Unit-3門診護(hù)理常用英語

學(xué)習(xí)目的要求以實(shí)用為原則，以門診臨床日常工作為模板。1、掌握護(hù)理程序的步驟.2、分別講解體溫,呼吸,脈搏和血壓的正常范圍值,測量方法和影響因素。

3、查體的方法

4、掌握注射的常用方法/途徑;及其選擇注射部位的要求;掌握注射法（除靜脈注射外）的共同操作程序.5、描述傷口的基本護(hù)理方法.

第一頁，共70頁。第一頁，共70頁。教學(xué)內(nèi)容

一、門診接待問候語三.Informationcollection（收集信息）二．Receivingthepatient（接待病人）四．Physicalexamination（查體）五．communication.（交流）六．Comforting（安慰）七、同事\朋友用語第二頁，共70頁。第二頁，共70頁。教學(xué)重點(diǎn)、難點(diǎn)：重點(diǎn)：1、分別講解體溫,呼吸,脈搏和血壓的正常范圍值,測量方法和影響因素。2、查體的方法。

3、掌握注射的常用方法/途徑;及其選擇注射部位的要求;掌握注射法（除靜脈注射外）的共同操作程序。難點(diǎn)：掌握注射的常用方法/途徑;及其選擇注射部位的要求;掌握注射法（除靜脈注射外）的共同操作程序。第三頁，共70頁。第三頁，共70頁。教學(xué)時間約8課時。使用教具：多媒體幻燈片演示。（寫出主要內(nèi)容的名稱備查）教學(xué)過程第四頁，共70頁。第四頁，共70頁。一、門診接待問候語(一).護(hù)士與患者初次見面語1.Whatisthematter,Sir/Madam?先生/女士,你怎么啦?2.Ifeelreallyterrible.我感覺很難受.第五頁，共70頁。第五頁，共70頁。3.Right.Nowyoujustgoandsitdownhere.馬上坐下.4.I'llmakeanappointmentforyou.Just5minutes.我通知醫(yī)生,就是5分鐘.第六頁，共70頁。第六頁，共70頁。5.Areyousure?真的嗎?6.Yes,ofcourse.當(dāng)然啦.7.Youaresokind,thanks.你太好啦!第七頁，共70頁。第七頁，共70頁。8.Well.Haveyougotthemedicalrecord?你帶病歷了嗎?9.Yes,Ihave.帶啦.10.Thankyou.謝謝.第八頁，共70頁。第八頁，共70頁。

(二).護(hù)士工作對話1．WhatcanIdoforyou？你有什么事？2．MayIhelpyou？我能幫你什么忙？3．Pleasetakeaseat!/Pleasesitdown！請坐下．．第九頁，共70頁。第九頁，共70頁。4．Waitamoment,please．請等一等．5．Sorrytohavekeptyouwaiting.對不起,讓你久等了．6．Itisnotserious．病情不嚴(yán)重．第十頁，共70頁。第十頁，共70頁。7.Don'tworry./Thereisnothingtoworryabout.不必顧慮。8.Youneedathorough[‘θ?r?]examination．你需要做一個全面檢查．第十一頁，共70頁。第十一頁，共70頁。9．Youwillhavetostayinhospitalforseveraldays．你需要在醫(yī)院里住幾天．10．Youshouldstayinbedforafewdays.你需要臥床幾天．第十二頁，共70頁。第十二頁，共70頁。11．Youcankeeponworking./Youcancarryonwithyourwork.可以繼續(xù)工作12．Youshouldbeverycarefulforaweekortwo.這一兩周內(nèi)，你需要很注意。第十三頁，共70頁。第十三頁，共70頁。13.Trytorelaxandkeepcalm．盡量放松保持鎮(zhèn)靜。14．You’llsoonbeallright．你很快就會好起來的．15．I’msurethismedicinewillhelpyouagreatdeal．這藥對你肯定會很有效的．第十四頁，共70頁。第十四頁，共70頁。16．Feelingwellagainisaratherslowprocess，I'mafraid.恐怕痊愈將是一個很慢的過程．17.Youwillhavetowaitfortwentyminutes．你需要等20分鐘．第十五頁，共70頁。第十五頁，共70頁。18.Completerecoverywilltakearatherlongtime．徹底恢復(fù)需要一段很長的時間。19.Youwillhavetocomehereforperiodical【pi?ri?dikl】

