Hello, everyone.
Welcome to Nursing spoken English lesson.
Today we are going to talk about
how to ask about the patients' medical history.
In order to take better care of the patients,
as a nurse,
you should collect information about the medical history
for the nursing records as soon as possible.
First, Let's watch a video about
“Inquiring Medical History”
In order to take better care of you， 为了给你提供更好的照料
I need to get some information about your health history 我需要收集一些关于你病史的信息
Would you mind if ask you some questions? 问你几个问题 应该不介意吧
No, please. 没事 问吧
Thank you. First I need to take your vital signs. 谢谢 首先我需要获取你生命体征的相关数据
It is about temperature, respirations, 包括体温 呼吸
heart rate and blood pressure. 心率和血压
Please keep the thermometer under your arm. 请把温度计放于腋窝下
OK. They are normal except a low-grade fever. 好好 还算正常 只是有点低烧
What seems to be the problem? 你怎么了 哪里不舒服
About one day ago, 这一天
I began having severe abdominal pains with diarrhea. 我一直肚子疼 还拉肚子
I haven’t been able to eat anything. I feel very weak. 也没吃啥东西 感觉很虚弱
I need to ask you a few questions about your family history. 我需要就家族史询问你几个问题
Are your parents still alive? 你父母还健在吗
No, they aren’t. 没有 都过世了
I am sorry to hear that. 真遗憾
And what caused their death? 你知道他们离世的原因吗
My father died of heart failure, 我父亲死于心衰
and my mother died in a car accident 我母亲死于车祸
What's more, have you ever been hospitalized for anything? 此外 你过去有因为什么疾病住过院吗
No, not yet. 目前还没有。
Are you allergic to any food? 你有没有对什么食物过敏
Yes, I’m allergic to seafood. 有 我对海鲜过敏
You are going to have tests, so you cannot eat anything. 待会给你化个验 最好什么都不要吃
I'll start with an intravenous injection to give you fluids soon. 待会准备输液 给你补充点水分
Besides, do you take any medicine? 此外 你吃药了吗
No. 没有
Are you allergic to any medicine? 有没有对什么药过敏
No. 没有
OK. Thank you very much. 好的 谢谢你
Wait a moment, please. 请稍等
Please feel free to ask questions. 有什么问题只管问
In this dialogue,
a nurse is inquiring a woman who feels not well.
With the help of the patients' answers,
the nurse successfully finished the nursing records.
Now, let's learn some expressions about
inquiring medical history together.
1. vital signs 生命体征
生命体征就是用来判断病人的病情轻重
和危急程度的指征
主要有心率 脉搏 血压 呼吸 疼痛
血氧 瞳孔和角膜反射的改变等等
2. thermometer n. 温度计, 体温表
for example
It is the basic skill that you are able to read a thermometer. 基本技能是要能看懂温度计
3. fever n. 发热，发烧
for example
have a fever 发烧
high fever 高烧
low-grade fever 低烧
4. abdominal adj. 腹部的
for example
abdominal bloating and pain 腹部胀疼
5. diarrhea n. 腹泻，痢疾
for example
to have diarrhea 腹泻；拉肚子
6.be allergic to 对…过敏
for example
He is allergic to penicillin. 他对青霉素过敏。
7. IV
IV means intravenous injection
静脉注射的简称
intravenous adj. 静脉注射的;
well, let's read the words and phrases together
vital signs
thermometer
fever
abdominal
diarrhea
be allergic to
intravenous
Then，Let's look at some useful expressions
about inquiring medical history.
In order to take better care of you， 为了给你提供更好的照料
I need to get some information about your health history 我需要收集一些关于你病史的信息
Would you mind if ask you some questions? 问你几个问题 应该不介意吧
No, please. 没事 问吧
1. Would you mind if I ask you some questions?
当病人来到医院就诊时
作为医护人员要做好病人的信息收集工作
我可以问你一些问题吗
Would you mind if I ask you some questions
Thank you. First I need to take your vital signs. 谢谢 首先我需要获取你生命体征的相关数据
It is about temperature, respirations, 包括体温 呼吸
heart rate and blood pressure. 心率和血压
Please keep the thermometer under your arm. 请把温度计放于腋窝下
OK. They are normal except a low-grade fever. 好好 还算正常 只是有点低烧
What seems to be the problem? 你怎么了 哪里不舒服
About one day ago, 这一天
I began having severe abdominal pains with diarrhea. 我一直肚子疼 还拉肚子
I haven’t been able to eat anything. I feel very weak. 也没吃啥东西 感觉很虚弱
2. 当护士要了解病人的症状时可以说
“What seems to be the problem?”
您怎么了 哪里不舒服
类似的表达还有
“How are you feeling？What’s bothering you?”
3.当护士要询问病人的疾病史的时候可以说
“Have you had any major health problems? ”
您过去有什么健康问题吗
还可以换种说法
“Have you ever been hospitalized for anything?”
4. 询问完病人的情况后
切记要问一下病人的过敏史
比如对什么食物或者药物过敏
遇到这种情况 我们可以说
“Are you allergic to any food?”
or“Are you allergic to any medicine?”
顺便提醒一下
在询问病人病情的时候
医护人员要注意自己的态度及语气
特别是在提到家庭病史的时候
可能涉及到自己或是亲人
情绪较低落
此时需要医护人员耐心解答 热情帮助
从而最大程度缓解病人的压力
下面总结一下今天学习的有关询问病史的常用表达
1.Would you mind if I ask you some questions?
2.What seems to be the problem?
3.Have you had any major health problems?
4.Are you allergic to any food/medicine?
OK, that's all for today,
see you next time.