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·英語學(xué)習(xí)·

護(hù)患情境會(huì)話

老年人嗆噎危險(xiǎn)的指導(dǎo)

Counseling an Elderly about Choking Hazards

交流

護(hù)士：楊婆婆，不要緊張，剛剛您發(fā)生了點(diǎn)意外。我們搶救您的時(shí)候，按壓了您的胸部，所以您現(xiàn)在胸部會(huì)疼痛。

病人：我記得剛剛還在家里，我的孫女從美國回來，家里人都團(tuán)圓了。于是我們就做了糯米湯團(tuán)，慶祝一下。哪知會(huì)出現(xiàn)這種事。

護(hù)士：哦，老年人吃糯米食物的時(shí)候要注意一點(diǎn)，最好不要吃。

病人：可我就喜歡吃糯米食物的，像團(tuán)子、糕點(diǎn)等。

護(hù)士：既然您喜歡吃，那就要將團(tuán)子做得小一點(diǎn)，或?qū)⒏馇械眯∫稽c(diǎn)，吃的速度一定要慢，一口一口地吃。

病人：我知道了。團(tuán)子做得小一點(diǎn)，糕切得小一點(diǎn)，吃的速度慢一點(diǎn)，是嗎？

護(hù)士：是的。同時(shí)，吃飯之前把身體位置調(diào)整好，人坐直或略向前俯，盡量不要躺著吃。

病人：對(duì)了，今天我吃的時(shí)候是靠在藤椅上的。

護(hù)士：剛剛發(fā)生意外的時(shí)候，您有什么感覺？

病人：沒有什么感覺，就好像睡前有一扇窗戶的窗簾慢慢在放下來。

護(hù)士：沒什么其他不舒服嗎？

病人：沒有。

護(hù)士：那好。您下次吃糯米食物的時(shí)候注意一下就行了。

病人：謝謝。

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.

點(diǎn)評(píng)

對(duì)老年人進(jìn)行健康宣教時(shí)，不要輕易改變他們的嗜好，尊重他們?cè)械纳罘绞?，在此基礎(chǔ)上作適當(dāng)?shù)恼{(diào)整。噎食的防治要點(diǎn)是：糯米食物做小一點(diǎn)，然后一小口一小口吃，吃的速度放慢一點(diǎn)，注意進(jìn)食時(shí)的體位。

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.

(汪小華)