【文章內容簡介】
d to have anemia. Iron is also among the list of medication for this patient group. Some are going to have hysterectomy.Unit Three寫作園地1)寫作輔導在本課中,我們學習寫作第三條規(guī)則:不要將主要思想放在從屬地位。在寫作過程中,決定哪個思想是主要的,哪個是從屬的,完全取決于你所要強調的側面。例如,同樣的內容我們可以寫成下面兩句話:While he was still at college, his father died.When his father died, he was still at college.第一句突出了“他父親去世”這個事實;第二句卻強調了“他父親去世時他還在上大學”這一事實。另外,我們在確定哪個思想較為重要時應注意符合常理。例如:I happened to glance at the ground, noticing a watch at my foot.上句顯然違反了常理。因為,相比之下,“發(fā)現(xiàn)手表”一事更為重要。 因此,改寫為下句較為妥當:Happening to glance at the ground。 I noticed a watch at my foot.2)WritingBed 18, Stewed Sign, 88, admitted for head injury after a serious fall, unconscious for 72 hours. Potential problems: risk of dehydration, risk of weight loss and risk of pressure ulcer.Write a report of the case and give your nursing care goals to each problem. (within 130 words)Answer:The patient Stewed Sign is on Bed 18. He is 88. The patient was admitted due to head injury after a serious fall. He has been unconscious for 72 hours. According to the nursing assessment, the patient has several potential nursing problems including risk of dehydration, risk of weight loss and risk of pressure ulcer. In order to prevent dehydration the patient should maintain regular fluid intake. A normal frequency of bowel movement and urine elimination should be maintained as well. In order to prevent the problem of weight loss, the patient should have body weight monitored and all efforts should be made to maintain the weight at the same level on admission. In order to prevent the problem of pressure ulcers, the patient should always keep clean skin and untangled hair. Unit Four寫作園地1)寫作輔導本課要跟大家談談第三個寫作技巧:避免寫“小學生寫作”式的句子。這個技巧與前幾節(jié)課講的技巧有聯(lián)系,我們可以結合起來一起學習。所謂“小學生寫作式”(Primer Style)的句子,指的是一連串結構相似,呆板而短小的簡單句。這樣的句子使所有的動作或思想呈現(xiàn)出同等的重要性,因而給人以一種單調而幼稚的感覺。 請看下例:Franz Mesmer was a physician. He was from Germany. He invented hypnotism. Hypnotism was invented in the eighteenth century.以上四句話都采用最常應用的“主語+謂語”的結構,句子呆板而短小,是典型的“小學生寫作式”句子。我們嘗試改寫成;Franz Mesmer was a physician from Germany. He invented hypnotism in the eighteenth century. 或:Franz Mesmer was a physician from Germany, who invented hypnotism in the eighteenth century. 或:Franz Mesmer, a physician from Germany, invented hypnotism in the eighteenth century.這樣寫,4句變成了2句或1句,不僅簡練,主要思想與次要思想也層次分明了。2)Writing Here is a case of head injury. Write a new patient report based on the information below. (within 130 words)Bon Jones, male, 10, sent by the ambulanceAdmission reason: fall off from bike, head injured, unconscious for 3 minutesRecords before hospitalization: get confused and vomit after injury, loss memory of how to get help from ambulance, headache allover on the ambulance Examination: full movement in both eyes, 6cm ragged laceration below the hairline, no other injury be foundDiagnosis: head laceration, 20 minutes of PTANursing assessment: active, not clear but alert, no apparent problems besides injuryAnswer:The patient Bon Jones is 10 years old. He was sent to the hospital by the ambulance. The boy fell off from bike and had his head injured. He was unconscious for 3 minutes. According to the records on the ambulance, the boy was confused and vomited after the injury. He could not remember how he got on to the ambulance. The body plained of a overall headache when he was on the ambulance. The physical examination in the hospital shows full movement in both of his eyes. There is a 6 ragged laceration below his hairline but no other injury is found. His medical diagnosis is head laceration with a 20minutesof PTA. According to the nursing assessment, the boy is active now. He is not quite clear but is alert. No other problems apparent are found. Unit Five寫作園地1)寫作輔導 要寫效果好的句子,除了采用前幾課介紹的技巧外,我們還可以采用加強句子語氣的規(guī)則:主要思想放在句末。英語在其長期的發(fā)展過程中,形成了一種相對固定的語序,因此,英語句子的意義重心也相對固定。這就是所謂的“句末重心(end focus)”。效果好的句子往往把重要思想放到句末才出現(xiàn),這種句子體現(xiàn)了英文的這種特點。如果句中先出現(xiàn)較重要的思想,然后再出現(xiàn)次要的思想,這樣的句子就顯得松散,不太符合英文的行文特點。請比較下面兩句:His doctor insisted that he should take a good rest after he suffered such an ordeal.His doctor insisted that he, after suffering such an ordeal, should take a good rest.顯然第二句要比第一句效果好,因為句中重要的思想直到句末才出現(xiàn),體現(xiàn)了英文的行文特點。而第一句,盡管句式沒有錯,但重點似乎放在了并不那么重要的細節(jié)上,這與本句所要表達的意思不相吻合。2)Writing Read the nursing document below and write a case summary of about 130 words:Bed 13Bernard HangerMedial diagnosis: Cerebrovascular accident with rightsided hemiplegiaProblems:Goals:Nursing intervention:Overweight: 95 kg (15 kg overweight)Lose weight 3 kg per monthLimit daily diet within 1000 caloriesExpressive aphasiaSpeaking intelligiblyEncourage to read aloud。Teach lip and tongue exercisesAnswer:The patient on bed 13 is Bernard Hanger. He was admitted to the hospital for the diagnosis of cerebrovascula