英语护理查房
脑出血英语护理查房
Nursing rounds of cerebral hemorrhageXu guiying：Department of NeurologyCerebral hemorrhageRefers to the primary substance of non-traumatic brain hemorrhage，which accounts for 20% to 30% in acute cerebrovascular diseasecerebral vascular disease.脑出血是指原发性脑实质出血占全部脑卒中的20%~30%Etiological factor（1）Hypertension with atherosclerosis (most common)。
（2）Intracranial aneurysms (mainly congenital aneurysm)。
（3）Cerebral arteriovenous malformations（4）Other: moyamoya disease, blood disease.病因（1）高血压并发细小动脉硬化（最常见）。
（2）颅内动脉瘤（主要是先天性动脉瘤）。
（3）脑动静脉畸形（4）其他：脑动脉炎，脑底异常血管网症、血液病。
PathogenesisBasis of disease: hypertension and cerebrovascular diseaseAdditional factors:force and emotional changes发病机制基础疾病：高血压，脑血管疾病其他因素：用力，情绪改变Clinical manifestations1.it Often occurs in the hypertensive patients who are over 50 years old2.Prodromal symptoms often do not have a feeling, a small number of dizziness, headache, numbness and slurred speech, and many more in the emotional stress, excitement, bowel movements, hard, and when the incidence of severe climate change.2.临床表现1。
医学英语专科查房培训计划
医学英语专科查房培训计划1. IntroductionThe medical specialty ward round is an essential component of clinical practice, providing an opportunity for clinicians to review patient progress, discuss management plans, and make crucial decisions regarding patient care. For medical specialty residents and trainees, participation in ward rounds is critical for developing clinical skills, enhancing medical knowledge, and mastering the art of patient care. Therefore, a structured and comprehensive training program is essential to ensure that residents are proficient in conducting and participating in medical specialty ward rounds.2. Goals and ObjectivesThe primary goal of the medical specialty ward round training program is to prepare residents to perform effectively and efficiently in a clinical setting, providing high-quality patient care and driving positive patient outcomes. The specific objectives of the program include:- Understanding the purpose and structure of medical specialty ward rounds- Developing effective communication skills for presenting and discussing patient cases- Mastering the art of clinical reasoning and problem-solving during ward rounds- Learning to collaborate with multidisciplinary teams and specialists to optimize patient care- Enhancing knowledge of evidence-based medicine and clinical guidelines for the management of medical specialty patients3. CurriculumThe ward round training program will encompass a range of educational activities designed to equip residents with the necessary skills and knowledge for successful participation in medical specialty ward rounds. The curriculum will include the following components:3.1. Didactic SessionsInteractive lectures and seminars will cover topics such as the purpose and structure of ward rounds, effective communication strategies, clinical reasoning and decision-making, and evidence-based management of medical specialty patients. These sessions will provide residents with essential theoretical knowledge and frameworks for understanding the principles and strategies of ward rounds.3.2. Case-Based LearningResidents will engage in case-based discussions, where they will have the opportunity to present patient cases, discuss management plans, and receive feedback from faculty members and peers. This approach will allow residents to apply their knowledge and skills in real-life scenarios, fostering critical thinking and problem-solving abilities.3.3. Simulation ExercisesSimulated ward rounds will be conducted to replicate the dynamics and challenges of a clinical setting. Residents will practice conducting ward rounds, presenting cases, and engaging in team discussions in a controlled environment. This hands-on experience will help build confidence and competence in managing complex medical specialty patients.3.4. Multidisciplinary CollaborationResidents will be encouraged to collaborate with specialists from other disciplines, such as nursing, pharmacy, and allied health professionals, to gain a holistic understanding of patient care. Interprofessional rounds will be conducted to