Unit 2 Admission and Discharge.

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1 Unit Admission and Discharge

2 How much do you know about admission and discharge?

3 Admission 1 Firstly, the admission procedures
include emergency admission and pre-arranged admission.

4 Admission Secondly, the admission procedures include : 2
filling in an admission card, introducing environment and regulations of ward, gathering the patient’s information and so on.

5 Admission Thirdly, obey admission regulations which 3
include visiting hours, smoking policy, mealtime, services available, etc.

6 Discharge Generally speaking, discharge is the last program for an in-patient in hospitals. It is significant for a nurse to make a discharge plan and do client teaching for a patient who is about to be discharged.

7 When do you need inpatient services and when do you need outpatient services?

8 Outpatient services When I ‘m feeling ill or sick, I will go to the 1
hospital to have a regular check-up in the outpatient department. 1

9 Inpatient service When I’m seriously ill and the doctor tells 2
me to stay in hospital for further diagnosis or treatment, I will follow his advice. 2

10 Admission and Discharge
Passage Admission and Discharge

11 To understand hospital procedures is very important when a patient is admitted to a hospital.
To ignore this would be a mistake.（主语） Her wish was to become an artist.（表语） I want to see my teachers during the holidays.（宾语） That will be the only thing to do now.（定语）

12 To understand hospital procedures is very important when a patient is admitted to a hospital.
We worked hard to improve our working skills.（状语） The nurse told the patient to do more exercises in order to get well soon.（补足语） 不定式做主语时，常常用形式主语it来代替它，而把不定式放到句子后部，如： It is very expensive to stay in the hospital for a long time.

13 When the admitting office tells the nurses that a patient is coming, they should prepare the room.
admit v. 容许, 承认, 接纳 admit of 容许有 admit of no delay 刻不容缓 admit to 承认, 让...进入 admittable adj. 具有进入资格的 admittance n. 入场权, 准入 admitted adj. 被承认的

14 The patient is never sent up to his room alone, because he might get lost or fall or be injured.
send up v. 发出, 射出, 长出, 使上升 send up a kite 放风筝 send up the river [美俚]关进监狱 get lost 迷路 When I get lost in the street, I’ll ask the police for help.

15 When the patient arrives, the nurses should greet him politely, make him feel at home, and if the patient is very sick, help him undress and get into the bed. undress v. (使)脱衣服, 使卸去装饰 undressable adj. (玩具娃娃)可脱去衣服的 undressed adj. 穿着便服的, 裸体的 He took ages getting undressed and climbing into the sleeping bag. 他花了很长时间脱衣服并钻进睡袋。

16 As soon as the patient is admitted, the nurses should give him a physical examination.
physical check-up 健康检查, 身体检查 physical education 体育 physical hygiene 生理卫生 physical quality 身体素质 physical therapy 物理治疗法(=physiotherapy) 理疗

17 This is done because the hospital must have a complete record of the patient’s condition.
complete adj. 全部的, 完全的 a complete meal 完整的一顿饭 vt. 完成, 使完善 A second child would complete their family. 第二个孩子使他们的家更加完美了

18 From the time the patient enters the hospital, he and his family usually look forward to the day he is discharged. discharge v. / n. 正式（准许某人）离开（尤指让住院的病人出院或让服役的人退 伍等）；（气体、液体、烟等的）排放 discharge from 释放, 解雇, 使免除 The patient was discharged from the hospital. 病人被允许出院。 nasal discharge 鼻腔分泌物

19 However, a patient is rarely completely well at the time he leaves the hospital, and he must still have a period of recovery. recovery n. 恢复, 痊愈, 防御 recovery room 恢复室 recovery vehicle 救援车 He is beyond recovery. 他已全无康复希望。 recover v. 恢复健康，重新获得 recover from 恢复知觉, 恢复 After a few days of fever, he began to recover. 几天高烧之后，他开始康复了。

20 Obviously, on the day he is discharged the patient is both excited and worried and the way his discharge is handled can affect the course of his recovery. handle vt. 处理（某事）；应付（某人）；拿，触摸，操纵 n. 把手；柄 She couldn’t handle the pressure of her new job. 她无法应付新工作带来的压力。 handle with gloves 温和地对待 handle without gloves 强硬地对待 get/have a handle on 开始理解

