NursingEnglishUnit8

ElderlyNursingPart1.Warming-upTask1:Labeltheequipmentbelowusingthewordsinthebox.

.bedpanhearingaidwalkingframewalkingstickPart1.Warming-upTask1:Labeltheequipmentbelowusingthewordsinthebox.

.wheelchairstretcherglucometerinsulinpenPart1.Warming-upTask2:WritedowntheChinesemeaningofthefollowingterms.1.stoke.

2.dementia.

3.Parkinson’sdisease.

4.bedsore.

5.cataract.

6.gerontology

.中風[d?'men??]老年癡呆帕金森病['beds??]褥瘡['k?t?r?kt]白內(nèi)障[,d?er?n't?l?d??]老年學Part1.Warming-upTask2:WritedowntheChinesemeaningofthefollowingterms.7.incontinence.

8.diabetesmellitus.

9.osteoporosis.

10.Alzheimer’sdisease

.

11.arteriosclerosis.

12.coronaryheartdisease

.(大小便)失禁的糖尿病[,?st???p?'r??s?s]骨質(zhì)疏松阿爾茲海默病[ɑ?,t??r???skl??‘r??s?s]動脈硬化冠心病Part2.Listening(1)handover(2)burns(3)frequently(4)urinarytractinfection(5)Laboratory(6)CultureandSensitivityTest(7)infection(8)midstreamurinespecimen(9)beginningoftheurinestream(10)bacteriaDialogue1Task1:Listentoadialoguebetweenapatientandawardnurse.Fillintheblanksaccordingtowhatyouhear.Task2:Ifyouwereunsureofsomeinformationwhencommunicatingwithothers,youwouldusesomeclarificationstrategies,suchas:(1)Repeattheinformationbacktothespeaker.(2)Paraphrasewhathasbeensaid.(3)Useaquestioningintonationpattern.(4)Askthespeakertoclarifywhattheyhavesaid.Part2.ListeningWorkinpairsandpracticegivinginformationandaskingforclarificationonthebasisofDialogue1andthefollowinginformation.StudentAactsasanurse;StudentBactsasapatient.Swaprolesandpracticeagain.Part2.ListeningPatientname:ZhongXiaChief

complaint:itburnswhenshegoestotoilet;gototoiletquiteoftenDoctor’s

order:collectingamidstreamurinespecimen(MSU)Instructions

for

patient:1.Washherselfcompletelyfirst,washhandsthoroughlyandcleantheareaaroundtheurethrafromfronttoback.2.Catchthemiddlepartoftheurinestream.Dialogue2Task1:Mr.Wu,aretiredengineeriscomingtotheclinictoday.ListentothedialoguebetweenthenurseandMr.Wuandanswerthefollowingquestion.1.WhatiswrongwithMr.Wu?

.2.Howlonghashebeenlikethis?

.3.DoesMr.Wuhaveanyotherdiscomforts?

.Part2.ListeningHehasabadheadacheanddifficultyrememberingthingsForabouthalfayearSometimeshefeelstiredandwakeupearlyinthemorning4.Whenwashislastphysicalexamination?

.5.What’sthenurse’ssuggestionaboutphysicalexamination?

.6.HowisMr.Wu’sbloodpressure?

.7.WhatdoesMr.Wuusuallydoeveryday?

.8.What’sthenursessuggestionaboutMr.Wu’sdailylife?

.Part2.ListeningAbout3yearsagoYoushoulddoaroutinephysicalexaminationeveryyearAlittlehigh.It’sabout150/95Hestaysathomealone,usuallywatchingTVeverydayShesuggestshecandosomeoutdoorexercisesTask2:Inpairs,practiceelderlycare.StudentAactsasthenurse;StudentBactsasthepatient,aretiredteacher.Usethefollowinginformation.Swaprolesandpracticeagain.Part2.ListeningPatientinformationMr.Wang,80-year-old,hadastroke3monthsago.Hehadweaknessontherightsideofhisbody.Hehadbeenseeingthedoctorforthreeweeksforhandexercisesandlegexercise.Hecanfeedhimselfnow.DoctorSunreviewedhimtodayandwantedhimtocontinuewiththeexercise.Part3.ReadingReadingskill:InferringInferringmeansmakinginferencesabouttheauthor’sideasfromwhatiswrittenandfromwhatisnotwritten.Writersdon'talwaysexpressalltheirthoughtsdirectly,buttheygiveyouhintsorcluesthathelpyouinfer.Usingthesecluestogiveyouadeeperunderstandingofyourreadingiscalled"inferring".Whenyouinfer,yougobeyondthesurfacedetailstoseeothermeaningsthatthedetailssuggestorimply.Whenthemeaningsarenotstatedclearlyinthecontextofthetext,theymaybeimpliedorsuggested.Thismeansthatwereadershavetoworkwiththeauthortodiscoverhisrealmeaningorwhatheistryingtosay.Inferringusuallyrequiresclose,carefulreadingoftheentiretext,andusecontextualclues,commonsense,andourbackgroundknowledgeaswell.GastricCancersPart3.ReadingTask1:Readthefollowingsentencesandfigureoutwhattheauthorimplies.Arangeofconditionsthatareeitherpeculiartooraremoreprevalentintheelderlypopulationhelpsdefineageriatricnurse'sjob.