check-ups．你需要定期來門診檢查．第十六頁，共70頁。第十六頁，共70頁。20.Ifyoufeelworse,pleasecomebacktotheclinicrightaway.要是你覺著病加重了，就請馬上來門診。第十七頁，共70頁。第十七頁，共70頁。(三)再次見面1.Goodmorning.Mr.Wang,areyoufeelingallright?早上好,王先生!現(xiàn)在好點(diǎn)嗎?第十八頁，共70頁。第十八頁，共70頁。2.Goodmorning.DoctorWang,I'mallrightnow.Thanksforyourhelp早上好.王醫(yī)生.我的感覺很好.謝謝你幫助.3.Youarewelcome.不客

氣。第十九頁，共70頁。第十九頁，共70頁。（四）健康教育1.MayIgiveyousomesuggestions?我能給你一些建議嗎?2.OK行.第二十頁，共70頁。第二十頁，共70頁。3.First,haveagoodrest.Then,giveupsmokinganddrinking.Havemorenutritious

[nju‘tri??s]

food.首先要休息好.然后戒煙,戒酒.最后食物要有營養(yǎng).第二十一頁，共70頁。第二十一頁，共70頁。4.Well,don‘tstimulate

[’stimjuleit]theincision

[in’si??n]whenyouhaveabath.對了,當(dāng)你洗澡時不要刺激傷口.第二十二頁，共70頁。第二十二頁，共70頁。二．Receivingthepatient（接待病人）1.Howdoyoudo?/Goodmorning!您好?（初次見面時使用）/早上好！2.WhatcanIdoforyou?/CanIhelpyou?您需要我?guī)椭鷨幔康诙?，?0頁。第二十三頁，共70頁。3.I‘llbringyoutoyourbedside,pleasefollowme.Thisisyourbed.我要領(lǐng)您到床邊去.請跟我來.這是您的床位.4.Thetoiletisoverthere.衛(wèi)生間在那邊.5.Wesupplyhotwater.我們供應(yīng)熱水第二十四頁，共70頁。第二十四頁，共70頁。

6.Pleasewaitamoment.I'llletyourdoctorknow./I'llinformyourdoctor.請等一會兒,我去通知醫(yī)生.7.Maryisthenurse/doctorinchargeofyou.瑪麗是您的負(fù)責(zé)護(hù)士/醫(yī)生第二十五頁，共70頁。第二十五頁，共70頁。8.Pleaseletusknowifyouneedanyhelp.您需要幫助時，請告訴我們.9.Smokingisnotallowedhere.這里不允許吸煙.第二十六頁，共70頁。第二十六頁，共70頁。三.Informationcollection（收集信息）1.DoyoumindifIaskyouafewquestions?

您介意我問您幾個問題嗎?2.Weneedsomeinformationfromyou.我們需要從您這兒收集一些信息.第二十七頁，共70頁。第二十七頁，共70頁。3.Isyourtummy[’t?mi]stillsore?您的肚子還疼嗎?4.Doesyourpaincomeonafterorbeforemeals?您的疼痛是在飯前還是飯后發(fā)作？第二十八頁，共70頁。第二十八頁，共70頁。5.Doesithurttopassurine

[‘ju?rin]?/whenIpresshere?排尿時痛嗎？/當(dāng)我按壓這兒時痛嗎？6.Doesyourbackache?

