護患情境會話

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·英語學習·

護患情境會話

老年人嗆噎危險的指導

Counseling an Elderly about Choking Hazards

交流

護士：楊婆婆，不要緊張，剛剛您發生了點意外。我們搶救您的時候，按壓了您的胸部，所以您現在胸部會疼痛。

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

護士：哦，老年人吃糯米食物的時候要注意一點，最好不要吃。

病人：可我就喜歡吃糯米食物的，像團子、糕點等。

護士：既然您喜歡吃，那就要將團子做得小一點，或將糕切得小一點，吃的速度一定要慢，一口一口地吃。

病人：我知道了。團子做得小一點，糕切得小一點，吃的速度慢一點，是嗎？

護士：是的。同時，吃飯之前把身體位置調整好，人坐直或略向前俯，盡量不要躺著吃。

病人：對了，今天我吃的時候是靠在藤椅上的。

護士：剛剛發生意外的時候，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。

護士：沒什么其他不舒服嗎？

病人：沒有。

護士：那好。您下次吃糯米食物的時候注意一下就行了。

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.

點評

對老年人進行健康宣教時，不要輕易改變他們的嗜好，尊重他們原有的生活方式，在此基礎上作適當的調整。噎食的防治要點是：糯米食物做小一點，然后一小口一小口吃，吃的速度放慢一點，注意進食時的體位。

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)