《conversation》ppt课件

ProfessionalNursingEnglish:Conversation1:CaringforpatientsafteranoperationRongrongZhangTalkingtoYourPatientsOneofanurse'smostimportantdutiesistotalktothepatients.Nurseswithgoodbedsidemannerareabletolisten,support,andreassuretheirpatients;yettheyalsoofferhonestandopencommunication.Itisnotaneasybalancetokeep,butthereareclearbenefitsforboththepatientandthenurse.TalkingtoYourPatientsPatientsfeelmorecomfortableandtheyhavegreaterconfidenceintheirnurses;Nursesgainmoreaccurateinformationfromtheirpatients(andsoreducetheriskofmistakes),andtheybuildamoretrustingrelationship.TalkingtoYourPatientsTherefore,youneedtodevelopstrategiesforstartingaconversation.Howwouldyoustartaconversationwithapatient?Abouttheweather?Abouthowthepatientisfeeling?Abouthowmanyvisitorsthepatientisgetting?Tocheerthepatientup?TalkingtoYourPatientsWhenwetalktopatients,weuseEMPATHY.Whatisempathy?Itisadistinctlyhumanemotion,andistheabilitytounderstandandsharethefeelingsofanotherpersononadeepemotionallevel.TalkingtoYourPatientsEmpathyallowsustogetclosertoourpatientsandgaintrust.Youempathizewithyourpatient,meaningyoutrytounderstandtheirthoughtsandfeelings.“Icanunderstandhowthatwouldbehard.”Whatdoyouthinkthenursesaredoinginthepicture?DoyouhaveexperiencedoflookingafterpatientsinRecovery?CompletethefollowingsentencesaboutRecoveryusingthewordsandphrasesintheboxalertandoriented,anaesthetic,coronaryCareUnit(CCU),IntensiveCareUnit(ICU),oxygenmask,PostAnaesthesiaCareUnit((PACU)Recovery,or______,iswherepatientsgotowakeupafteranoperation.InRecovery,nursescheckthatthepatientis_______---thattheyareawakeandknowwheretheyare.Patientsoftenneedtobreatheusingan_______untiltheyrecoverfromthe_______.IfpatientsaretooilltogototheWard,theygotothe________.Ifapatienthasheartproblems,theygotothe______.Emile,theRecoveryNurse,ischeckingMrBrodzik,apatient,afteranoperation.Listentotheconversationandanswerthefollowingquestions(2.1)HowdoesEmileknowthatMrBrodzikisalertandoriented?HowdoesMrBrodzikfeel?IsMrBrodzikinpain?LabelthepicturebelowusingthewordsintheboxBlanket,Dressing,icepack,IVcannula,light,painrelief,pillow,vomitbowlRachel,theWardNurse,ischeckingMrBrodzikbackontheward.Listentotheconversationandticktheitemsbelowthatyouhear.(2.2)BlanketDressingDrinkofwaterIcepackIVcannulaPainreliefPillowVomitbowlMrBrodzik’skneehurts.RachelisgoingtogetMrBrodziksomepainreliefThedressingiscomfortable.TheIVcannulafeelsOK.RachelgetsMrBrodzikapillow.Someoftheinformationbelowisincorrect.Listenagainandcorrectanymistakesinthefollowingsentences.(2.2)Inpairs,practicecheckingapatientbackontheward.StudentsA---Nurse.StudentB---Patient.Pleaseusetheinformationbelow.Swaprolesandpracticeagain.Chartinganddocumentation:IVPrescriptionInpairs,lookatthechartbelowanddiscussthefollowingquestions.Whatisthechartusedfor?WhoprescribesIVinfusions?HowmanynurseschecktheIVinfusion?Listento2.4andcompletethefollowingextractsfromtheconversationusingthewordsintheboxCheck,finished,IVPrescription,rate,run,sign,throughMylene,canyou______thisIVbagwithme,please?Here’sthe________.It’sforMrLenworth.Right,sotheNormalSaline_____atsixo’clock.Alitrewent_________.Yes,5%Dextrose.What’stheinfusion_____?125milsanhour.It’sgoingto_______overeighthours.That’sit.I’ll_______here.HelenaandMylenecontinuediscussingMrLenworth’sIV.Listento2.5andanswerthefollowingquestions.WhatdoesMyleneaskHelena?WhichIVsolutionaretheychecking?WhenwillthenursesputupthenextIVinfusion?Inpairs,practicecheckingthenextlitreofIVfluidsonthefollowingIVPrescription.It’s02.30on11June.Usetheaudioscript2.5tohelpyou.Medicalfocus:IVinfusionequipmentHelenaandMylenearepreparingthenextIVinfusionforMrLenworth.Listentotheconversationandanswerthefollowingquestions.