英语对话实验考试Word文档格式.docx
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英语对话实验考试Word文档格式.docx
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Well,that’stotallynaturalconsideringwhatyouhavebeenthrough…Athandoverthemorningnursesaidyoumightbeinterestedintalkingaboutwhat’shappenedtoyouwithoneofourhospitalcounsellors?
P:
Yes…I…uh…I’dliketodothat.
Okthen,I’llarrangeforthesocialworkertocomeandvisityou.Nowifit’sokwithyou,Ineedtodoallyourobservationsandyourbloodsugar?
Sure.
I’lljustputthisthermometerintoyourear,itmightbeslightlyuncomfortablebutitwillonlytakeaboutoneortwoseconds(Nusesatympanicthermometer)…Thirtysevenpointfive,yourtemperatureisjustslightlyhigh.CanIhaveyourwristplease,sothatIcantakeyourpulse?
…Thanks.Yourheartrhythmisalittlefastandirregular.Doyouhaveahistoryofatrialfibrillationoranyotherkindofheartrhythmproblems?
No,notthatIknowof.
Youdon’tneedtoworryaboutit,therateis110whichisnotoverlyfast,butI’llsoonletthedoctorknowandseeifhewantsmetodoanelectrocardiographonyou.
Alright.
BeforeItakeyourbloodpressure,couldyoupleasetellmeifyouhavepreviouslyhadanysurgerydoneoneitheryourchestorarms?
Yes…Oh!
Iforgottotellthedoctor,butI’vehadapartialmastectomyonmyrightbreast.
Don’tworryit’snormaltohaveabitofmemorylossafteraheadinjury…Well,seeingthatyourrightarmisfracturedI’llneedtocheckyourBPontheleftsideinanycase.Pleaseextendyourarmout…WhenIinflatethebloodpressurecuffit’llbealittletight…It’s145/85whichisjustslightlyhigh.Doyouhaveanyhistoryofhighbloodpressureatall?
No,noneatall.
Doyoufeelanypaintatpresent?
Bothmyheadandarmarejustalittlesore,butthepainkillersareworkingwell.
Ok,wellthat’sgoodtohearTheresa…NowI’mgoingtocheckyouroxygenlevel,pleaseputoneofyourfingersintothisprobe(Ncountspatient’srespiratoryratewhilstwaitingfortheoxygensaturationreading)…Youroxygenlevelis86%,that’salittlebitlowerthannormal,doyoufeelshortofbreathatall?
YesJohn,justalittlebitandIseemtobedevelopingabitofacough.Moreandmoreyellowphlegmiscomingup,see……(Pshowsthenurseafewusedtissuesthatareinherhand).
Yes,quiteabitthere.I’llcallthedoctortocomeandlistentoyourchestandinthemeantime,I’llturnupyouroxygenalittle.Oh,andhereisapaperbagyoucanusetodisposeofallyourtissues(Nsticksapaperbagonthepatient’sbedsidetrolley).
Thanks.
Mypleasure.
Dialogue2—Performingneurovascular,bloodsugareandneurologicalobservations
John,I’malittleworriedthatmyvitalsignsaren’tnormal,amIgoingtobeok?
Icanreallyunderstandthatyoufeelanxiousaboutthings,butmostofyourobservationsareonlyslightlyoutofthenormalrange.Forsomeonewhohasexperiencedwhatyouhavetheselastfewdays,youarerecoveringquitewell.
Good,that’sarelieftohear.
Bytheway,ifyouarebrewinganykindofachestinfectionitisevenmoreimportanttodothosehalfhourlydeepbreathingandcoughingexercisesthatthephysiotaughtyouearlieron.Youalsoneedtodrinkmorewaterandtryandrelaxasmuchaspossible.Thesoonerwegetyousittingupinthechair,thebetterforyourlungstoo…There’scertainlyalotyoucandotocontrolyourownrecoveryandensurethatit’ssmoothaspossible.
Ok,I’llmakesureIfollowyouradviceandIhavealreadybeenusingthatbreathingexercisethingwiththeplasticballsinit(incentivespirometrydevice)quiteoften.
Verygood.NowIneedtodoyourcirculationobservations.I’lljusttakeaquicklookatyourfingers(Nstartstoperformneurovascularobservations.)…yourcirculationlooksfine.Canyoumoveyourfingersaroundplease?
…Good.Canyoufeelmetouchingthem?
Yes.
Doyoufeelanytinglingornumbnessatall?
No,Idon’t.
I’lljustdoyourbloodsugaragain…CouldIpleasehaveafingerfromyourlefthand?
…You’lljustfeelasmallprickonthefinger…Okyourbloodsugarisseven,that’sfine.
Good.
Ok,lastlyI’lljustdoyourneurologicalobservations.I’msureyouaresickofansweringthesequestions,butI’llneedtoaskthemagain,what’syourfullname?
TheresaElizabethJohnson.
Andcanyoutellmewhatdayoftheweekitis,whatdate,monthandyear?
TodayisFriday,right?
ActuallyitisMonday,butdon’tworry,itisnotunusualwhensomeonehascomeintohospital,especiallyafteraheadinjury,togetthedaysmixedup.
Ok,butI’msureit’sMarch,somewherearoundthemiddleofthemonth,anditis2007.
