《護(hù)理英語(yǔ)》課件 Unit 7 Maternity Nursing

NursingEnglish主編：劉江、丁穎成都：西南交通大學(xué)出版社Unit7MaternityNursingPartI.Warming-upTask1：Labelthenameofthefollowingpathologicalconditionduringpregnancy.1.————————————2.—————————————ectopicpregnancyplacentapreviaPartI.Warming-upTask1：Labelthenameofthefollowingpathologicalconditionduringpregnancy.3.————————————4.—————————————abruptioplacentaebreechpresentationPartI.Warming-upTask1：Labelthenameofthefollowingpathologicalconditionduringpregnancy.3.————————————4.—————————————CesareansectiontransverseliePartI.Warming-upTask2:Matchthetypesofpainrelief(1-6)tothedefinitions(a-f)1acupuncture2aromatherapy3heatpack4massage5analgesia6syringedriveramedicinetakenbymouthorbyinjectionwhichstopspainbruborpresspartsofthebodytorelievepaincamachinewhichgivesthepatientacontinuousdoseofmedicationduseoffineneedlestorelievepaineuseoffragrantoilsforwell-beingfaheatedpadwhichsoothessoremusclesDialogue1Task1Karin,theWardNurseisusingaPalliativeCarePainAssessmentwithWilf,apatient.Listentotheconversationandanswerthefollowingquestions。1.WhydoesKarinusethePainAssessmentchart?____________________________________________________________________2.HowmanypainareasdoesWilfhave?____________________________________________________________________3.WhenisWilf’sshoulderpainworse?____________________________________________________________________4.Whichpainisthemostsevere?____________________________________________________________________5.WhendoesWilf’slegulcerhurt?____________________________________________________________________PartII.ListeningTounderstandaboutWilf’spainlevel.Threeareasofpain.Whenhemovesorliesinbed.Wilf’slowerback.Whenthedressingischanged.Task2ListenagainandcorrectanyincorrectinformationonthefollowingPalliativeCarePainAssessmentchart.PartII.ListeningTheAlexandraHospitalPalliativeCarePainAssessmentPatientName:WilfredSummervilleHospitalNumber:458376PainCore012345678910Onascaleof0-10,whatistheworstpainyouhavehadinthelast24hours?0isnopain1-3ismildpain4-6ismoderatepain7-9isseverepain10istheworstpainimaginableRecordapainscore0-10foreachsiteorasmild/moderate/severeifthepatientcannotgiveanumber.PainTypesNeuropainTinglingorburningAcutepainSharppain,e.g.whenpatientmoves,duringdressingchangeOtherpainAchingorthrobbing,e.g.bonepainDate:15/10/2009PainAPainBPainCLocationofpainLeftshoulderUpperbackLeftlowerlegulcerPainlevel583DescriptionofpainThrobbingandsharpAchingBurningWhatstartsthepain?Lyinginbed/movementMovement/sittinginchairShoweringWhatrelievesthepain?Analgesia+heatpackAnalgesiahelpsalotNon-adhesivedressing+analgesiaPartII.Listeningright6notsharploweralittlesharpchangingthedressingPartII.ListeningDialogue2Directions:Listentothefollowingconversationandanswerthefollowingquestions.

1.Whereisthepain?

_______________________________________________________2.Whatkindofpainisit?

________________________________________________________3.Whatdothepatientdowhenshegetthepain?______________________________________________________________Inthechest.Shejusthastoputupwithit.Mostofthetimeitfeelslikeacramp,butoccasionallyit’ssharpandstabbing.PartIII.ReadingReadingskill:ReadingforthekeyideasinsentencesAlthoughasentencemaygiveagreatdealofinformation,itusuallyoffersonekeyidea.Readersmustbeabletofindkeyideasinordertounderstandsentencesmeaningclearly.Task1Writethekeyideaofeachsentences.1.Ifthewomanhasvaricoseveinsorremainsonbedrest,herstateofhypercoagulabilityplacesheratincreasedriskforthrombusformation.Keyidea:

2.Thelevelsoffibrinogenandotherclottingfactorsnormallyincreaseduringpregnancy,whereaslevelsofclot-dissolvingfactorsarenormallydecreased,resultinginastateofhypercoagulability.Keyidea:PartIII.ReadingVaricoseveinsorremainingonbedrestisthestateofhypercoagulabilitywhichwillincreaseriskofthrombusformation.Astateofhypercoagulabilityduringpregnancyiscausedbyincreasedleveloffibrinogenandotherclottingfactorsanddecreasedlevelsofclot-dissolvingfactors.Task2:TestComprehension:1.Answerthefollowingquestions(1)Whatisvenousthrombosis?(2)Whyisthepregnantwomanatincreasedriskforvenousthrombosis?PartIII.ReadingAvenousthrombosisisabloodclotwithinavein.Thepregnantwomanisatincreasedriskforvenousthrombosisbecauseofthevenousstasisthatcanoccurfromcompressionofthebloodvesselsbytheheavyuterusorbypressurebehindthekneeswhenthelegsareplacedinstirruplegsupportsforepisiotomyrepair.(3)Whatfactorscauseastateofhypercoagulabilityduringpregnancy?(4)Whatmeasurescanbeusedtopreventthrombusformationduringpregnancy?PartIII.ReadingThelevelsoffibrinogenandotherclottingfactorsnormallyincreaseduringpregnancy,whereaslevelsofclot-dissolvingfactorsarenormallydecreased,resultinginastateofhypercoagulability.Preventivemeasuresincludetheuseofpneumaticcompressiondevicesonthelowerextremitiesorprophylacticheparinforwomenundergoingcesareansectionsorwhoareonprolongedbetrest.(5)Whatarethreetypesofthromboembolicdisorders?(6)Whatmeasurescanbeusedtopreventthrombusformationduringpregnancy?PartIII.ReadingSuperficialvenousthrombosis,deepvenousthrombosisandpulmonaryembolism.Preventivemeasuresincludetheuseofpneumaticcompressiondevicesonthelowerextremitiesorprophylacticheparinforwomenundergoingcesareansectionsorwhoareonprolongedbetrest.2.Decideonthebestchoice.(1)ThediagnosisofDVTisconfirmedby__________,withorwithoutDopplerassistance.()A.ECGB.EEGC.ultrasoundD.MRI(2)__________is/arecontraindicatedwithregionalanesthesia.?()A.analgesicsB.heparinC.LovenoxD.penicillinPartIII.Reading

