Health Education for Pain Patients 疼痛患者的健康教育
[Glossary]
continuous 持续的
intermittent 间断的
analgesic 止疼剂
tumor 肿瘤
indomethacin 吲哚美辛
suppository 栓剂
aspirin 阿司匹林
moderate 中等的
tramadol 曲马多
morphine 吗啡
dizziness 眩晕
constipation 便秘
[Scenario]
护士：您好！我是您的责任护士春梅。
N：Hi！I'm your primary nurse Chunmei.
患者：你好！
P：Hi！
护士：请问您现在有哪里不舒服吗？
N：How are you feeling today？
患者：我肚子痛。
P：I have an abdominal pain.
护士：是哪个部位痛啊？您用手指给我看看，好吗？
N：Where exactly is the pain？Would you please point it out with your finger？
患者：这里。
P：Here.
护士：您痛了多长时间啦？
N：How long have you been like this？
患者：2个月了。
P：2 months.
护士：痛是持续的还是间歇的呢？
N：Is the pain continuous or intermittent？
患者：持续的，我一直在吃这个药（泰勒宁）。
P：It's continuous，and I have been taking this medicine（tylox）.
护士：这是我们评估疼痛的痛尺，从1到10分，您觉得您现在的疼痛有几分？
N：This is the scale we use for pain assessment，from 1 to 10，what score do you think the pain is？(https://www.daowen.com)
患者：2分，我半小时前刚吃了止痛药，现在好点了。
P：2，I just took an analgesic half an hour ago，now I feel better.
护士：吃这个药能控制您的疼痛吗？
N：Can this medicine control your pain？
患者：以前可以的，最近吃这个药之后2小时就会再次疼痛。
P：It could，but now the pain comes back 2 hours after taking this medicine.
护士：现在这个药不能很好地控制您的疼痛，得换种止痛药了。对于肿瘤引起的慢性疼痛，一般我们会选择三阶梯止痛。
N：As this medicine can no longer control you pain well，we suggest you to change.For the chronic pain caused by tumor，we usually choose the three-step ladder cancer pain management.
患者：什么是三阶梯止痛？
P：What is three-step ladder cancer pain management？
护士：根据疼痛的程度分别选择不同阶梯的止痛药物。轻度疼痛选择非阿片类药物，如吲哚美辛栓，阿司匹林等。中度疼痛选择弱阿片类药物，如曲马多，泰勒宁等。重度疼痛选择强阿片类药物，如吗啡，芬太尼贴剂等。现在可能吗啡类的止痛药才能更好地控制您的疼痛了。
N：According to the degree of the pain，we choose different analgesic drugs for different intensity.Nonopioid drugs are used for mild pain，such as indomethacin suppositories，aspirin and others.Mild opioid drugs are used for moderate pain，such as tramadol，tylox and others.Strong opioid drugs are used for severe pain，such as morphine，fentanyl patches and others.You may now have to choose morphine-based painkillers to control your pain.
患者：吗啡类的止痛药吃了会成瘾吗？有什么副作用吗？
P：Are morphine-based painkillers addictive？Are there any side effects？
护士：不会成瘾。吃了吗啡类的止痛药可能会出现头晕、恶心、呕吐、便秘等不良反应，但不是每个人都会有症状。
N：There won't be addiction.They do have some side effects such as dizziness，nausea，vomiting and constipation.However，the severity varies among the patients.
患者：好的，我知道了！谢谢你！
P：OK，I got it.Thank you very much！
护士：不客气！我会将您的情况告诉医生。
N：You're welcome！I will tell your doctor about your situation.
患者：谢谢你。
P：Thank you.
护士：不用谢。
N：My pleasure.
[Phrases]
abdominal pain 腹痛
pain assessment 疼痛评估
chronic pain 慢性疼痛
three-step ladder 三阶梯
pain management 疼痛管理
mild pain 轻度疼痛
non-opioid drug 非阿片类药物
mild opioid drug 弱阿片类药物
strong opioid drug 强阿片类药物
severe pain 重度疼痛
fentanyl patch 芬太尼贴剂