.Nursesaretrainedinthebasicsofpsychologybut,often,workingeffectivelywithresidentscomesdowntointuitionandcommonsense.

.

.Acaregiverfacingthissituationshouldrealisticallygaugehisabilitytomeetthedemandsassociatedwithcaringforelderlyparentswhoareill.

.Part3.ReadingGeriatricnursingiswithinawiderangeBesidesofpsychologicalbasics,thegeriatricnurseshouldhaveeffectiveskillsofcommunication,forcommunicationwithelderlypatientsisn’tsimple.Caringforelderlypatientsisnotaneasyjobandrequiresabigresponsibility.Task2:TextComprehension-DetailedreadingFillintheblankswiththeinformationasfoundinthetext.1.Cancersdifferinseverityandintreatmentrequirements.Differentiatingfactorsinclude:_________________,______________________,and______________________________.2.Ethnicgroupsathighestriskforgastriccancerare___________,_________,___________,____________,and___________.At______________riskareWhite,Hispanic,Chinese,andBlackpopulations.Riskis________inmenandwomen.

Part3.Readingtypeofcellaffectedhormoneinvolvement.speedofcancercellreplicationKoreansVietnameseJapaneseAlaskaNativesHawaiiansintermediatesimilar3.Riskfactorsforgastriccancerinclude_____________,_______,____________________________________________,________________,and___________________.4.Gastriccancersare________earlysymptoms.______________________iscommonasthepresentingsymptom,followedby________and_________.Latersignsandsymptomsare_______,_________,___________,__________,_________,___________________,______________,______________,and____________________.Part3.ReadinghelicobacterpyloriadenomaschronicatrophicgastritiswithintestinalmetaplasiaadenomatouspolypschronicgastriculcerswithoutVagueepigastricdiscomfortanorexiaearlysatietynauseavomitingdysphagiahematemesismelenasevereabdominalpainweightlosspalpablemasslymphnodeenlargement5.Aftergastrectomy,patientswillneedregularinjectionsof_________.Theyhavetochangetheir________,whichbeginswith_________,then_______,then_______.6.Stomachcanceroftenspreadstothe_________,_________,and________,andthecancerspecialistwillorder__________,____________,andotherteststodetermine__________________.Part3.ReadingvitaminB12liverdietliquidssoftfoodssolidspancreaslungsaCTscananultrasoundexamtheextentofspread7.Radiationtherapymaybegivenpriortosurgeryto_____________,aftersurgeryincombinationwith_____________,orduringsurgeryas____________________________.8.Inadditiontoextensionandlymphnodeinvolvement,____________,_________,_________,and________arecommonsites.Distantsitesinclude_________,________________________,and______________.Part3.ReadingshrinkthetumorintraoperativeradiationtherapychemicaltherapytheliverpancreasesophaguscolonthelungssupraclavicularlymphnodesovariesPart3.ReadingTask3:Decidewhetherthefollowingstatementsaretrue(T)orfalse(F).

1.Stomach(gastric)cancercandevelopinanypartofthestomachbutmaynotspreadthroughoutthestomachandtootherorgans.

2.Gastriccancerswerethemostcommonformsofcancerintheworldinthe1980sand1990s.Itisnowsurpassedonlybylungcancer.

3.IntheU.S.therewere22,000newcasesand14,000deathseachyear,in1999.Over70%oftheseaffectadultsovertheageof60.

4.HavinggastriculcersalonedoesnotincreasetheriskunlessaccompaniedbyH.pylori.

5.Insubjectsage60orolder,theweaklypositiveH.pyloriantibodytestshowedthelowestrisk.

