·英语学习·

护患情境会话

老年人跌倒的防护

Preventing an Elderly from Falling Accident

交流

病人：好的。另外告诉您，我今天多锻炼了一点时间，有点累，这是不是与我跌倒有关？

护士：可能有关，我认为引起您今天跌倒的原因有几个呢。

病人：好的，我会注意的。我现在疼痛好多了，我想回家了。

护士：那我扶您回家。

病人：谢谢。

护士：您昨天晚上是不是在外面馆子吃的晚饭？您能告诉我您吃了些什么？

病人：我是在外面吃的晚饭，主要吃了点虾、油炸三果、萝卜丝饼，还有蔬菜。

Interactions

Nurse: Did you have your supper in a restaurant last night? What kind of foods did you have?

Patient: Yes. I had my dinner last night in a restaurant. I had shrimps, fried nuts, fried radish cake and some vegetables.

Patient: Okay. Also, I exercised a bit longer today than usual and I was tired. Does this have something to do with my fall?

Nurse: Maybe. I think there are several factors that caused your fell.

Patient: I will be more careful next time. My sore is much better. I want to go home now.

Nurse: Let me accompany you home.

Patient: Thanks.

点评

跌倒是老年人尤其是高龄老人(>75岁)日常生活中经常要发生的事。引起跌倒的原因很多，有病理因素如感官、心血管、运动及神经系统等疾病，有环境因素如光线太暗、地面太滑等，有心理因素如急躁，另外还有自身衣着如裤子太长、鞋不合脚等。老年人跌倒不能马上扶起，应先进行体检，排除骨折和关节严重损伤后才可扶起。王女士的跌倒与她视力不好、急躁、路上光线太暗以及锻炼时间太长有关。

Comments

Many elder persons especially those in senility (>75 years old) suffer fall in their daily living. The reasons that caused their falls may be due to: pathological factors such as special senses disorders, neurological and cardiovascular diseases, muscular-skeletal problems; environmental factors such as dim and slippery place; psychological factors such as impatience; and dressing factors such as trousers that are too long or shoes that are too big. We should not help a fallen elder up before a thorough check. The causes of Ms. Wang’s fell were related to poor vision, impatience, a dim pathway, and exercising too long.

老年人的饮食指导

Dietary Instructions for an Elderly

背景

患者殷女士，72岁，曾有胆囊炎史。因昨晚赴晚宴后3 h突感右上腹疼痛，伴呕吐30 min后入院。入院后经体格检查，右上腹有压痛点，墨菲氏征(+)，初步诊断为慢性胆囊炎急性发作。第二天晨李护士巡视病房时，病人疼痛已明显缓解。

Background

Patient Ms.Yin, 75 year old, has a history of gallbladder disease, was admitted to the hospital with sudden pain at the right upper abdomen for 30 minutes and vomited for half an hour after participating in a party last night. The physical examination indicated positive Morphy’s sigh. The diagnosis was acute episode of chronic cholecystitis. Nurse Li came to see her the next morning and found that the patient’s pain was gotten better.

交流

护士：殷婆婆，我是您的床位护士，您现在肚子痛好点了吗？

病人：好多了，谢谢您。

Interactions

Nurse: Grandma Yin, I am the nurse in charge of your treatment. Is your abdomen pain getting better?

Patient: Oh, it’s much better now. Thank you.

(汪小华)