facilitate communication and teamwork, emphasizing the importance of coordinated care for medical specialty patients.3.5. Personalized Feedback and MentoringFaculty members will provide individualized feedback and mentoring to residents, offering constructive guidance on their performance during ward rounds. This personalized approach will help residents identify areas for improvement and develop targeted strategies for enhancing their skills.4. Assessment and EvaluationA comprehensive assessment and evaluation process will be implemented to monitor residents' progress and proficiency in conducting and participating in medical specialty ward rounds. Assessment methods will include:- Objective Structured Clinical Examinations (OSCEs) to simulate ward round scenarios and evaluate residents' performance- Direct observation of residents' participation in actual ward rounds, with feedback from faculty members- Written assessments to evaluate residents' knowledge of medical specialty patient management and evidence-based practices- Peer evaluations to gather insights into residents' teamwork and communication skills during ward roundsThe evaluation process will be ongoing, allowing for continuous feedback and support to ensure that residents are meeting the program's learning objectives.5. Program Implementation and DeliveryThe medical specialty ward round training program will be integrated into the existing residency curriculum, utilizing a combination of face-to-face sessions, online resources, and hands-on experiences in clinical settings. The program will be delivered by a team of experienced faculty members with expertise in medical specialty patient care, clinical education, and communication skills training.Residents will be expected to actively participate in all components of the training program, demonstrating their commitment to developing the necessary skills and knowledge for medical specialty ward rounds. Regular attendance, active engagement, and reflective practice will be encouraged to maximize learning outcomes.6. Program Evaluation and Quality ImprovementA continuous quality improvement approach will be adopted to monitor the effectiveness of the ward round training program and make necessary adjustments to ensure its success. Residents' feedback, faculty input, and programmatic assessments will be used to identify areas for improvement and innovation. The program will undergo periodic review and refinement to align with best practices and evolving standards in medical specialty patient care.7. ConclusionThe medical specialty ward round training program aims to prepare residents to excel in conducting and participating in ward rounds, ultimately enhancing the quality of patient care and optimizing clinical outcomes for medical specialty patients. By fostering strong clinical and communication skills, promoting interprofessional collaboration, and emphasizing evidence-based practices, the program will empower residents to become skilled and compassionate medical specialty clinicians. Through ongoing assessment, feedback, and continuous improvement, the program will strive to meet the evolving needs and challenges of medical specialty patient care, ensuring that residents are well-equipped to succeed in their clinical practice.Overall, the medical specialty ward round training program will serve as a cornerstone of the residency curriculum, providing a solid foundation for residents' professional development and their ability to provide high-quality, patient-centered care in the medical specialty setting.。
护士培训课件：护理查房Nursingrounds(一)
护士培训课件：护理查房Nursingrounds(一)护士培训课件：护理查房Nursingrounds随着医疗技术的不断发展和医疗体制的改革，护理人员扮演着越来越重要的角色。
而护理查房作为病人每天的重要环节之一，是评估病情、指导治疗、观察护理效果和沟通交流的重要途径。
因此，护士培训课件中的护理查房已经成为现代护理教育中不可或缺的一部分。
护理查房是护理工作中的核心环节。
护理查房不仅仅包括对患者的身体状况的观察，还包括了对社交、心理以及健康教育等方面的关注。
因此，护理人员需要通过专业的培训，学会如何开展护理查房的流程和方法。
针对护理查房的培训，护士培训课件“护理查房Nursingrounds”应运而生。
该课件基于新型医学教育理念，将学生的自主学习、交互式学习和移动学习三者有机地融合起来，使得课件的效果变得更加突出和实用。
护理查房Nursingrounds主要分为以下几个方面：护理查房概述、护理查房目的、护理查房方法及护理查房流程。
其中，护理查房概述包括了护理查房的基本知识，介绍了护理人员在每天检查病人时，需要重点关注的要素。
护理查房目的则主要介绍了护理查房的目标和意义，如病情评估、疗效判断、护理记录等内容，强调护理查房的重要性。