您的后背痛嗎？7.Doyourfeetswell?您的腳腫了嗎？

第二十九頁，共70頁。第二十九頁，共70頁。8.Doyouhaveacough/fever?您咳嗽嗎？/您有發(fā)熱嗎？9.Doyoubringupanysputum

[’spju:t?m]？您咳痰嗎？第三十頁，共70頁。第三十頁，共70頁。10.Isthereanyradiation

[reidi‘ei?n]ofthepaintotheshoulder

?有放射到肩部的痛嗎？11.Howlonghaveyouhadthepain?您的痛有多長時間了？第三十一頁，共70頁。第三十一頁，共70頁。12.Whendidthepainstart?/whereisyourpain?疼痛從什么時候開始的/什么地方疼痛？13.Areyourperiodsregular?您的月經(jīng)規(guī)則嗎？第三十二頁，共70頁。第三十二頁，共70頁。四．Physicalexamination（查體）1.Willyoupleaseundressformedicalexamination?請您脫下衣服做體檢好嗎？2.Takeoffyourclothes,please.請把衣服脫下來.第三十三頁，共70頁。第三十三頁，共70頁。3.Liedownonthecouch,please./Justliestillonthecouchandrelax.請?zhí)稍谥委煷采?/請安靜地躺在治療床上,放松.4.Bendyourknees,please.請屈膝.第三十四頁，共70頁。第三十四頁，共70頁。5.Openyourmouthandsay'ah!張開口,說:啊!6.Breathedeeply,please./takeadeepbreath,please.請深呼吸.第三十五頁，共70頁。第三十五頁，共70頁。7.MayIexamineyourtummy,please?我要檢查下您的肚子,好嗎?8.Rollupyoursleeves,please.請卷起袖子.第三十六頁，共70頁。第三十六頁，共70頁。五．communication.（交流）1.Iamgoingtotakeyourtemperature./Pleaseputthethermometer

[θ?’m?mit?]underyourarmpit.我要測一下您的體溫/請把體溫計(jì)放在您的腋下.第三十七頁，共70頁。第三十七頁，共70頁。2.Letmefeelyourpulse.讓我測一下您的脈搏.3.I'lltest/takeyourbloodpressure.我要測量您的血壓.第三十八頁，共70頁。第三十八頁，共70頁。4.I'mafraidIhavetoprickyourfingerandtakeadropofbloodforbloodsugarlevel.我要取一滴指血做血糖測定,需要刺一下手指.

5.I'lltakesomebloodfromyourarmnow.現(xiàn)在我要從您的胳膊抽血.第三十九頁，共70頁。第三十九頁，共70頁。6.Don'ttakeanythingbymouthaftermidnightuntilthebloodisdrawntomorrowmorning.半夜之后不要吃喝任何東西，明天早上抽血.第四十頁，共70頁。第四十頁，共70頁。7.Pleasebringaspecimen

[’spesimin]ofyoururine/stool/sputum

[‘spju:t?m].請留一份尿/便/痰的標(biāo)本.PleasecollectyourMSU.請收集您的中段尿.第四十一頁，共70頁。第四十一頁，共70頁。8.Pleasehaveyourbloodandurinetestsdone.請做一下您的血和尿試驗(yàn).9.YouaregoingtohaveaCT-scanofyourchest/headtoday.今天您要做一個胸部/頭部CT掃描.10.I’mgoingtodoanECGforyou.我要給您做心電圖。第四十二頁，共70頁。第四十二頁，共70頁。11.YouaregoingtohaveachestX-raythismorning.今天早上您要拍一個胸片.12.YouaregoingtohaveaB-modeultrasonic

[,?ltr?’s?nik]exam[BUE].Pleasekeepyourbladderfull.您要做B超檢查,請留尿,使膀胱充盈.第四十三頁，共70頁。第四十三頁，共70頁。13.Youaregoingtohaveagastric

[‘g?strik]

endoscopy

[en‘d?sk?pi]tomorrowmorning.pleasedon'teatordrinkanythingafter12o'clocktonight.明天上午您要做胃鏡檢查，今晚12點(diǎn)之后，請不要吃喝任何東西.第四十四頁，共70頁。第四十四頁，共70頁。14.Theresultsarenormal

[‘n?:ml].結(jié)果正常.15.Youhavetostopsmokingandalcohol.[’?lk?h?l]您必須戒煙、戒酒.16.Pleasetakesomemorenourishing[‘n?ri?i?]food.請食營養(yǎng)多的食物.

