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Unit3

InternalNursing

2022.8BymedicalEnglishdepartmentForNursingmajorsPart1:Warmingupglucometerbloodtestingstrips____________________________________________________urinalysissticks___________________Task1:

Labelthenameofthefollowingstuffs.[j?r?'n?l?s?s]Part1:Warmingupinsulinpen(injector)cottonswabs____________________________________________________medicinalalcohol___________________Task1:Labelthenameofthefollowingstuffs.Part1:WarmingupTask2:WritedownthefullnamesoftheAbbreviations.bgl_________________RN________________appt_________________Pt________________5X_________________HbA1c___________________wk_________________TCL________________bloodglucoselevelappointment5timesregisterednursepatientglycatedhaemoglobinweektotalcholesterol[k?'lest?r?l][?hi?m?'ɡl??b?n]Part2:Listening.Task1:Listenandfillinthediabeticcareplan..Dialogue17%

85kg

130/70

5PersonalDiabetesCarePlan:MsRitaBhaskharDOB:15/09/1963Insulinmanagement:LantusdailyBloodglucosetesting:BeforebreakfastandintheeveningTESTRESULTS----EVERYTHREEMONTHSNormalresultYourresultsDate:11/12/2008YourresultsDate:12/03/2009YourresultsDate:18/06/2009YourresultsDate:14/09/2009GlyceratedHemoglobin<7%7%7%8%_____________Weight92kg93kg90kg______________Height162cm162cm162cm162cmBloodPressure<140/80142/83145/85130/70______________TotalCholesterol<5.0nmol/L5.1nmol/L5.3nmol/L6.2nmol/L______________Part2:Listeningandspeaking.Task2:SaythedatainEnglish..Dialogue11.BP:168/802.bgls:12.5nmol/L3.Wt.6:2kg4.HbAIC:7%5.TCL:6.2nmol/LPart2:Listeningandspeaking.Task1.:Trueorfalse.Dialogue21.It’snecessarytowashhandsbeforeinsulininjection.___2.Dialthedoseofinsulinbyturningthefrontofthepen.___3.It’snecessarytowaitfor5secondsafterholdinginthebuttonattheendofthepen.__4.Insulinshouldbekeptinthefridge.__5.It’salwaysnecessarytohavecoolpouchtokeeptheinsulin.__T

F

F

FTPart3:Reading.Reading

skill:Structureanalysis.Textstructureanalysisplaysanimportantroleintextprocessing,itcanimprovetheprecisionandefficiencyofthetextretrievalandtextsummary.Texthierarchicalanalysisapproachisputforward.Theapproachensuresthehierarchiestobeinnaturalsequenceandhighcohesion.Part3:Reading.Task1:Listthedifferentstructuresofacademictextsyouhavereadbefore.

Task2:Givenyouthetitleof“ElderlyDiabeticCare”,whatkindofstructurewillyouarrange?Part3:Reading.Task3:Structureanalysis.1.Fillintheblankstoanalyzethestructureofthewholetext.ParagraphsMainIdeaIntroductionPara.1-2Nursingstaffplayanimportantroletocareelderlydiabeteswhichaffectnumerouspeopleandcanleadtoserioussideeffects.BodyPara.3-10Elderlydiabetichealthissuesaredescribedandthenursinghomeelderlydiabeticcareareillustrated.Part3:Reading.Task3:Structureanalysis.2.Thebodypartalsohasitsstructure,pleasemakeatabletoanalyzethestructureofthebodypart.ParagraphsMainideasBodyPara.3-4ElderlydiabetichealthissuesPara.5-10(nursinghomeelderlydiabeticcare)Para.5introductionPara.6-8IssuesexpectedtoengagebynursinghomestaffPara.9ImproperelderlydiabeticcarePara.10DiabeticcarelawsuitsPart3:Reading.Task4:Comprehensionquestions.1.Whatdangerswillelderlydiabeticshaveifnotproperlytreated?

