.Aclientbroughttotheemergencydepartmentappearsveryanxiousandtearful.ThenursesbestresponsewouldbeA.“Imsureyouhavebeeninthehospitalbefore.”B.“Thereisreallynothingtoworryabout.”C.“Iknowthisisfrighteningforyou.”D.“Thehospitalreallyisnt so bad.”35.A client brought to the em36.Anewborndiedfromanintraventricularhemorrhage（颅内出血）（颅内出血）.Whichofthefollowingresponseswouldbemostappropriateforthenursetomaketothemother?A.“WellatleastyourbabyiswithGodnowandisnotsufferingfrombraindamage.”B.“Wouldyoulikeformetobewithyouwhileyourholdyourbaby?”C.“Iknowthatitdoesnotseempossiblerightnow,butyoucangetpregnantagain.”D.“Justtrytothinkabouthowwonderfulyourpregnancywas.”36.A newborn died from an int37.Whichofthefollowingstatements,ifmadebyapatientwhohasterminalcancer,demonstratesthestageofbargainingasdescribedinthetheoryofdeathanddying?A.“IknowImgoingtogetbetter.”B.“Ihaveputmyfinancialaffairsinorder.”C.“Idonotunderstandwhythishappenedtome.”D.“Iplantobearounduntilmygrandsonsgraduation.”37.Which of the following sta38.Anurseisassessingthestoma（人造孔）（人造孔）ofaclientafteraurethrostomy（尿道造（尿道造口术）口术）.Whichofthefollowingwouldthenurseexpecttonote?A.Pale.B.Redandmoist.C.Dry.D.Dark-colored.39.Apatienthasanasogastric（鼻胃管）（鼻胃管）tubewhichisdraining（引流）（引流）largeamountsoffluid.Towhichofthefollowingnursingdiagnoseswouldanursegivepriority?A.Diarrhea.B.Riskforinfection.C.Ineffectivethermoregulation.（体温调节无效）（体温调节无效）D.Riskforfluidvolumedeficit.38.A nurse is assessing the s40.Towhichofthefollowingnursingdiagnosiswouldanursegiveprioritywhencaringforapatientintheimmediatepostoperativeperiodfollowinganileostomy?（回肠造口术）（回肠造口术）A.Fluidvolumedeficit.B.Bodyimagedisturbance.C.Pain.D.Diarrhea（腹泻）（腹泻）.40.To which of the following 41.Apatientwhohasaborderlinepersonalitydisorder（边缘性人格障碍）（边缘性人格障碍）asksthenurseonapsychiatricunit（精神科病房）（精神科病房）ifshemaystayupbeyondthedesignatedbedtime（规定的就寝时间）（规定的就寝时间）.Whenthenursesaysno,thepatientsays,“Thenurseonduty（值班）（值班）lastnightletmestayuplate.”Whichofthefollowingresponsesbythenursewouldbetherapeutic?A.“Youshouldnthavebeengiventhatprivilege.（特（特权）权）”B.“Youcanstayupforonemorehour.”C.“Whydoyouwanttostayup?”D.“Everyoneisrequiredtogotobednow.”41.A patient who has a border42ThemostappropriateapproachforthestafftotakewiththeclientwhodemonstratesmanipulativeoraggressivebehavioristoA.allowtheclientsfavoritenursetobeherprimarycounselor.B.sedate（镇静剂）（镇静剂）theclientwithmedicationatsignsofaggression.C.setclearlimitsontheclientsbehavior.D.telltheclientthathisbehaviorisdisruptive（捣乱的）（捣乱的）tootherclients.42The most appropriate approa