护理查房方法是护理查房教育最重要的部分，这些方法包括了对患者体征数据的分析、对患者资料的记录、护理措施的制定以及医护人员间协同的沟通与互助。
通过对护理查房方法的学习，护理人员可以领悟到性别、年龄、病情、心理及福利等方面的特点，并有效地评估患者的身体健康状况。
最后，护理查房流程展示了护理人员每天如何开展护理查房的完整流程。
通过对护理查房流程的学习，护理人员可以更好地掌握护理查房的方法和步骤，并且深入了解到不同的护理方法对患者的身体健康状况会产生怎样的影响。
护理查房Nursingrounds的课程内容丰富，方法全面，可以帮助护理人员更好地掌握护理查房的技能和方法。
通过学习，护理人员可以更好地了解病情，更好地解决患者的痛苦，并为患者的康复做出积极的贡献。
英文护理查房
Lumbar disc herniation in nursing roundsPatient data：Patients with Zheng Baorong, female, 54 years old, a chief complaint of low back pain 8 years, increase with double lower limbs pain numbness and weakness in 2 monthsThe patient is now history：The patient said in 8 years ago five apparent inducement appear gradually lower back pain, lower limb swelling and discomfort, fatigue after the increase of rest after remission, and occasional pain, line of symptomatic treatment, symptoms can be relieved, then still recurring symptoms. 2 months ago the exacerbation of symptoms and gradually appeared in both the lateral lower leg and foot pain, posterolateral, lower extremity weakness, pain like stabbing, burning, was continuing, especially with the double foot is heavy, night is obvious, the intense pain affect sleep, oral pain because of poor efficacy, and double the dorsum of the foot, foot numbness, consciously plantar " on the cotton ". The patients for further treatment to the hospital, outpatient investigation to " lumbar disc herniation " for the diagnosis of wards. In the course of the disease in patients without obvious fever, night sweats, fatigue symptoms, right foot fracture after long time bed double lower limb muscle atrophy, and decreased body weight of about 10kg, poor sleep, diet, two times can be.Characteristics of disease：Lumbar disc herniation is refers to the degeneration of intervertebral disc, fibrous ring rupture, the nuclear organization salient stimuli and compression of the nerve root and cause a syndrome. Traditional Chinese medicine books without lumbar intervertebral disc protrusion in the name of. Lumbar disc corresponds to an amphiarthrosis, is covered by hyaline cartilage plates, annulus fibrosus and nucleus pulposus composition, distribution in the lumbar spine bone room. Lumbar intervertebral disc degenerative changes or trauma induced by fibrous ring rupture, nucleus pulposus prolapse from rupture, compression lumbar nerve, and leg radioactivity pain, so the medical profession that lumbar disc herniation is a " low back and leg pain, rheumatism " category. Here's Bian Tingting to introduce the symptoms of lumbar, lumbar disc herniation patients the most common symptoms are pain, low back pain, sciatica performance, typical sciatica is at the back of the thigh, hip, leg lateral to the heel or foot back pain radiation. According to clinical statistics, about 95% of the lumbar disc herniation patients have varying degrees of pain, 80% patients with lower extremity pain. Especially low back pain, lumbar disc herniation not only is the most common symptom, is also one of the earliest symptoms. The pain occurs mainly due to the prominent, degeneration of nucleus pulposus on adjacent tissues ( mainly for sinus vertebral nerve and spinal nerve root stimulation and oppression, and at the same time ) in the nucleus pulposus in glycoprotein and other biological material overflows, the release of histamine and other local chemical inflammation, induced by chemical and mechanical nerve rootcaused by inflammation, cause or light or heavy chronic pain of waist and leg. And the lumbar degeneration also often occurring simultaneously in the waist of the other organizations, such as the lumbar facet joints, ligaments, muscles of waist, causing the local tissue of chronic inflammation, cause pain. Two factor interaction, mutual aggravation, the back and leg pain for sexual development. Protrusion of the lumbar intervertebral disc herniated nucleus pulposus in front of posterior longitudinal ligament called " outstanding ", through the posterior longitudinal ligament into the spinal canal, known as the " prolapse ". According to the nucleus pulposus rearward protrusion part is divided into 3 type:1 after the outer lateral protrusion: fibrous ring of the weakest part