6.Theoverall5-yearsurvivalrateforgastricadenocarcinomaislessthan10%.Ifearlygastriccancerisfound,5-yearsurvivalratesarereportedupto95%.FFTTFFa.thatexistsorisverycommonataparticulartimeorinaparticularplaceb.thatiseasilynoticedbythemindorthesensesc.asetofphysicalconditionsthatshowyouhaveaparticulardiseaseormedicalproblemd.thetransformationofonekindoftissueintoadifferentkinde.tomakesth.happensoonerormorequicklyf.(genetics)theprocesswherebyDNAmakesacopyofitselfbeforecelldivisiong.notdangerousorlikelytocausedeathh.asetofrulesaboutfoodandexerciseormedicaltreatmentthatyoufollowinordertostayhealthyortoimproveyourhealthi.aprolongeddisorderofeatingduetolossofappetitej.connectedwiththestomachk.theconditionoflosingflesh,muscle,strength,etc.inapartofthebodybecauseitdoesnothaveenoughbloodl.tograduallybecomeormakesth.becomeweakeruntilitdisappearsm.asmalllumpthatgrowsinsidethebody,especiallyinthenose,thatiscausedbydiseasebutisusuallyharmlessn.havingaveryharmfuleffectonsb./sth.,especiallyinawaythatisgradualandnoteasilynoticedo.tomakesth.necessaryorappropriateinaparticularsituationTask4:Matchthewordswiththeircorrectmeanings.1.replication2.prevalent3.benign4.atrophic5.metaplasia6.anorexia7.palpable8.warrant9.syndrome10.hasten11.dissipate12.regimen13.gastric14.polyp15.perniciousTask5:Fillineachoftheblankswithaproperwordorphrasefromtheboxbelow.Changetheformsifnecessary.1.Itwasn'tcancer,onlya__________tumour.2.Herlaughtersoon____________thetensionintheair.3.___________isnotanormalphysiologicprocessandmaybethefirststeptowardneoplasia.4.Anenzymethatoccursin__________juicecausesmilktocoagulate.Part3.ReadinghastenreplicationsyndromeprevalentbenignatrophicmetaplasiaanorexiawarrantdissipateregimengastricpolypperniciouspalpablebenigndissipatedMetaplasiagastric5.__________andbulimiabecomenormalinasocietythatisstrivingtobeslender.6.Youdon'thavetofixsuperhealthymealsallthetimeorfollowastrict_________ofworkouts.7.Therelationshipof_________gastritistocancerhasbeendebated.8.Biopsiesdonotimplycancer,however,removalofacolonic__________isanimportantmeansofpreventingcolo-rectalcancer.9.Thepatientshavenotfounditaproblem,apartfroma__________massintheareaofthewound.10.Theydon'treally,intheirivorytowers,understandhow_________drugcrimeis.Part3.ReadinghastenreplicationsyndromeprevalentbenignatrophicmetaplasiaanorexiawarrantdissipateregimengastricpolypperniciouspalpableAnorexiaregimenatrophicpolyppalpablepernicious11.AIDSstandsforAcquiredImmuneDeficiency____________.12.Thetreatmentshereceivedmay,infact,have__________herdeath.13.Theallegationsareseriousenoughto__________aninvestigation.14.Despitethefactthatthediseaseisso__________,treatmentisstillfarfromsatisfactory.15.Anumberofstudiesreportedthereareunusualinvertedrepeatsintheneighborhoodofthe___________originsofherpesviruses.Part3.ReadinghastenreplicationsyndromeprevalentbenignatrophicmetaplasiaanorexiawarrantdissipateregimengastricpolypperniciouspalpableSyndromehastenedwarrantprevalentreplicationTask6:FillintheblankswithpropertranslationfromChinesetoEnglishorfromEnglishtoChinese.Successfulagingcanhavemanydifferentmeanings.Freedomfromillnessanddiseaseisawishfulthought1)_______________________)asthelifespanprogressesovermanydecadesafterthefifthdecadeoflife.Theagingprocessincludes2)________________________________________________________________________(在思考、計劃、行動和評估決策結(jié)果方面的成熟).Italsomeanstheagingofthehumanbody.Someofthechangesthatoccurwithaginginclude3)_____________________________________________(某些器官和身體系統(tǒng)的功能衰退

),whichcanproduceillnessesanddiseaseprocesses.Whileagingdoesnothavetomeanexperiencingillhealth,thechangesinphysiologyassociatedwithagingareoftenassociatedwithillnessanddisease4)(_____________________).Part3.Reading遠離疾病是一種癡心妄想maturityinthinking,planning,acting,decliningfunctionofsomeorgansandbodysystems常與疾病聯(lián)系在一起andevaluatingtheoutcomesofdecisionsTask6:FillintheblankswithpropertranslationfromChinesetoEnglishorfromEnglishtoChinese.Givenpatternsofdeclinemaybeinstructureorfunction,whetherfromagingordiseaseorboth,5)_______________________________________________________(在達到一定水平之前，人們可能不會注意到這種下降)thatisbeyondtheindividual’sabilitytoadapt.Successfulagingincludes6)______________________________(成功適應(yīng)變化).Whenstress,inmanyforms,isplacedonabodysystem,theolderadultmaynothavetheprolongedabilitytoadapt,thusleadingtoaninabilityofthatbodysystemtocontinueitsnormalfunction7)(________________________________________).Whenthisoccurs,illnessoradiseaseprocessmaybegin.Onesystemofthebodythatisvulnerabletoillnessanddiseasethroughoutthelifespanisthegastrointestinal(GI)system.However,theincidenceofgastrointestinal(GI)diseaseincreaseswithage8)(_______________________________________),makingtheolderadultthemostsensitivetothebroades