心灵照顾bio.ppt

Some questions a physician can ask to understand the patient’s family and social situation:　　 医生可以问一些问题来了解病人的家庭和社会环境。 What kind of work do you do? 你是做什么类型的工作的? How is this illness affecting your usual lifestyle? Is there anything you need help doing that you usually do not need help with? 这种疾病影响你平常生活方式的程度如何?你有什么需要帮忙做的事而通常不需要帮助的? Who lives at home with you? Who could help you if you were too ill to care for yourself? 谁和你在家住？如果你太过虚弱不能照顾你自己谁能帮助你? How far away do you live from the hospital/clinic? 你住的地方离医院或诊所多远？ Understanding the Situation了解情况 Understanding the Situation了解情况 A 2 year old boy is diagnosed with strep throat. The infection is mild. There is a choice of an antibiotic that is taken twice a day or an antibiotic that is taken four times a day. The child goes to daycare all day and the mother says it will be difficult to give the medication frequently. Because the physician understands the situation, he prescribes the antibiotic that is only needed twice a day. 　 一个2岁男孩被诊断患有链球菌性喉炎。感染是轻度的。可以选择一种抗生素是一天服两次的，或另一种抗生素是一天服四次的。这个孩子去的是全日制托儿所,妈妈说频繁给药会有困难。因为医生了解这种情况,开了一天只需要两次的抗生素。 Understanding the Situation了解情况 A man with diabetes is seen for a foot ulcer. The physician knows his daughter who is a nurse and shows her how to bandage the ulcer and how to watch for infection. 一个糖尿病病人来看足部溃疡。医生知道他的女儿是一个护士,告诉她如何包扎溃疡和如何预防感染。 Understanding the Situation了解情况 Another man with diabetes is seen for a foot ulcer. His wife is in the hospital with cancer and his children are very busy caring for her, working, and caring for their own child who is studying for exams. There is no one to help him change the bandages. The physician arranges for him to come to clinic three days a week for a nurse to change his bandages and check for infection. 另一名男子有糖尿病足部溃疡。他的妻子正在住院治疗癌症，孩子们都忙著照顾她妻子、工作、照顾自己准备考试的孩子。没有人帮他换绷带。医生安排他一个星期来诊所3天,让护士给他换绷带并检查是否有感染。 Understanding the Situation了解情况 A 30 year old woman sees her family physician after breaking her arm. She says she fell down the stair