C

C

(3)Whichofthefollowingstatementsaboutthromboembolicdisordersnursingcareistrue?()

A.Whenthelegsareelevated,thereshouldnotbesharpflexionatthegroin.B.Thewomanshouldonlybeobservedafterbirthforsignsandsymptomsthatsuggestvenousthrombosis.C.Pregnantwomencancrosstheirlegsastheylike.

D.Measurestopromotevenousflowcouldbediscontinuedafterbirth.PartIII.Reading

A

Task3.FindthemeaningofthewordsorexpressionsinColumnAfromthoseinColumnB.PartIII.ReadingColumnA1.thrombosis2.fibrinogen3.hemoptysis4.embolism5.hypercoagulability6.groin7.anesthesia8.postpartumColumnBa.thesuddenobstructionofabloodvesselbyan

embolusb.aseriousconditioncausedbyablood

clotforminginablood

vesselc.aplasmaproteinthatisproducedintheliverandisconvertedinto

fibrin

duringbloodclotformationd.theareabetweentheabdomenandthethighoneithersideofthebodye.occurringinorbeingtheperiodfollowingchildbirthf.lossofsensationwithorwithoutlossofconsciousnessg.expectorationofbloodfromsomepartoftherespiratorytracth.astateorconditionmarkedbyanincreasedtendencytoformbloodclotswithinabloodvesselTask4.Fillintheblankswiththesuitablewordsbelow.Changetheformifnecessary.PartIII.Readingpalpitationepisiotomycontraindicatedyspneahematomaambulation1.In1938,early

__________

aftersurgerywasstillconsideredathreattotherecentlysuturedwound.2.__________

is

a

warning

of

heart

trouble.3.Inseverecases,thenovelcoronaviruscancause_________,whichprogressesintoacuterespiratorydistressincriticalcases.4.Doctorsbeganroutinelyusing

__________

todeliverbabies.5.TheAmericanAcademyofPediatricshasdefinitelysaidthatusingmarijuana(大麻)________________

whilebreast-feeding.6.About10dayslater,hisconditionhaddegeneratedintoparalysisduetoasubdural

___________.ambulationPalpitationdyspneaepisiotomyiscontraindicatedhematomaTask5Translation1.______________________________________(剖宮產(chǎn)時(shí)的血管損傷)canalsocauseathrombus.2.Superficialvenousthrombosisistreatedwith_________________________(使用止痛藥)，_____________________(局部熱敷)，andelevationofthelegto_______________________(促進(jìn)靜脈引流)。3.Earlyambulationorrange-ofmotionexercisearevaluableaidsto______________________________(預(yù)防血栓形成).PartIII.ReadingBloodvesselinjuryduringcesareansectionadministrationofpreventingthrombusformationanalgesicslocalapplicationofheatpromotevenousdrainage4.Thesizeoftheclotcanincreaseascirculatingbloodpassesoveritand_______________________________________(沉積更多的血小板、纖維蛋白和細(xì)胞).5._____________________________________________(纖維蛋白原和其他凝血因子的水平)normallyincreaseduringpregnancy.PartIII.Readingdepositsmoreplatelets,fibrin,andcellsThelevelsoffibrinogenandotherclottingfactorsPartV.WritingPracticecompletingthePalliativeCarePainAssessmentbasedonpatientB’sinformation.PatientB’sinformation YouareMr.PeterGrey.Youhaveadvancedcanceroftheprostategland.Thepainaroundyourprostateglandisanachingpain,around6,andisworsewhenyougetoutofbedtowalkaround.Asyringedriverwithmorphinemakesitbetter.Youalsohaveaninfectedwoundonyourleftarm.Thepainis2andisworsewhenthedressingischanged.Painkillersbeforethedressingchangeandanon-stickdressingmakeapainbetter.XinHuaHospitalPalliativeCarePainAssessmentPatientName:PeterGreyHospitalNumber:43578PainCore012345678910Onascaleof0-10,whatistheworstpainyouhavehadinthelast24hours?0isnopain1-3ismildpain4-6is