of the rear in the intervertebral disc in the midline, this itself is weak, and lack of the posterior longitudinal ligament of the powerful central fiber support, therefore, is the waist intervertebral disc prominent the most common site of. Clinically most common, accounting for about 80%.2 central protrusion: refers to the nucleus pulposus through the annulus posterior central projection, reach the posterior longitudinal ligament under. In addition to cause sciatic nerve symptoms, but also can stimulate or compression of the cauda equina, manifested as perineal paralysis and the size of obstacles.3 prominent within the intervertebral foramen and far lateral: refers to the nucleus pulposus through the rear of the fiber ring back and posterior longitudinal ligament into the spinal canal, into the intervertebral foramen, easily missed, but fortunately, its incidence is low, only about 1%. The following from Wu Junhua to tell you about the etiology.Nursing diagnosis and measure ofPain from a herniated nucleus pulposus pressure edema of nerve root compression and spasm.( 1) the rest: patients in the acute phase of absolute horizontal rigid bed rest, three weeks after illness allows ambulation.( 2): the patient supine posture, head elevation of 30 degrees, knees, the popliteal fossa on a soft pillow.( 3) and pelvic traction( 4): according to the prescribed application drug analgesia analgesics ornon-steroidal drugs.( 5 ): psychological nursing can relieve distractions such as listen to music and chat.Constipation with cauda equina compression and prolonged bed rest on( 1) bowel training: training the patient bed defecation, guide patients to use the potty.( 2) diet and drinking water: to give the patient is rich in fiber digestible diet, encourage patientsMore water to reduce fecal dry.( 3) drugs: severe constipation, according to medicineWill give enema or laxatives.( 4) to create a suitable environment: defecation as mentionedFor the secret of environment and enough time to wait.Somatic dyskinesia and intervertebral disc herniation, traction and operation about( 1) relieve muscle spasm: for pain caused by restricted activities give the pain measures, while the local hot compress to relieve muscle spasm.( 2) position: pelvic traction supine position, postoperative patients for pillow lying on a hard bed, turning over once every 2 hours.( 3) low back muscle exercise1) five point support method2) three point support method3) four point support method4) head of upper limbs and the back back5) lower limbs and waist back6) the whole body backwardThe potential complications of cerebrospinal fluid leakage, urinary retention or infection( 1) for monitoring vital signs: in addition to detection of basic life signs observed sensory and motor.( 2) position: according to the condition and operation of different types of anthropometric, generally slightly raised bed.( 3) strengthen the incision and drainage nursing: Observation of incision and drainage tube is smooth, colour and quantity of liquid, such as abnormal timely report to a doctor.( 4): urinary tract nursing recording intake and output volume, assist the urination and so.( 5 ): strengthening the prevention of infectionVital signs monitoring; cutThe observation and nursing.。
英语查房教学(病例实战)
个人史
Personal History：
Has never been to epidemic area, deny 生于原籍，长期居住新 history of poison 疆，到过全国各地 touching. 否认疫区居住史，否认 化学毒物及放射性物质 Has history of smoking for many years, he has 接触史。有吸烟史数十 already quit smoking. 年，已戒烟，偶尔饮酒， Drinking occasionally. 无明确规律。 已婚，配偶子女均体健 His wife is healthy. The two daughters are also 大学文化程度 healthy. Bachelor degree.
家族史
Family History
父母双亡， 死因不详 家族中无类 似疾病患者 否认家族遗 传病病史
It has not been found similar disease in his family. Deny history of family heritage disease. Hon has not been clear.
Present Health History
2005年6月 动态心电图显示频发 多型室性早搏和阵发 性室速 给予口服胺腆酮治疗 超声心动图提示左室 流出道压力阶差高, ΔPG＝113mmHg
Continuous ECG revels premature ventricular contractions and paroxysmal ventricular tachycardia on June 2006. Oral Amiodarone was given him to control them. Echocardiography shows left ventricle hypertrophy, left ventricle outflow was narrow. ΔPG is 113mmHg.
