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護患情境會話

2015-03-18 21:01:46汪小華
護士進修雜志 2015年7期
關(guān)鍵詞:護患老伴服藥

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·英語學習·

護患情境會話

老年人濫用藥物的護理措施

Nursing Interventions for Abuse of Medication by Elderly

交流

病人:帶這些吃的東西干嗎?醫(yī)生不是要我少吃這些東西嗎?

護士:您如果有心慌、手抖、出冷汗、頭暈等癥狀,就吃點餅干或糖果,然后再看醫(yī)生。

病人:我知道了,謝謝張護士。

Interactions

Patient: Why should I carry these foods? Didn’t my doctor suggest me to cut these kind of foods from my diet?

Nurse: If you have symptoms like palpitation, hand trembling, cold sweat and dizziness, you can eat some biscuits or candy first and then see a doctor.

Patient: I understand. Thank you, Ms. Zhang.

點評

老年人服藥時,要嚴格按醫(yī)囑服藥。服藥要準時,切不可自行買藥和服藥,否則會引起嚴重后果。

Comments

It is necessary for older people to strictly follow the doctor’s order and take the medications on time. Otherwise it may result in severe adverse consequences.

(汪小華)

老年性癡呆的護理

Nursing Care for a Patient with Senile Dementia

背景

劉先生,78歲,因進行性遺忘1年伴定向力降低而來就診。經(jīng)醫(yī)生檢查,并行腦部CT,初步診斷為老年性癡呆早期。這時門診護士小張對病人實施健康宣教。

Background

Mr. Liu, 78 years old, went to see a doctor because of progressive memory impairment and disorientation. The doctor’s diagnoses combined with CT scan indicated: early stage Alzheimer’s disease. Clinic nurse, Miss Zhang, provided health education to the patient.

交流

病人:張護士,我的記憶力越來越壞,近來老是遺忘,有時連我外甥的名字都叫不出來。醫(yī)生說我得了早期老年性癡呆。聽說這個毛病最后會變傻的。實在可怕!

護士:劉大伯,我理解您的想法,但是您先別緊張。您能告訴我您平時一天的生活嗎?

病人:我早晨一般6 Am起床,洗漱后吃早飯,聽30 min蘇州評彈,看大約1 h電視,和老伴聊聊,就吃中飯。下午打30 min瞌睡(我不敢多睡,怕影響晚上睡覺),就下樓走一圈,再找個椅子坐會兒,與其他人聊聊天,就回來吃晚飯。晚上與老伴說說話,大約8 Pm左右就睡覺了。

護士:您平時蔬菜和水果吃得多嗎?

Interactions

Patient: Miss Zhang, my memory is getting worse. I keep forgetting things. I almost forgot my nephew’s name the other day. My doctor told me that I have early stage of Alzheimer’s disease. I have heard that people who suffer from Alzheimer’s disease will become a fool. It is terrible.

Nurse: Mr. Liu, I understand what you are thinking. Don’t be nervous. Could you tell me what your daily life is like?

Patient: I usually get up at 6 a.m. After brushing my teeth and washing my face, I will have breakfast. Then I enjoy Suzhou Pin Tan for half an hour and watch TV for about one hour. I talk with my wife for some time, and then it will be time for lunch. I usually take a nap for about half an hour (I don’t want a long nap because I am afraid it will affect the quality of night sleep). Then I usually go downstairs for a walk, find a chair to sit down and chat with my neighbors. After that I’ll have my supper. I usually go to bed at about 8 p.m.

Nurse: Do you usually eat enough vegetables and fruits?

(汪小華)

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