護患情境會話

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·英語學習·

護患情境會話

老年性癡呆的護理

Nursing Care for a Patient with Senile Dementia

交流

病人：吃的，但是不多，我老伴和我一天大約吃八兩左右蔬菜吧。我年紀大了，牙齒不好。

護士：您家燒飯用的是什么鍋子？

病人：我家原來用的都是鋁鍋。后來聽說鋁鍋燒飯對身體不好，我家就將炒菜鍋換成鐵鍋了，但是電飯煲還是鋁的。是不是用鋁鍋不好？

護士：有研究發現，吃的食物中含鋁太多，會導致老年性癡呆。

病人：真的嗎？那我要叫我兒子給換個電飯煲了。

護士：劉老伯，為了延緩您的病情加重，您平時要多活動。一天只在院子里走一圈是不夠的。大公園離您家比較近，您可以打打太極拳，散散步，一天活動的時間增加到2 h左右，但要注意安全。還有要多動腦子，可以幫您的夫人記記日常開支的帳，也可搓麻將，時間大約1 h左右。還有您的牙齒不好，可將蔬菜和水果切得小一點再吃。

病人：謝謝您，那我還有其他需要注意的事嗎？

護士：您平時可多吃些魚，少吃淀粉。幫您夫人干點家務活，這對您的病也是有好處的。

病人：我平時喜歡吃咸魚，可不可以經常吃？

護士：您最好少吃咸的食物。您抽煙嗎？

病人：有時候要抽的，但沒有癮。

護士：那好，您就戒煙吧

病人：好的，謝謝。

Interactions

Patient:Yes，I do but not too much.My wife and I eat about half a pound of vegetables every day.I am old and my teeth are not very good.

Nurse:What kind of cookware do you use?

Patient:Originally we use aluminum cookware.Lately，we changed to iron pans because we have heard that aluminum cookware is not good for health.But the electric rice cooker is still made of aluminum.Is it bad to use aluminum cookwares?

Nurse:Some researches have found that taking excessive aluminum can cause Alzheimer’s disease.

Patient:Really? I need to tell my son to change an electric rice cooker for me.

Nurse:Mr.Liu，in order to delay your disease process，you should exercise more.It is not enough just to take a little walk.Since you live near a large park，you could take a walk there or take up shadowboxing to increase your total activity to 2 hours a day.Make sure you pay attention to safety.Try to exercise your brain also.Do some simple calculations such as helping your wife record daily spending，or play mahjong for about one hour. Since your teeth are not very good，you should cut the vegetables and fruits into smaller pieces before eating them.

Patient: Thank you.Is there anything else I should pay attention to?

Nurse:You can eat more fish，less starchy foods，and helping your wife with household chores is good for you too.

Patient:I like to eat salty fish.Can I eat them often?

Nurse:You should try to avoid salty food.Do you smoke?

Patient:Yes，sometimes.But I am not addicted to smoking.

Nurse:That is good. You should quit smoking all together.

Patient: OK，Thanks.

點評

預防老年性癡呆和延緩其加重應做到“五多”即：多用腦、多干事、多運動、多交往和娛樂、多吃魚和口香糖?！拔迳佟奔瓷偈充X、少食脂肪、少食鹽、少怒、少酒禁煙。

Comments

The measures of prevention and alleviation of Alzheimer’s disease consist of “5 more” and “5 less”. The “5 more” are:more thinking，more doing，more exercises，more social communication and enjoyment，and eating more fish and chewing more gums.The “5 less” are:less aluminum，less fat，less salt intake，less anger，and less smoking and drinking.

(汪小華)