产房护理业务查房范文
产房护理业务查房范文（中英文实用版）英文文档：Labor Ward Nursing Business Round ExampleLabor ward nursing is a critical aspect of healthcare services, ensuring the safety and well-being of both mothers and infants during childbirth.To maintain high-quality care, regular nursing rounds are conducted to assess and monitor the patients, address any concerns, and ensure adherence to best practices.The objectives of labor ward nursing business rounds include:1.Assessing the physical and emotional status of laboring mothers and their fetuses.2.Monitoring progress of labor, including dilation, fetal heart rate, and contractions.3.Providing emotional support and education to patients and their families.4.Ensuring a safe and comfortable environment for labor and delivery.5.Collaborating with the healthcare team to provide appropriate interventions and care.During the rounds, the nursing team reviews the patient"s medical history, performs a physical examination, and assesses the fetal heart rate.They also discuss any concerns or questions the patient may have,provide updates on the progress of labor, and offer encouragement and reassurance.To ensure the best possible outcomes, labor ward nurses utilize evidence-based practices and guidelines, including:1.Monitoring the mother"s vital signs, including blood pressure, heart rate, and temperature.2.Monitoring the fetal heart rate and rhythm.3.Assessing the mother"s fundus height and cervical dilation.4.Providing pain management options, such as analgesics or epidurals, as needed.5.Encouraging breastfeeding and skin-to-skin contact immediately after delivery.In conclusion, labor ward nursing business rounds are essential for providing comprehensive and high-quality care to laboring mothers and their infants.Through regular assessments, emotional support, and adherence to evidence-based practices, labor ward nurses play a crucial role in ensuring the safety and well-being of their patients.中文文档：产房护理业务查房范例产房护理是医疗服务的重要组成部分，它确保了分娩期间母亲和婴儿的安全和健康。
尿毒症英文护理查房
Related to excessive intake and dehydration( 脱水) 脱水 shortage.
Related to the high phosphorus and PTH ,it lead to the Renal bone disease.
Psychological care（心理护理） care（心理护理）
Acute left heart failure（急性左心衰） （
严格限制水钠入量，透析间体重增长 小于5%干体重。 Strictly limit the amount of water ，the growth of the weight is less than 5% of dry weight.
Present illness
患者现呈灰暗面貌，自透析以来，尿量逐渐减少， 患者现呈灰暗面貌，自透析以来，尿量逐渐减少，至今年 10月份无尿。患者收缩压波动在 月份无尿。 月份无尿 患者收缩压波动在140-190mmg，舒张压在 ， 70-100mmg，双下肢凹陷性浮肿明显，伴瘙痒。透析过程 ，双下肢凹陷性浮肿明显，伴瘙痒。 中常出现恶心呕吐，肌肉痉挛，曾急发左心衰。 中常出现恶心呕吐，肌肉痉挛，曾急发左心衰。现口服降压药 压氏达，抗贫血药力蜚能，纠酸药小苏打，每周一次Epiao。 压氏达，抗贫血药力蜚能，纠酸药小苏打，每周一次 。 家庭经济状况不好。 家庭经济状况不好。 The patient has a gloomy outlook.Since the dialysis,the urine is on the decline,untill October this year the urine is zero.The SBP of the patient ranges from 140 to 190mmHg,the DBP of the patient ranges from 70 to 100mmHg.The edema of the legs is obvious,along with the pruritus（瘙 （ 痒）.The nausea and vomiting happens vomiting frequently,the left heart failure happened twice.
【英语护理查房】
Nurses should summarize their nursing practices in English and consistently improve their nursing practice ability This helps them to better meet the needs of patients
Nurses coordinate with other healthcare professionals to ensure that the plan is implemented effectively and that all team members understand their role in its execution
Nurses can learn from the summary of nursing practices, and improve their ability to deal with complex clinical situations This also helps to enhance the quality of patient care
The theme of ward rounds should be determined according to the needs of the ward, so as focusing on the treatment and care of specific issues, or focusing on the evaluation and improvement of specific nursing procedures
教你用英语查房
查房准备早晨8点30分，开始查房。今天，我们和呼吸内科的医生一起查房。1107号病房患者是史密斯先生，65岁，昨天下午入院。查房小组由7人组成，包括呼吸内科的主治医生、专科住院医生、住院医生和3名医学生。先由昨天受治患者并完成病历的住院医生报告病情。史密斯先生表现为咽痛、咳嗽多痰、气促，发烧已有5天，在当地一家小医院住院时静脉用丁胺卡那针剂治疗无效，以肺炎转入我院治疗。患者家属将病历及胸透片、化验单等资料交给了一位住院医生，并被遣忘在值班室。一个医学生迅速地到护理站将记录拿了过来。检查提示，昨晚患者的心率和呼吸频率均显著增快。住院医生迅速复查了这名患者，先是肺部听诊，然后检查患者咽喉部。体格检查完毕后，他注意到患者右肺底有湿罗音，咽喉部有脓性分泌物。未提供昨天患者的胸片、血细胞和血气分析的结果。漏查血气分析。然后，主诊医生迅速地检查了一下患者，注意到患者双侧肺底有湿罗音，血压90／60毫米汞柱（mmHg），心率120次／分，呼吸20次／分。他迅速开出血气分析和胸透片的检查医嘱。我们一边等待结果，一边让护士查一下血氧饱和度，结果血氧饱和度（SaO2）仅为86%。患者被迅速转移到重症监护室。
英语查房 交接班
Good morning,everyone, June 10, 2009 pass over report.Let us begin!