2.What’stheimportantthingfortheelderlydiabetics?Higherratesofmentalandphysicaldisabilitiesandanincreasedriskofprematureddeath;increasinglikelihoodofsufferingfromotherillnesssuchasheartdisease,highbloodpressureorstroke;manyofthecommonhealthissuesthatafflictagingindividuals.Keepingthebloodsugarlevelwithinacertainacceptablerange.Part3:Reading.Task4:Comprehensionquestions.4.Whatareusuallyadministeredbynursinghomestaffinordertocorrectbloodsugarlevel?Reducedmentalfunctioning,depression,persistentpain,harmfulfallsandurinaryincontinence.Bothinsulinshotsandoralmedications.3.Whatcommonhealthissuesmayafflicttheelderlydiabeticsmore?Part3:Reading.Task4:Comprehensionquestions.5.Apatientwithswallowingdifficultyreceivethenutrientsviasyrupywillincreaseordecreasethesugarlevel?Why?Itwillincreasethesugarlevel.Becausesyrupyisthecarbohydrate-heavyliquid.Sometimes,aresident’sinsulinregimenisnotadjustedtocompensatefortheseextrasugars.Part3:Reading.Task4:Comprehensionquestions.6.____percentofadultsbetweentheagesof65and75sufferfromdiabetes.8.3B.20C.30D.407.Themaindietarygoalsforelderlydiabeticsaretohavethemmaintainahealthybodyweightandlimittheir_____andcholesterolconsumption.A.sugarB.proteinC.carbohydratesD.fat

D

BPart3:Reading.Task4:Comprehensionquestions.8.Theelderlydiabeticsinjectinginsulinshouldtestthebloodsugartests_____timesaday.A.2-3B.1-2C.2-4D.3-4

CPart3:Reading.Task5:Fillinblankswiththewordstocompletetheparagraph.engageadministerkeepmonitorNursinghomestaffmaybeexpectedto________diabeticresidentsontheseissues:Theyshould___________bothinsulinshotsandoralmedicationsto_________bloodsugarlevelnormal.Theyneedto________thefoodintakeofanindividualandtryto________aproperdietthatisalsoinlinewiththeresident’sfoodpreferences.Nursinghomestaffmembersoftenneedtomonitorthebloodsugarofresidentsand________medicationanddietbasedontheirfindings.shapeadjustPart3:Reading.Task6:Translation.responsibilityguidance-basedhands-on1.(C-E)Nursinghomestaffmembershaveseveraldifferentareasof_____________(職責(zé));someare_________________(指導(dǎo))andsomearemore______________(操作).2.(C-E)Impropernursinghomediabeticcaremaycause____________________(過(guò)早死亡)or____________________(可避免的痛苦)toalovedone.prematuredeathavoidablesufferingPart3:Reading.Task6:Translation.老年糖尿病患者在患心智功能衰退、抑郁癥、持續(xù)性疼痛、危害性摔倒和尿失禁病癥上存在更大風(fēng)險(xiǎn)。3.(E-C)Elderlydiabeticsareatincreasedriskforreducedmentalfunctioning,depression,persistentpain,harmfulfallsandurinaryincontinence.Part4:OralActivities.Workinpairs,practicecheckingouttheadmissionobservations.StudentAplaystheroleofthenurse;StudentBplaystheroleoftheclient.Swaprolesandpracticeagain.PersonalDiabetesCarePlan:LiYangDOB:5/03/1956Insulinmanagement:LantusdailyBloodglucosetesting:BeforebreakfastTESTRESULTS----EVERYTHREEMONTHSNormalresultYourresultsDate:15/09/2015YourresultsDate:15/10/2015YourresultsDate:15/11/2015GlyceratedHemoglobin<7%7%7%8%Weight49kg50kg49kgHeight165cm165cm165cmBloodPressure<140/80142/85145/86130/70TotalCholesterol<5.0nmol/L5.1nmol/L5.3nmol/L6.2mol/LPart5:Writing.

Aschool-agechildwithtype1diabetesmellitushassoccerpracticethreeafternoonsaweek.Theschoolnurseprovidesinstructionsregardinghowtopreventhypoglycemiaduringpractice.Whichshouldtheschoolnursetellthechildtodo?

1.Eattwicetheamountnormallyeatenatlunchtime.

2.Takehalftheamountofprescribedinsulinonpracticeday.

3.Taketheprescribedinsulinatnoontimeratherthaninthemorning.

4.Eatasmallboxofraisinsordrinkacupoforangejuicebeforesoccerpractice.

Part5:

Additionalquestion.1DiabetesMellitusType1diabetesmellitusischaracterizedbythedestructionofthepancreaticbetacells,whichproduceinsulin;thisresultsinabsoluteinsulindeficiency.Diet1.Normalhealthynutritionisencouraged,andthetotalnumberofcaloriesisindividualizedbasedonthechild’sageandgrowthexpectations.2.Childrenwit

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