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医学
I was invited to present a lecture to a class of graduate nurses who were studying the " Psychosocial Aspects of Aging. " I star
I was invited to present a lecture to a class of graduate nurses who were studying the " Psychosocial Aspects of Aging. " I star
admin
2013-10-31
43
问题
I was invited to present a lecture to a class of graduate nurses who were studying the " Psychosocial Aspects of Aging. " I started my lecture with the following case presentation: The patient is a white female who appears her reported age. She neither speaks nor comprehends the spoken word. Sometimes she babbles incoherently for hours on end. She is disoriented about person, place, and time. She does, however, seem to recognize her own name. I have worked with her for the past 6 months, but she still does not recognize me.
She shows complete disregard for her physical appearance and makes no effort whatsoever to assist in her own care, she must be fed, bathed, and clothed by others. Because she is edentulous, her food must be pureed, and because she is incontinent of both urine and stool, she must be changed and bathed often. Her shirt is generally soiled from almost incessant drooling. She does not walk. Her sleep pattern is erratic. Often she awakens in the middle of the night, and her screaming awakens others.
Most of the time she is friendly and happy. However, several times a day she gets quite agitated without apparent cause. Then she screams loudly until someone comes to comfort her.
After the case presentation, I asked the nurses how they would feel about taking care of a patient such as the one described. They used words such as " frustrated," " hopeless, " " depressed, " and "annoyed" to describe how they would feel.
When I stated that I enjoyed taking care of her and that I thought they would too, the class looked at me in disbelief. I then passed around a picture of the patient; my 6-month-old daughter.
After the laughter had subsided, I asked why it was so much more difficult to care for a 90-year-old than a 6-month-old with identical symptoms. We all agreed that it is physically easier to take care of a helpless baby weighing 15 pounds than a helpless adult weighing 100, but the answer seemed to go deeper than that.
The infant, we all agreed, represents new life, hope, and almost infinite potential. The demented senior citizen, on the other hand, represents the end of life, with little potential for growth.
We need to change our perspective. The aged patient is just as lovable as the child. Those who are ending their lives in the helplessness of old age deserve the same care and attention as those who are beginning their lives in the helplessness of infancy.
The author passed around a picture of her daughter______.
选项
A、to learn how to enjoy taking care of a baby
B、to learn how to be a good parent
C、to discuss infantile symptoms
D、to further the topic
答案
D
解析
这是作者进行讲座的一种策略。先让大家感觉这理所应当是一位老人,之后拿出照片让大家感到出乎意料。作者这样做主要是为了继续自己的话题,即通过对比大家的反应揭示出人们认为照料老人比照料婴儿要痛苦得多。
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本试题收录于:
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