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护患情境会话

2015-03-18

护士进修杂志 2015年5期
关键词:团子糯米护患



·英语学习·

护患情境会话

老年人呛噎危险的指导

Counseling an Elderly about Choking Hazards

交流

护士:杨婆婆,不要紧张,刚刚您发生了点意外。我们抢救您的时候,按压了您的胸部,所以您现在胸部会疼痛。

病人:我记得刚刚还在家里,我的孙女从美国回来,家里人都团圆了。于是我们就做了糯米汤团,庆祝一下。哪知会出现这种事。

护士:哦,老年人吃糯米食物的时候要注意一点,最好不要吃。

病人:可我就喜欢吃糯米食物的,像团子、糕点等。

护士:既然您喜欢吃,那就要将团子做得小一点,或将糕切得小一点,吃的速度一定要慢,一口一口地吃。

病人:我知道了。团子做得小一点,糕切得小一点,吃的速度慢一点,是吗?

护士:是的。同时,吃饭之前把身体位置调整好,人坐直或略向前俯,尽量不要躺着吃。

病人:对了,今天我吃的时候是靠在藤椅上的。

护士:刚刚发生意外的时候,您有什么感觉?

病人:没有什么感觉,就好像睡前有一扇窗户的窗帘慢慢在放下来。

护士:没什么其他不舒服吗?

病人:没有。

护士:那好。您下次吃糯米食物的时候注意一下就行了。

病人:谢谢。

Interactions

Nurse: Grandma Yang, take it easy and calm down. You had an accident a little while ago and we had to press your chest to save your life. That’s why you are having this chest pain.

Patient: I remember I was in a family party in my house welcoming my granddaughter who had just come back from America. I cooked some sticky rice balls, and we were celebrating. But how did this accident happen?

Nurse: Oh, older people like you should be more careful when you eat foods made of sticky rice. It is better you don’t eat them at all.

Patient: But sticky rice such as rice balls and pastries is my favorite food.

Nurse: If you like them so much and have to have some, then you should make the balls as small as possible, or cut the pastries into smaller pieces and eat them one by one in a slow pace.

Patient: I see. I should make smaller balls, cut the pastries into smaller pieces and eat them slowly, right?

Nurse: Yes. Before eating, you should sit in a comfortable upright position or inclining forward your body a little bit. Lying down in bed isn’t a good position for eating this kind of food.

Patient: Oh, I almost forgot. Today when I ate the sticky rice balls I was reclining on my chair.

Nurse: What were you feelings when the accident happened?

Patient: Nothing special. It seemed as if a curtain was put down slowly in front of a window before I was going to bed.

Nurse: Any other uncomfortable feeling?

Patient: Nothing else.

Nurse: That is good. It’ll be all right for you to have sticky rice foods, but make sure pay a little more attention to it.

Patient: Thank you.

点评

对老年人进行健康宣教时,不要轻易改变他们的嗜好,尊重他们原有的生活方式,在此基础上作适当的调整。噎食的防治要点是:糯米食物做小一点,然后一小口一小口吃,吃的速度放慢一点,注意进食时的体位。

Comments

Do not try to change the habits of the older people when providing the health education. Respect their lifestyles and make appropriate adjustment. Some key points to prevent choking are: smaller size in sticky rice foods, eat more slowly, and proper eating positions.

(汪小华)

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