Yesspoton,indeeditisMarchthesixteenth2007.Canyounowpleasesqueezemyhandsashardasyoucanwithbothofyourhands?
(Ngesturesforwardwithtwofingersoneachhandstretchedout)…That’sgood…Nowstretchbotharmsoutstraightinfrontofyou,levelwithyourshoulders,pleaseholdthemupforfifteensecondsandcloseyoureyes…Good…Andjustpushyourfeetagainstmyhands…Ok,niceandstrong…Nowpleasebendyourkneesslightly.
Likethis?
Yeah,exactlylikethat.NowIwillpushdownandIwantyoutoresistmeashardasyoucan.Ok,onthecountofthere.One,two,there…Great,yourlimbsareallverystrong.
Atlast,somegoodnews!
Yes!
…Finally,Ijustwanttoshinethislittletorchintoyoureyes,itisquitebright…Yourpupilsareequalinsizeandreactingnormallytothelight.Overall,youaredoingverywellbutwemustworkingtogethertogetyourchestright.
Right,canIsitinthechairassoonaspossible?
Dialogue3—Reportingobservationstoamedicalofficer
Hello,FiveWest,Johnspeaking.
DR:
Hi,John,it’sTony,youpagedme、
Yes.HiTony.IjustwantedtoupdateyouaboutacoupleofissuesrelatingtoTheresaJohnsoninbedfive.
Sure,goahead.
I’vejustdoneallherobsandwhileherGCSisfineatfifteen&
herrightarmisneurovascularlyintact,shewasdesaturatingtoeightysixpercentontwolitresofoxygenvianasalprongsandtachypnoeicatarateoftwentyeight.Sheonlyhasalowgradefeverofthirtysevenfive,butiscomplainingofanincreasinglyproductivecough.
Ok,haveyouturneduptheoxygen?
Yes,sheisnowsaturatingatninetypercentonfourlitresofoxygenvianasalprongs.Inadditiontothisherheartrateisonehundredandtenandisquiteirregular.ShedeniesanyhistoryofarrhythmiasandinherbaselineECGshewasinsinusrhythmatarateofseventy.Sheismildlyhypertensiveatonehundredandfortyfiveoneightyfive,butsaysherpainisfairlywellcontrolled.
Well,herchestx-raywasclearonadmissiontoED(EmergencyDepartment)butitsoundslikeshemaybebrewingachestinfection.I’llbeuptheretoreviewherchestandthoseotherissuesinaboutfiveminutes.Couldyoupleasegetasputumspecimenoffher,anddoa12leadECG.Canyoualsocallforamobilex-ray;
Ishouldbetheretogivethemtherequestformbeforetheyarrive.
Noproblem,howaboutIputaHudsonmaskonhertoo?
Yes,good,pleasetitratetheoxygenflowtomaintainherO2satsabove95%.
Willdo,seeyousoonthen.
Ok,thanks.
Anneisafiftyyearoldwomanwhohasbeenadmittedtotherespiratoryward,ThreeSouth,foraninfectiveexacerbationofherchronicobstructivepulmonarydiseas(COPD).Shehasbeenaheavysmokerofbothcigarettesandmarijuanaforapproximatelythirtyyearsandhasnotbeenabletocutdownatall.Hermedicalhistoryalsoincludesmultiplesclerosis,mildchronicrenalfailure,deepveinthrombosis,depressionandbeingonlongtermprednisoneforherCOPD.Sheopenlyidentifiesasbeinggayandisoftenvisitedbyherpartner,Sharon.Atpresentshebecomesshrtofbreathattheslightestlevelofexertionandisveryweak,listlessanddepressed;
sheisdependentonlowflowoxygenandintermittentBIPAP.RNJulieadmittedAnneeyesterdayandhasbeenallocatedtocareforheragaintoday.
Dialogue4—Assistingapatientwitheatinganddrinking
Anne,hereisyourdinner.
Idon’tfeellikeeating.
Doyoufeelsickoruncomfortableinanyway?
No,Idon’tfeelsick,butIhatethefoodandjustfeelsoshortofbreathandweak.Ijustdon’thaveanyappetiteatall.
Icanreallyunderstandthatyoudon’tfeeltoohungrywithallyourdiscomfortatpresent,butyourbodyneedsthenutritionsothatyoucanregainyourstrengthandenergy.Perhapsyoucouldjusttrytoeatasmallamount?
…Pleaseletusknowifthereissomethingyouparticularlyfeellikeeating.
No,therereallyisn’tanythingatallthatIfeellikeeating…ugh…Ok,I’lltryandeatalittlebit.
R:
I’llcutthemeatintosmallerpiecesandopenthingsupforyou.
Mypleasure…Willyoubeokfeedingyourself?
Yes,Ithinkso…(Peatssomeofhermeal)
Areyoufinishedyourmealorwouldyoulikesomemoretime?
Finished!
Nomoreplease!
I’lltakeyourtrayawaythen,ok?
(Pnods)…Icouldseethatwashardworkforyou,butyoudidreallywell,youatehalfofthemeal!
…WhattimewillSharoncomeintoday?
Itshouldbeprettysoon;
assoonasshehastakenthedogsforawalk.
Whatkindofdogs
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