傷口護理，護理英語帶你一探究竟

下個周就是最後一周了，今年春季又結束啦

看看這學期的分享，好像比以往少了很多

好懷念以前沒娃的生活

所以雖然期末了

咱們還是一起來好好學習

最近看了兩本，關於如何做好青年教師的書，受益匪淺（領導是不是應該給我加個雞腿）

因為本身並非科班教育專業出身，有的時候面對學生的上課時候的表現，

不知道應該怎麼處理才比較恰當，困惑、迷茫、衝動。

讀完後，最大的收益就是，不管學生怎樣，首先應該尊重他們，因為每一個學生都是一個獨立的個體。

未來的教學路上，還會遇到性格各異的學生，希望自己能夠無愧教師這個職業

今天要說的主題當然不是這個

回到護理上來

wound care

傷口護理

這是一個很大的主題

也是最近比較熱的一個專科護理方向

如果想要了解清楚這一個領域

基礎知識是必備的

1

Introduction

The skin isthe largest organ of the body, making up 16% of body weight.

It has several vital functions, which include; immune function, temperature regulation, sensation and vitamin production.

Skin is a dynamic organ ina constant state of change;cells of the outer layers continuously shed（脫落）and are replaced by inner cells moving to the surface.

皮膚是人體最大的器官，占體重的16%。

它有幾個重要的功能，包括:免疫功能，溫度調節，感覺和維生素的產生。

皮膚是一個不斷變化的動態器官;外層細胞不斷脫落,取而代之的是內層細胞遷移到表面

2

structure

皮膚的結構，我想小夥伴們都很清楚，包括三層：表皮、真皮和皮下組織

英文具體怎麼表述，跟著楊老師，讀三遍：

Epidermis/,ep?"d??m?s/

Dermis/"d??m?s/

Hypodermis/subcutaneous layer /s?bkju?"te?n??s/

Epidermis: Is the outer layer of the skin.

comprised of epithelial cells

avascular

0.04mm thick

regenerated every 2-4weeks, subject to an individual"s age and friction forces applied to the skin

receives nutrients from the dermis below

comprised of 4 to 5 layers depending on the body location

表皮:是皮膚的外層。

上皮細胞組成的

無血管的

0.04毫米厚

每2-4周再生一次，取決於個體的年齡和對皮膚的摩擦力

從下面的真皮吸收營養

由4到5層組成，取決於身體的位置

Dermis: Is the middle layer of the skin and is approximately 0.5mm thick subject to anatomical site

made up of two layers

is very vascular

contains nerves, connective tissue, collagen, elastin and specialized cells such as fibroblasts and mast cells

responsible for inflammatory reactions which occur in response to trauma and infection

receptors for heat, cold, pain, pressure, itch and tickle

真皮:是皮膚的中間層，大約0.5mm厚，屬於解剖部位。

由兩層組成

有血管

含有神經、結締組織、膠原蛋白、彈性蛋白和成纖維細胞和肥大細胞等特殊細胞

負責在創傷和感染反應中發生炎症反應

有熱、冷、痛、壓、癢感受器

Hypodermis: Is the inner most layer of the skin and is referred to as the subcutaneous layer

supports the dermis and epidermis

varies in thickness and depth

comprised of adipose tissue, connective tissue and blood vessels

the function is to store lipids, protect underlying organs, provide insulation and regulate temperature

皮下組織:是皮膚最裡面的一層，被稱為皮下層

支持真皮和表皮。

厚度和深度不同

由脂肪組織、結締組織和血管組成。

它的功能是儲存脂肪，保護下器官，提供絕緣和調節溫度

Skin Appendages/?"pendid?iz/:

Includes Sweat glands, hair, nails and sebaceous glands which are all considered epidermal appendages.

皮膚附屬物:包括汗腺、毛髮、指甲和皮脂腺，都被認為是表皮附屬物。

3

how

to care

具體怎麼做，一起來看看clinical nurse specialist Sophie 的做法

Sophie: Hi

Ali: Hi. Sophie. Thanks for coming up to the ward. it"s about Mr Jones in bed five.

Would you mind giving me some advice on his wound

care management?

Sophie: Yeah, sure. Can you fill me in on his past history first?

Fill in 填寫,填充,臨時代替

fill someone in 告訴某人,讓他了解一些狀況

Ali: Um, right. Mr Jones is a 68-year-old smoker with a long history of PVD（玻璃體後脫離）.

He developed a venous ulcer on his right ankle after he tripped on some stairs at the back of his house. That was, er, about six months ago

His local doctor had a look at it and asked the

District Nurses to come and dress the wound

at home. Um,they"ve been dressing the wound

three times a week.

At that stage it was hoped

that he could avoid coming into hospital. He

lives with his wife who needs quite a lot of help

as she has chronic asthma. It puts quite a lot of

strain on her if he has to be hospitalised

Sophie: Right, that"s difficult, isn"t it?

Obviously the ulcer didn"t improve at home, so

what happened next?

Ali: Um. Two weeks ago he was admitted

to this ward to have an assessment of

his circulation and to monitor his wound

management. Hehad a Doppler test done

er, last week whichindicated poor blood

circulationin his lower legs. Um, he"s also been

spiking temperatures(體溫飆升) and the surrounding skin

of the wound has become quite reddened. We

sent a wound swab off, and we just got the

results yesterday. Of course, he "s growing a few

bugs（蟲子） so he"s started on some IV antibiotics.

we"re unsure of the best wound management

for him. What would you recommend that we

change to?

Sophie: Hm, let me have a look at the wound

and well see what the best option is.

護理英語，每天進步一點點

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