The totle number of the patients in our ward is 56.three patients were discharged yesterday,and no patient was shifted out.Two new patients were admitted,and 1 patient was shifted in.
血气分析报告提示pH为7.50，二氧化碳分压（PC O2 ）为30毫米汞柱，氧分压（P O2 ）为46毫米汞柱。转入重症监护室1小时后，患者接受气管插管、机械通气。
护理教学查房流程英文版及顺序
护理教学查房流程英文版及顺序As a nurse, conducting regular nursing rounds is an essential part of providing quality patient care and ensuring that all patients' needs are met. The nursing rounds process involves several steps to be followed in a systematic orderto ensure that all aspects of patient care are thoroughly reviewed and addressed.The first step in the nursing rounds process is to gather all necessary information about the patients assigned to you. This includes reviewing their medical history, current diagnosis, treatment plan, and any specific care requirements. It is important to be well-prepared before starting the rounds.The next step is to introduce yourself to the patientsand their families. Building a rapport with the patients is essential for gaining their trust and cooperation during therounds. It is also an opportunity to address any immediate concerns or questions they may have.During the rounds, it is important to assess thepatient's vital signs, pain levels, and overall condition. This includes checking their blood pressure, pulse, temperature, and oxygen saturation. Any changes or abnormalities should be noted and addressed accordingly.The nursing rounds also involve a thorough examination of the patient's physical and emotional well-being. This includes assessing their level of comfort, mobility, and any signs of distress or anxiety. It is important to address any issues related to the patient's psychological and emotional state.In addition to the patient's condition, the nursing rounds also involve reviewing and updating the patient's care plan. This includes evaluating the effectiveness of thecurrent treatment and making any necessary adjustments, such as medication changes or additional interventions.Finally, it is important to communicate with the rest of the healthcare team, including physicians, therapists, and other nurses, regarding the patient's progress and any changes to their care plan. Collaboration and effective communication are essential for providing comprehensive care to the patients.In conclusion, conducting nursing rounds is a crucial component of providing high-quality patient care. By following a systematic and comprehensive process, nurses can ensure that all aspects of the patient's well-being are addressed and that they receive the best possible care.。
《AT护理查房》PPT课件
询问病史
询问患者的病史、用药史、过 敏史等信息，以便更好地了解 病情。
制定护理计划
根据评估结果，制定相应的护 理计划，并告知患者及家属。
查房技巧和注意事项
注意沟通技巧
在查房过程中，注意与患者及 家属的沟通技巧，避免造成不
必要的误解和冲突。
关注患者感受
关注患者的感受和需求，尽可 能满足他们的要求，以提高患 者的满意度。
它涉及对患者的病情状况、自身认知情况进行了解，并针对患者情况制定个性化的 护理计划和措施。
AT护理查房旨在提高护士的专业技能和综合素质，提升护理服务质量，促进患者康 复。
AT护理查房的重要性
1 2 3
提高护士的专业技能和综合素质
通过AT护理查房，护士可以了解和学习到更多的 专业知识和技能，提高自身的综合素质。
注意保护患者隐私
在查房过程中，注意保护患者 的隐私，避免泄露个人信息和 病情。
注意自身安全
在查房过程中，注意自身的安 全，避免因操作不当等原因造
成意外伤害。
03
案例分享与讨论
案例选择与准备
01
02
03
案例选择
选择具有代表性、常见或 具有挑战性的病例，以便 于学习者从中获取经验和 知识。
资料收集
收集病例的相关资料，包 括病史、检查结果、治疗 方案等，整理成完整的案 例资料。
《AT护理查房》PPT课件
汇报人： 2024-01-08
目录
• 引言 • AT护理查房基础知识 • 案例分享与讨论 • 实践操作与模拟演练 • 课程总结与展望
01
引言
什么是AT护理查房
AT护理查房是一种以患者为中心的护理活动，通过对患者病情的评估、分析和讨论 ，提高护理质量，促进护理专业发展。
医学英语查房护理课件
familiarize learners with more complex presence structures, such as passive voice, attributive clauses, adverbial clauses, etc., used to convey medical information accurately and professionally
Master the basic knowledge and skills of obstetrics and gynecology disease care, including prenatal care, postpartum care, and gynecological disease care.