(2.6)WhichIVfluidhasbeenprescribed?Whatistheinfusionrate?Wheredothenurseswriteuptheinfusion?Listenagainandcompletetheseextractsfromthenurse’sinstructions,usingtheverbsinthebox.(2.6)Check,connect,prime,set,sign,start,wash,writeupWeneedto________ourhands.We’ll__________theIVsolutionagainsttheIVPrescription.Iamgoingto__________theline.__________therateontheinfusionpump.I’ll____________theIVtoMrLenworth’scannula.I’ll__________theinfusionpump.To__________theIVPrescription.To__________theFluidBalanceChart.Inpairs,practiseexplaininghowtochangeanIVbag.Usethewordsandpicturesinthepreviousexercisetohelpyou.Beforeyoustart,washyourhands.First,checktheIVbagagainsttheIVorder.Next,primethelineofthegivingset.Then,settherateontheinfusionpump.Afterthat,connecttheIVtothepatients’scannulaandthenstarttheinfusion.Finally,signtheIVPrescriptionandwriteuptheIVinfusionontheFluidBalanceChart.TimetoPracticeSampleConversation#1Anewpatientisadmittedrightbeforetheendofyourshiftandyoustoptocheckinonher.TimetoPracticeSampleConversation#1:VocabularyOrthopedicsurgeon-doctorwhooperatesonbonesQuestionsHowlonghasEvelynbeenanursefor?WhatdoesMrs.Chancometothehospitalfor?WhenwillEvelynbebacktowork?TimetoPracticeSampleConversation#2:FeelingQueasyMr.Adamsisn’tfeelingwellandwantssometea.TimetoPractice:SampleConversation#2:VocabularyTofeelqueasy/nauseousTofeelsicktoone’sstomachTrayTowakeupTofeelterrible/awful/horribleToget(go)backtosleepTobetothetoiletDiarrheaVomitBlanketTogetthechillsTotucksomeoneinAnti-emeticmedicineQuestionsDidthepatienthavediarrheaorvomitlastnight?Whatkindofteadidthepatientorder?Thepatientfeltchillandaskedforanextra_______.Thedoctorhasordered___________ifthewasnothelpful.TimetoPracticeSampleConversation#3:HelpingaPatientThepatienthasafeverandwantsthenursetohelpwithsomeotherthings.TimetoPractice:SampleConversation#3:VocabularyFeverTochecksomeone’sforeheadRaisedtemperaturethermometerToraise/lowerthebedControlspillowTimetoPracticeSampleConversation#4:VisitingHoursLet’sReviewthenamesforcertainfamilymembersinEnglish.Mom,dad,brother,sister,grandparent,cousinTimetoPracticeSampleConversation#4:VisitingHoursQuestionsandConcernsofFamily&LovedOnesAndquestions&responsesforthenurse.TimetoPracticeSampleConversation#4:VisitingHoursThesituationpresentedisthatafamilymemberwantstovisitapatient,butvisitinghoursareover.TimetoPracticeSampleConversation#4:VocabularyWhatwordsneedmoreexplaining?CheckYourUnderstandingWhatistheman'srelationtothepatient?BrotherUncleHusbandSonCheckYourUnderstandingWhatistheman'srelationtothepatient?BrotherUncleHusbandSonThemanismarriedtothewomanpatient.CheckYourUnderstandingWhydoesthenursesendthemanaway?Becauseheisn’timmediatefamily.Becausethepatientcan’thaveflowers.Becausethepatientisinisolation.Becausevisitinghourshavefinished.CheckYourUnderstandingWhydoesthenursesendthemanaway?Becauseheisn’timmediatefamily.Becausethepatientcan’thaveflowers.Becausethepatientisinisolation.Becausevisitinghourshavefinished.Visitinghoursarefrom9-11:00&16-19:00.CheckYourUnderstandingThenursethanksthemanbecause:Hebroughtagiftforthepatient.Heunderstandstherulesbenefitpatients.Heloveshiswifesomuch.Heapologizedtoher.CheckYourUnderstandingThenursethanksthemanbecause:Hebroughtagiftforthepatient.Heunderstandstherulesbenefitpatients.Heloveshiswifesomuch.Heapologizedtoher.Patientsneedtimetorestinbetweenallthetests,visitors,andtherapy.3-4studentsasagroupEverystudenthastospeakLikeaskit7-8minutesTopicsAdmitapatientCheckvitalsignsTestbloodsugarGiveinjectionsOrderIVinfusionsChangeIVbagsCaringpatientsafteroperationsAdayofaICUnurseAmalenurseinChinaetc