·英语学习·
护患情境会话
Nursing Care for a Child with Diarrhea
交流
护士:我们对每一位病人都是负责的。每种疾病的治疗都有一定的原则。 药物的剂量是根据宝宝的年龄和体重计算的,请您放心!
病儿妈妈:呵,我怎么能放得下心! 我最不放心的就是怕你们给耽误了!
护士:我能理解您的心情,请相信我对您说的都是心里话。俗话说,“病去如抽丝”,疾病好转都有一个过程。您宝宝得的是病毒性肠炎。一般来说,病毒感染的疾病要一周左右的时间,才会好转。
病儿妈妈:呦,你看,小孩又拉了,快去喊医生过来。(孩子哭)
护士:好。您别着急! 我马上去喊医生。
(医生检查后,认为粪便中的水分减少了,病情有好转。)
病儿妈妈:又说好! 我就知道你们不心疼孩子。
护士:这里的医生都是很有经验的。刚才医生还用试剂测试了一下粪便的酸碱度,情况确实是好多了。
(家属准备给孩子换尿布)
护士:张姐,我来帮你。
(护士用温水给孩子清洗臀部,换上干净的尿布)
护士:张姐,宝宝的大便情况好多了。不过,还是要继续喂去乳糖奶粉。这样容易消化,有利于肠黏膜的修复。宝宝最近阶段的饮食要清淡,这样奶水中的脂肪含量也能少一些。另外,你要给宝宝多喂水,补充宝宝所需的水分。
病儿妈妈:你的态度还算是不错。
护士:谢谢,宝宝好象是要睡觉了,待会我再来看宝宝。
(2 h后,护士第二次来到床边。)
病儿妈妈:小陆啊,宝宝已经两个小时没拉了。我现在放心多了,谢谢。
Interactions
Nurse: We are responsible for every patient. There are certain principles to the treatment of every disease. The dosage of the drug was calculated according to the baby’s age and weight. Please do not worry.
Patient’s Mother:How could I not worry. What I’m concerned about the most is that you might have delayed her treatment.
Nurse: I can understand how you feel. Please believe me for what I said to you was from my heart. People used to say “To recover from an illness is like reeling off raw silk from the cocoons.” It will take certain process for the disease to become better. What your baby got is viral enteritis,and in general,a virus infected disease needs about one week to recover.
Patient’s Mother: Look,the child has diarrhea again. Call the doctor quickly. (The baby is crying).
Nurse: OK,don’t worry. I will call the doctor right the way.
(After exam the baby,the doctor thinks the water content in the stool has decreased,the illness has taken a favorable turn.)
Patient’s Mother: You keep saying the illness is getting better. I know you do not care about my child.
Nurse: The doctors here are all very experienced. The doctor who examined your child also tested the acid-base concentration of her excrement. The situation is really much better.
(The baby’s mother prepared to change the diaper for the child.)
Nurse: Mrs. Li,let me help you.
(The nurse washed the buttock of the baby with warm water and put on a clean diaper.)
Nurse: Mrs. Li,the baby’s stool is much better. But she still should be fed with lactose free milk powder. It is easy to digest and is good for the intestines mucous membrane to repair. Also,your diet should also be light at the present time,so that there will be less fat in your breast milk. In addition,you should give more water to the baby to supplement the baby’s water need.
Patient’s Mother: Your attitude is not too bad.
Nurse: Thank you. The baby is about to sleep. I will come to see her later.
(Two hours later,the nurse came back a second time to her bedside)
Patient’s Mother: Thank you very much. My baby has not had a bowel movement for two hours. I feel much better now.
(周月丽)