• Medical management: Train nursing staff to understand the correct use and storage of medicines, as well as the potential side effects and interactions
Familiarize yourself with the patient's condition, including their symptoms, diagnosis, and treatment plan
Communication during rounds
Effective communication
Familiar with the nursing points of common gynecological diseases, such as gestational hypertension, postpartum depression, Master the standardized process for observing,
医学英语查房(详细)参考
2020/3/27
Missing 病史不全
• Visiting Surgeon: Have you noticed his light color of his stool?
• Intern: Uh, I’m sorry I haven’t.
2020/3/27
Mistakes 检查不规
• Director: Dr Li, is there any rales that you
heard in this patient?
• Intern: I heard no rales in this patient. • Director: Please listen to it again. Can you
• Resident: This will keep the gastric contents from entering the duodenum and the production of secretin, which, in turn, would increase the liberation of pancreatic enzymes, thus adding to the insult.
hear fine moist rale?
• Intern: Yes, I got it.
• Director: Why didn’t you hear it? • Intern: (No response) • Director: You only paid attention to the front
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护理查房2014.9.417床，，男，岁，因“”于月日入院。
目前诊断：。
现予1级护理，饮食，保肝护胃，利尿抗感染等治疗。
患者血常规结果显示：。
目前患者精神疲倦，面色晦暗，巩膜黄染。
上腹部轻压痛，腹部稍膨隆，双下肢轻度水肿，轻微活动后即感气促。
尿少，推注“呋塞米”之后尿量可至1200ml/天，大便正常。
主要护理问题：1、疼痛2、体液过多：与肝功能减退、门静脉高压引起水钠潴留有关Too much body fluids: hypohepatia caused water sodium retention, portal hypertension 3、营养失调低于机体需要量：与肝功能减退、门静脉高压引起食欲减退、消化和吸收障碍有关。
Malnutrition less than body requirements: the liver function and portal hypertension caused disorder characterized by loss of appetite, digestion and absorption.4、活动无耐力：与肝功能减退、大量腹水有关Decrease of active tolerance : related to liver function impairment, a large amount of ascites5、有皮肤完整性受损的危险：与营养不良、水肿、皮肤干燥、瘙痒及长期卧床有关。
A risk of impaired skin integrity: with malnutrition, edema, skin is dry, itching, and stay in bed for about for a long time.6、有体液不足的危险：与腹泻和长期使用利尿剂有关Danger of lack of body fluids: associated with diarrhea and long-term use of diuretics7、焦虑：与对疾病知识的缺乏，长期住院担心预后有关Anxiety: the disease and the lack of knowledge, long-term hospitalization worry about prognosis8、潜在并发症：上消化道出血、感染、肝性脑病、低钾血症Potential complications: upper gastrointestinal bleeding, infection, hepatic encephalopathy, hypokalemia护理措施：一、疼痛1.观察并记录病人疼痛的部位、性质、程度，发作时间、频率，持续时间，以及相关疾病的其他临床表现，及时报告医生，采取疼痛的措施。
2. 非药物性止痛：a、松弛疗法：具体有呼吸松弛法、戒律按摩法。
b、分散注意力止痛：如听音乐、看电视、与亲人聊天等，吸引病人注意力的内容都能拿来止痛。
3、药物性止痛：按医嘱使用止痛药，并观察药物的副作用。
1. To observe and record the position, nature, degree of pain patients, onset time, frequency, duration, and related other clinical manifestations of the disease, promptly report to the doctor, take measures of pain.2. Non drug analgesia: a, relaxation therapy: concrete is breathing relaxation method, discipline massage method. B, distracting the pain, such as listening to music, watching TV, chatting with relatives and so on, drawing the attention of the patient content can be used to the pain.Drug acetanilide:3, the orders using painkillers, and observe the side effects of drugs.二、体液过多1、嘱病人多卧床休息取半卧位，抬高下肢，以减轻水肿2、避免腹内压剧增：避免剧烈咳嗽，打喷嚏、用力排便等。