第四十五頁，共70頁。第四十五頁，共70頁。六．Comforting（安慰）1.Nevermind!/Itdoesn'tmatter!沒關(guān)系2.Don'tworry!不要擔(dān)心3.Don'tbenervous.Youareingoodhands.不要緊張,操作者是高手!第四十六頁，共70頁。第四十六頁，共70頁。4.Youwillrecoversoon!您很快就會康復(fù)的!5.Pleasecomebacktoseethedoctorforcheck-upintwoweeks.請兩周后來復(fù)查!

第四十七頁，共70頁。第四十七頁，共70頁。七、同事\朋友用語1.Morning/Goodmorning!早晨好！orGoodmorningeverybody大家早晨好！2.Howareyou?你好嗎？第四十八頁，共70頁。第四十八頁，共70頁。3.Iamfine.Thanks!Howaboutyou?我很好，謝謝。你呢？4.Iamfinetoo.我也一樣。5.Howisyourfamily?你家里好嗎？6.Weareallfine.Thanks很好，謝謝。第四十九頁，共70頁。第四十九頁，共70頁。7.Howareyoudoing?你好嗎？8.Good/Great.好！9.Howisyourwork?最近工作怎么樣？第五十頁，共70頁。第五十頁，共70頁。10.OK./Fine./Notbad.不算太壞。11.Imustbegoing.我不得不走了。12.Seeyousoon/Seeyoulater.再見！13.Keepintouch,Please!保持聯(lián)系第五十一頁，共70頁。第五十一頁，共70頁。Practice一、單選題：請選出一個最恰當(dāng)?shù)拇鸢浮?．Wedidn'twanttogetintrouble,_____weparkedinthelotaroundthecorner.A.soB.butC.becauseD.although2."AreyouandRichardinthesameapartmentbuilding?""No,we_____."A.isn'tB.weren'tC.areD.aren't3．Mybrotherisstudyinghardtobe_____.A.writerB.writeC.awriterD.writes第五十二頁，共70頁。第五十二頁，共70頁。4．Ifyou_____faster,wecouldhaveturnedintheprojectbeforethedeadline.A.workB.hadworkedC.haveworkedD.working5．Shehascomputerclass_____noon.A.withB.atC.onD.in6．MyfamilyandI_____throughthedesertonourlastvacation.A.driveB.drivesC.drivingD.drove7．_____timedoyouspendonyourhomeworkeveryday?A.HowmuchB.HowwellC.HowoftenD.Howlong第五十三頁，共70頁。第五十三頁，共70頁。8．Whatprograms_____?""HemostlyusesMicrosoftWordandExcel."A.isheusingB.doesheuseC.heusedD.heuse9．Sincetheychangedjobs,theirlife_____beenmucheasier.A.areB.wasC.hasD.had10．"IsthatMartin'snewcar?""Yes,it's_____."A.himB.himselfC.hisD.he11．"Whattelevisionshowsdidyouwatchwhenyouwereachild?""I_____watchcomedies".A.wasB.likedC.usedtoD.did第五十四頁，共70頁。第五十四頁，共70頁。12．My_____usuallygoestotheofficeonfoot.A.bestfriendB.bestfriendsC.bestfriendsheD.bestfriendis13．Ifwe_____somemoremoney,wecouldgoawaythisweekend.A.arehavingB.haveC.hadD.wouldhave14．Wewenttothedoctor_____shecouldn'tseemtogetridofhercold.A.soB.forC.thatD.because第五十五頁，共70頁。第五十五頁，共70頁。15．Thesecretaryaskedme_____Iwantedtomeetwith.A.whoB.howC.whyD.when16．Ifyoufeelfull,don't_____anymoreofthatpizza.A.ateB.eatingC.eatD.eats17．"Iforgotmykeysonthedesk._____givingmealifthome?"A.CouldyouB.Canyou

C.WillyouD.Wouldyoumind第五十六頁，共70頁。第五十六頁，共70頁。18．MyclassmatesandIenjoydoingsimilarthings._____favoriteactivityisgoingcycling.A.OurB.WeC.UsD.They19．AmylivesinThailandnow.She_____atalargeuniversitythere.A.teachB.taughtC.isteachingD.teaching20．Shealwaysgetsgoodevaluations.Shemustbe_____employeeinthecompany.A.themostvaluable

