Unit 11 Nursing care of the dying patient

How do they feel now?

What kind of things can make them so sad?

Have you ever seen someone dying by yourself?

What’s your opinion about death? Are you afraid of it?

What should you do and say to a dying patient as a nurse?

The changes of the psychology of the dying patient:

First, he will deny the fact. Next he will be very angry. And then he will have some requirements for the society. Later, he will become depressed. And at last he is ready to die.否认期 -- 愤怒期 -- 协议期 -- 抑郁期 -- 接受期

What should a nurse do according to these changes?

What nurses need to know in caring for the dying?

Passage

What nurses need to know in caring for the dying?

Nurses are often able to aid the dying person in working through the stages of grief, to accept

death and to die with dignity.

work through 干完工作 I will ask for a holiday after working through the

case.

What nurses need to know in caring for the dying?Nurses are often able to aid the dying person in

working through the stages of grief, to accept death and to die with dignity.

dignity n. 尊严，体面 We can’t give in because it is concerning

the dignity of our country. What do you think is to die with dignity? beneath one’s dignity 有失身份 stand on one’s dignity 要求礼遇

They should let the patient talk about feelings and understand that it is normal, and even

healthy to grieve.

grieve v. （使）悲痛，忧伤 People need time to grieve after the death of a

loved one. grief n. 悲痛，忧伤 Let’s try to relieve her grief by talking with her.

They should remember that there are many anticipated losses to be mourned: unfulfilled future

plans and dreams, roles that were enjoyed, beloved family and friends, the beauty of this earth, former

physical attractiveness, abilities and health, a sense of a meaningful life, and the hope of continuation of

life on earth.

anticipate v. 预期，预料It is anticipated that next year interest rates will rise.

人们预计明年的利率会上调。

They should remember that there are many anticipated losses to be mourned: unfulfilled future

plans and dreams, roles that were enjoyed, beloved family and friends, the beauty of this earth, former

physical attractiveness, abilities and health, a sense of a meaningful life, and the hope of continuation of

life on earth.

beloved adj. 心爱的，喜爱的He is always talking about his beloved computer.

They should remember that there are many anticipated losses to be mourned: unfulfilled future

plans and dreams, roles that were enjoyed, beloved family and friends, the beauty of this earth, former

physical attractiveness, abilities and health, a sense of a meaningful life, and the hope of continuation of

life on earth.

continuation n. 继续 The continuation of the meeting made him tired. continue v. 继续 I continued to read the book after washing the

clothes.

Nurses should offer frequent, regular opportunities for the patient to talk out these feelings.

offer vt. 提供，主动提出 He offered me the dictionary when I needed.

Some patients may not wish to talk about their death. If so, their wishes should be respected

but the nurse should continue to gently provide occasional openers from time to time in case

they change their mind.

from time to time 有时 , 时不时The teacher came to the dormitory to talk with the

students from time to time.

Some patients may not wish to talk about their death. If so, their wishes should be respected

but the nurse should continue to gently provide occasional openers from time to time in case

they change their mind.

in case 以防万一Take the coat with you in case it turn cold.

注意： in case 后的从句谓语动词用 (should)+ 动词原形。这是虚拟语气的一种。

Some patients feel that they must present to be strong for their loved ones and not burden them

with their suffering.

burden n./ v. 负担 , 承担 He could not carry the burden alone. I don’t want to burden you with the housework.

They fear dragging the loved ones down if they allow them to see the extent of their own despair.

drag down 把… . 往下拖，使衰弱 The hard work dragged him down. drag in 把…扯进谈话 / 争论中 Why drag me in? I don’t know anything about it. dragged out 使…持续过长 Get ready for the operation. He cannot be dragged

out.

They fear dragging the loved ones down if they allow them to see the extent of their own despair.

extent n. 程度，限度 To a certain extent it was my fault that we

lost the opportunity.

我们失去这次机会在某种程度上是我的错。

Nurses and other helpers can provide crucial opportunities for the patient to ventilate feelings, using therapeutic communication techniques.

crucial adj. very important 至关重要的 This is a very crucial stage for his experiment.

Nurses and other helpers can provide crucial opportunities for the patient to ventilate feelings, using therapeutic communication techniques.

ventilate vt. 使…通风 , 使…宣泄 Open the window to ventilate the room. ventilation n. 通风 The big problem of the tunnel is ventilation.

Nurses and other helpers can provide crucial opportunities for the patient to ventilate feelings, using therapeutic communication techniques.

therapeutic adj. 治疗的；起治疗作用的 therapeutic exercises/ diets 治疗性的体操 / 膳食

If the patient agrees, health workers should encourage visitors and other social contacts to reduce the patient’s loneliness and isolation.

isolation n. 隔绝，孤立，隔离 The isolation of the infected patients is very

important. isolate v. 使隔离，使孤立 He was isolated by his classmates because of

his rude manner. isolated adj. isolated room 隔离房

List the things a nurse should do in caring for a dying patient by filling in the blanks.

1. Aid the dying person ___________________________________________________________________.

2. Let the patient_____________________________________________ and ______________________.

in working through the stages of grief, to accept death and to die with dignity

talk about feelings, understand

that it is normal even healthy to grieve

Task

List the things a nurse should do in caring for a dying patient by filling in the blanks.

3. Remember that __________________________ _____________________.

4. Offer _________________________________ ______________________________.

there are many anticipated

losses to be mourned

frequent, regular opportunities for the patient to talk out these feelings

Task

List the things a nurse should do in caring for a dying patient by filling in the blanks.

5. Provide ________________________________________________________________.

6. Encourage ________________________________________________________________________.

occasional openers from time to time

in case the patient change his mind

visitors and other social contactsto reduce the patient’s loneliness and isolation

Task

Fill in blanks with the words given below. Change the form if necessary.

1. Being a nurse, we should __________ the patient’s decision.

2. I didn't ____________ having to do the cooking myself!

3. He is ____________ with heavy grocery bags.

4. Health diet is _____________ by doctors.

respect

anticipate

burdened

encouraged

Task

Fill in blanks with the words given below. Change the form if necessary.

5. It __________ me to think of all the money we’ve spent on that ungrateful boy.

6. Everyone has the right to live with ___________.

7. All these were _________ her _________.

8. Keep the window closed ___________ it rains.

grieves

dignity

dragging down

in case

Task

Translate the following sentences into Chinese.

1. They should let the patient talk about their feelings and understand that it is normal, and even healthy to grieve.

2. Nurses should offer frequent, regular opportunities for the patient to talk out these feelings.

他们应该让病人谈谈自己的感受，并使其知道这么做对极度悲伤的人来说是很正常的，甚至对健康是有益的。

护士应该经常、定期地为病人提供机会来谈谈他的这些感受。

Task

Translate the following sentences into Chinese.

3. Some patients feel that they must present to be strong for their loved ones and not burden them with their suffering.

4. If the patient agrees, health workers should encourage visitors and other social contacts to reduce loneliness and isolation.

有些病人觉得自己必须在所爱的人面前表现得坚强，不能用 痛苦来增加他们的负担。

如果病人同意，医疗保健人员应该鼓励探访和其他社会接触，以减轻病人的孤独和隔绝感。

Task

Unit I

Unit

Thank You!