3、限制钠水摄入：无盐或低盐饮食，进水量控制在1000ml/d。
4、病情观察：监测病人的生病体征，测量病人的腹围和体重，准确记录出入量。
1, ask client to stay in bed for half supine position, raise the lower extremities and to alleviate the edema2, avoid intra-abdominal pressure surge: avoid rough cough, sneeze, forcibly defecate, etc.3, limit sodium intake of water: no salt or low salt diet, into the water control in 1000 ml/d. 4, illness observation: monitoring the patient's illness symptoms, measure the patient's 6 and the weight, accurate recording volume.三、营养失调1、饮食护理：给予高热量、高蛋白质、高维生素、易消化饮食，严禁烟酒。
限制钠水摄入，食用含钠低的食物，例如粮谷类、瓜茄类、水果等，避免食用咸肉、酱菜、酱油等。
2、遵医嘱给予静脉补充营养3、对病人的营养状况进行监测1, diet nursing care: give high quantity of heat, high protein, high vitamin, easy to digest food, alcohol and tobacco are prohibited. Limiting sodium intake water, edible contains thefood with low sodium, such as food grains, melon, tomato, fruit, etc, avoid eating bacon, pickles, soy sauce, etc.2, given intravenous nutrition in accordance with the doctor's advice3, to monitor the patient's nutritional status四、活动无耐力1、嘱病人多卧床休息，保持充足睡眠和休息。
2、协助病人的日常基本生活。
3、与病人制定活动计划，逐渐提高活动耐力4、确保患者能随手触到呼叫器，床两边拉起床栏防跌倒。
1, ask client to bed rest more, maintain enough sleep and rest.2, assist the patient's daily basic life.3, with the patient activities planning, and gradually increase activity endurance4, to ensure that patients with hand touching the pager, on both sides of the bed to pull up bar fall prevention.五、有皮肤完整性受损的危险1、嘱病人多卧床休息，保持充足睡眠和休息。
2、协助病人的日常基本生活。
3、与病人制定活动计划，逐渐提高活动耐力4、确保患者能随手触到呼叫器，床两边拉起床栏防跌倒。
1, ask client to bed rest more, maintain enough sleep and rest.2, assist the patient's daily basic life.3, with the patient activities planning, and gradually increase activity endurance4, to ensure that patients with hand touching the pager, on both sides of the bed to pull up bar fall prevention.六、有体液不足的危险1.遵医嘱静脉补液。
2.遵医嘱补充电解质，并监测血清钾、钠、氯等指标及生命体征的变化。
3.准确记录24h出入液量。
4.观察皮肤的弹性、粘膜的湿度及末梢循环。
1. The prescribed intravenous rehydration.2. Prescribed electrolytes, and monitoring indices such as serum potassium, sodium, chloride, and the change of vital signs.3. Accurately record 24 h fluid volume.4. Observe the elasticity of the skin, mucous membrane humidity and peripheral circulation.七、焦虑1、加强与病人沟通，在精神上给予真诚的安慰和支持。
2、向病人介绍疾病的相关知识，介绍治疗有效的病例，增加治疗信心。
3、指导家属在情感上关心和支持病人，减轻病人的心理压力。
1, strengthen the communication with the patient, in spirit to give sincere comfort and support.2, to introduce the patient disease related knowledge, introduces the effective treatment of cases, increase the confidence.3, guide families care for and support the patient on emotion, relieve the patient's psychological pressure.八、健康教育1、疾病知识指导：帮助病人和家属掌握本病的有关知识和自我护理的方法。