B.morevaluableC.thevaluableD.valuable第五十七頁，共70頁。第五十七頁，共70頁。21．Hasheever_____toswim?A.learnedB.learnC.learningD.learns22．WhenIlastsawthem,mysisterswereontheirway_____themall.A.onB.inC.atD.to23．IwanttosendtheSmithsanemail.Doyouhave_____emailaddress?A.theyB.themC.theirD.there第五十八頁，共70頁。第五十八頁，共70頁。24．Themoviewasoverbeforewehadtime_____theplot.A.forunderstandB.tounderstandC.understandingD.understand25．_____wasabigparadeinfrontoftheuniversitycampus.A.TheirB.TheyC.TheseD.There26．MyteacherwaslivinginDubaiwhenshe_____herfuturehusband.A.willmeetB.metC.wasmeetingD.meets第五十九頁，共70頁。第五十九頁，共70頁。27．Before_____adecisiononwhattoorder,Johnaskedthewaiterforhisrecommendation.A.makeB.madeC.makingD.beingmade28．Thereisn't_____milkleft.Ineedtogooutandgetsome.A.manyB.someC.noD.any29．Ifyoudon'tslowdown,you_____haveaheartattack.A.wouldB.willC.canD.should第六十頁，共70頁。第六十頁，共70頁。30．Theprojectwas_____complicatedthantheyhadexpected.A.soB.mostC.moreD.too31．Myfatherisasurgeon._____worksinahospital.A.ItB.FatherC.HeD.She32．Ifyou_____eatingsomuchjunkfood,you'llloseweight.A.stoppedB.stopC.mightstopD.arestopping第六十一頁，共70頁。第六十一頁，共70頁。33.A65-year-oldmaleisadmittedtoyourunit.Hesays,“MywifeandIhavenotbeenapartfor45years”.YourbestresponsewouldbeA.“Itmustbedifficultforyoutobeseparatedfromher.”B.“Yourwifewillbeabletovisityoueveryday.”C.“You’llbefineonceyougetadjustedtothehospitalroutine.”D.“Yourtimeinthehospitalwillpassveryquickly.”第六十二頁，共70頁。第六十二頁，共70頁。34.Aclientrecentlydiagnosedwithlungcancersaystothenurse,“I’mstillgoingtosmoke”.Thenurse’sbestresponsetothisclientwouldbeA.“Ican’tbelieveyouwouldstillwanttosmoke.”B.“Whendidyoustartsmoking?”C.“Let’stalkmoreaboutthis.”D.“I’msureyourfamilywillbeupset.”第六十三頁，共70頁。第六十三頁，共70頁。35.Aclientbroughttotheemergencydepartmentappearsveryanxiousandtearful.Thenurse’sbestresponsewouldbeA.“I’msureyouhavebeeninthehospitalbefore.”B.“Thereisreallynothingtoworryabout.”C.“Iknowthisisfrighteningforyou.”D.“Thehospitalreallyisn’tsobad.”第六十四頁，共70頁。第六十四頁，共70頁。36.Anewborndiedfromanintraventricularhemorrhage（顱內(nèi)出血）.Whichofthefollowingresponseswouldbemostappropriateforthenursetomaketothemother?A.“WellatleastyourbabyiswithGodnowandisnotsufferingfrombraindamage.”B.“Wouldyoulikeformetobewithyouwhileyourholdyourbaby?”C.“Iknowthatitdoesnotseempossiblerightnow,butyoucangetpregnantagain.”D.“Justtrytothinkabouthowwonderfulyourpregnancywas.”第六十五頁，共70頁。第六十五頁，共70頁。37.Whichofthefollowingstatements,ifmadebyapatientwhohasterminalcancer,demonstratesthestageofbargainingasdescribedinthetheoryofdeathanddying?A.“IknowI’mgoingtogetbetter.”B.“Ihaveputmyfinancialaffairsinorder.”C.“Idonotunderstandwhythishappenedtome.”D.“Iplantobearounduntilmygrandson’sgraduation.”第六十六頁，共70頁。第六十六頁，共70頁。38.Anurseisassessingthestoma（人造孔）ofaclientafteraurethrostomy（尿道造口術(shù)）.Whichofthefollowingwouldthenurseexpecttonote?A.Pale.