护患情境会话



·英语学习·

护患情境会话

老年性痴呆的护理

Nursing Care for a Patient with Senile Dementia

交流

病人：吃的，但是不多，我老伴和我一天大约吃八两左右蔬菜吧。我年纪大了，牙齿不好。

护士：您家烧饭用的是什么锅子？

病人：我家原来用的都是铝锅。后来听说铝锅烧饭对身体不好，我家就将炒菜锅换成铁锅了，但是电饭煲还是铝的。是不是用铝锅不好？

护士：有研究发现，吃的食物中含铝太多，会导致老年性痴呆。

病人：真的吗？那我要叫我儿子给换个电饭煲了。

护士：刘老伯，为了延缓您的病情加重，您平时要多活动。一天只在院子里走一圈是不够的。大公园离您家比较近，您可以打打太极拳，散散步，一天活动的时间增加到2 h左右，但要注意安全。还有要多动脑子，可以帮您的夫人记记日常开支的帐，也可搓麻将，时间大约1 h左右。还有您的牙齿不好，可将蔬菜和水果切得小一点再吃。

病人：谢谢您，那我还有其他需要注意的事吗？

护士：您平时可多吃些鱼，少吃淀粉。帮您夫人干点家务活，这对您的病也是有好处的。

病人：我平时喜欢吃咸鱼，可不可以经常吃？

护士：您最好少吃咸的食物。您抽烟吗？

病人：有时候要抽的，但没有瘾。

护士：那好，您就戒烟吧

病人：好的，谢谢。

Interactions

Patient:Yes，I do but not too much.My wife and I eat about half a pound of vegetables every day.I am old and my teeth are not very good.

Nurse:What kind of cookware do you use?

Patient:Originally we use aluminum cookware.Lately，we changed to iron pans because we have heard that aluminum cookware is not good for health.But the electric rice cooker is still made of aluminum.Is it bad to use aluminum cookwares?

Nurse:Some researches have found that taking excessive aluminum can cause Alzheimer’s disease.

Patient:Really? I need to tell my son to change an electric rice cooker for me.

Nurse:Mr.Liu，in order to delay your disease process，you should exercise more.It is not enough just to take a little walk.Since you live near a large park，you could take a walk there or take up shadowboxing to increase your total activity to 2 hours a day.Make sure you pay attention to safety.Try to exercise your brain also.Do some simple calculations such as helping your wife record daily spending，or play mahjong for about one hour. Since your teeth are not very good，you should cut the vegetables and fruits into smaller pieces before eating them.

Patient: Thank you.Is there anything else I should pay attention to?

Nurse:You can eat more fish，less starchy foods，and helping your wife with household chores is good for you too.

Patient:I like to eat salty fish.Can I eat them often?

Nurse:You should try to avoid salty food.Do you smoke?

Patient:Yes，sometimes.But I am not addicted to smoking.

Nurse:That is good. You should quit smoking all together.

Patient: OK，Thanks.

点评

预防老年性痴呆和延缓其加重应做到“五多”即：多用脑、多干事、多运动、多交往和娱乐、多吃鱼和口香糖。“五少”即少食铝、少食脂肪、少食盐、少怒、少酒禁烟。

Comments

The measures of prevention and alleviation of Alzheimer’s disease consist of “5 more” and “5 less”. The “5 more” are:more thinking，more doing，more exercises，more social communication and enjoyment，and eating more fish and chewing more gums.The “5 less” are:less aluminum，less fat，less salt intake，less anger，and less smoking and drinking.

(汪小华)