21 For example, if the patient is upset or angry, he may fail to keep an appointments with the doctor.
fail to do sth. 未能完成某事 He failed to pass the examination because he didn’t work hard. keep an appointment 守约 have an appointment 有约 break an appointment 违约，失约

22 If he is too rushed and excited, he may forget instructions about his medication. Either mistake could have side effects on his health. have effect on 对...有影响 side effect (药物等的)副作用 side face (面部的)侧面 side issue 与正题无关的问题, 枝节问题 side product 副产品 side show 余兴表演, 穿插表演

23 Of course, not all patients go back to their own homes
Of course, not all patients go back to their own homes. Some patients will go to homes of relatives or to institutions better able to meet their needs. meet one’s need 满足……的需要 = meet the demand 满足需要, 符合要求 The nurse tried her hard to meet the patients’ needs to make them feel at home. 护士努力满足病人的需要，使他们感觉自在。

24 No matter what the situation may be, however, the nurses should plan ahead for the patient’s discharge and, when he leaves, treat him as he would be a departing guest. depart vi. 离开，起程，上路 The train for London will depart from Platform 5. 开往伦敦的火车将从第五站台发车。 depart from 背离, 从...出发 Her method departs radically from normal educational practices. 她的教育方法与通常的做法大相径庭。

25 What is the difference between emergency admission and pre-arranged admission?

26 The admission procedure varies with the condition of the patient in hospital. Many people go into hospital as a result of accidents. They are often seriously ill and in need of immediate care and attention. These are called emergency admissions. Comparably, many people go into hospital due to diseases, which are not acute. These are called pre-arranged admissions.

27 How to deal with the ward after the patient is discharged?

28 Firstly, clean the ward:
Remove all disposable materials and personal items such as a toothbrush, etc. Strip the bed, deposit the linen in a laundry hamper and sent it to central supply to be sterilized. Remove all that are not disposable equipment from bedside stand such as

29 sputum cup, bedpan, and take them to the utility room to be sterilized.
(d) Put the blankets, mattresses, backrests and pillows in the sunlight for about six hours. (e) Air the ward. Secondly, make an empty bed to receive a new patient.

30 Task Answer the following questions.
Why shouldn’t the patient be sent up to his room alone? Because the patient might get lost or fall or be injured. 2. Why should the patient be given a physical examination as soon as he is admitted to the hospital? Because the hospital must have a complete record of the patient’s condition.

31 Task 3. What do the patient and his family look forward to from the time he enters the hospital? They look forward to the day when the patient is discharged. 4. Why do we say the way of the patient’s discharge can affect the course of his recovery? Because any mistake during the discharge could have side effects on the patient’s recovery.

32 Task 5. What should the nurses do when the patient leaves the hospital? The nurses should plan ahead for the patient’s discharge and treat him as he would be a departing guest.

33 Task Match the words with their explanation.
1.medication allow sb. to leave the hospital 2.institution without the help or company of others or other things 3.alone seldom 4.discharge the organization for social welfare 5.rarely a process of treating medically

34 Task 6.recovery manage; deal with 7.handle remove the clothes of
8. instructions the regular, especially legal and political, order of doing things 9.undress directions; orders 10. procedure a process of getting better after an illness, injury, etc.

35 Task Fill in the blanks with the words given below. undress handle
rarely recovery instructions

36 Task Fill in the blanks with the words given below.
I ______ eat in the restaurant because it will cost me a lot of money. She made a quick ________ from the cold. Please wash your hands carefully before you ________ my books. You must read the ___________ to the medicine before you take it. Because the patient is seriously ill, the nurse has to help him ________ and get into the bed. rarely recovery handle instructions undress

37 Task Translate the sentences into English.
如果没有护士的陪同，病人在医院里可能回迷路.(get lost) The patient might get lost in the hospital if he is not accompanied by the nurse. 2. 在就任新的工作岗位之前要进行体检. (physical examination) A physical examination is needed before you take a new post.

38 Task Translate the sentences into English.
3. 出院以后别忘了遵守和医生的约定。(keep an appointment) Don’t forget to keep an appointment with the doctor after your discharge. 4. 这种药对你的健康不会有副作用。(side effect) This medicine will not have side effects on your health.

39 Task Translate the sentences into English.
5. 不管他怎样努力劝说，也没能使她改变主意。(no matter) No matter how hard he tried, he couldn’t get her to change her mind.

40 Unit I Unit Thank You!