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Disease, Diagnosis, Treatment and Prevention
Disease may be defined as the abnormal state in which part or all of the body is not properly adjusted or is not capable of carrying on1 all its required functions. There are marked variations in the extent of the disease and in its effect on the person.
In order to treat a disease, the doctor obviously must first determine the nature of the illness —that is, make a diagnosis2. A diagnosis is the conclusion drawn from a number of facts put together. The doctor must know the symptoms, which are the changes in body function felt by the patient; and the signs (also called objective symptoms) which the doctor himself can observe. Sometimes a characteristic group of signs (or symptoms) accompanied a given disease. Such a group is called a syndrome. Frequently certain laboratory tests are performed and the results evaluated3 by the physician in making his diagnosis.
Although nurses do not diagnose, they play an extremely valuable role in this process by observing closely for signs, encouraging the patient to talk about himself and his symptoms, and then reporting this information to the doctor. Once the patient’s disorder is known, the doctor prescribes a course of treatment, also referred to as therapy4. Many measures in this course of treatment are carried out by the nurse under the physician’s orders.
In recent years physicians, nurses and other health workers have taken on increasing responsibilities in prevention5. Throughout most of medical history, the physician’s aim has been to cure a patient of an existing disease6. However, the modern concept of prevention seeks to stop disease before it actually happens — to keep people well through the promotion of health. A vast number of organizations exist for this purpose, ranging from the World Health Organization (WHO) on an international level down to local private and community health programs7. A rapidly growing responsibility of the nursing profession is educating individual patients toward the maintenance of total health — physical and mental.
詞匯:
marked /mɑ?kt/ adj.顯著的
syndrome /'s?ndr??m/ n.綜合征,癥候群
symptom /'s?m(p)t?m/ n.癥候,癥狀
therapy /'θer?p?/n. 療法,治療
sign /sa?n/n. 病體;體征
注釋:
1. carry sth. on:繼續(xù);進行;維持下去
2. make a diagnosis:做出診斷
3. ...the results evaluated…:此句中在evaluated之前省略了與前面are performed相同的助動詞are。
4.also referred to as therapy:也被稱為療法(過去分詞短語作a course of treatment的定語)refer to...:談及,提及
refer to sth. /sb. as...:把……稱為……
例如:Don’t refer to the matter again.不要再提這件事了。
We refer to such a science as physiology.我們把這樣一門科學(xué)稱為生理學(xué)。
Don’t refer to your brother as a silly cow.不要把你兄弟說成是頭笨牛。
5.have taken on increasing responsibilities in prevention:在預(yù)防方面承擔(dān)越來越多的責(zé)任take sth. on:承擔(dān),接受
You have taken on too much.你承擔(dān)的工作太多了。
6. to cure a patient of an existing disease:治療病人的現(xiàn)有疾病cure sb. of...:給某人治療(或治愈)某病
例如:This medicine should cure you of your cold.此藥準(zhǔn)能治好你的感冒。
7. ranging from... health programs:從國際這一級的世界衛(wèi)生組織一直到下面地區(qū)的私人和社區(qū)醫(yī)療機構(gòu)(現(xiàn)在分詞短語作狀語)
range from... to...:從……到……的范圍(分布或變動)
The children’s ages range from 5 to 15.這些孩子小的5歲,大的15歲。
Its prices range from twenty to thirty dollars.價錢從20美元到30美元不等。
練習(xí):
1. By disease it means the condition in which one or more parts of the body fail to function properly.
A. Right B. Wrong C. Not mentioned
2.A syndrome refers to a complex of signs and/or symptoms typical of a specific disease.
A. Right B. Wrong C. Not mentioned
3.The diagnostic aids are indispensable in any case for a physician to diagnose a disease.
A. Right B. Wrong C. Not mentioned
4.Because nurses can observe patients closely, they have the authority to deal with any critical condition happening to patients.
A. Right B. Wrong C. Not mentioned
5.Modern medicine attaches much more importance to disease prevention than traditional medicine.
A. Right B. Wrong C. Not mentioned
6.An effective system of disease prevention and treatment has been established in every country all over the world.
A. Right B. Wrong C. Not mentioned
7.Generally speaking, the physician is more willing to treat patients’ physical disease than their mental illness.
A. Right B. Wrong C. Not mentioned
答案與題解:
1.A第一段第一句說疾病就是身體的一部分或全部不能正常調(diào)節(jié)或不能維持其應(yīng)有功能的不正常狀態(tài)。本題正是這個意思,只是換了一種表達方式而已,故是正確的。
2.A第二段第四句和第五句說,有時一組典型的體征或癥狀伴隨著某一疾病,這樣的一組體征或癥狀就稱為綜合征。本句也是這個意思。句中complex意為“綜合體,綜合事物”,typical of意為“……所特有的,典型的”。故本題也應(yīng)是正確的。
3.B第二段最后一句說“醫(yī)生在做出診斷時經(jīng)常都要做某些實驗室檢查并對檢查結(jié)果進行評估”,而本題卻說“在任何情況下診斷輔助手段對醫(yī)生診斷疾病都是必不可少的”,這顯然是錯誤的。
4.B第三段第一句要求護士“把這些信息報告給醫(yī)生”,該段最后一句還說“許多治療措施是在醫(yī)生指示下由護士去執(zhí)行”,因此本題所說的“不管病人發(fā)生什么危急情況都有權(quán)處理”,顯然應(yīng)是錯誤的。
5.A第四段第二句、第三句說“貫穿大部分醫(yī)學(xué)史,醫(yī)生都是治療病人的現(xiàn)有疾病。不過現(xiàn)代預(yù)防理論卻尋求制止疾病于未然,即通過促進健康使人們不得病”,故本題說“現(xiàn)代醫(yī)學(xué)比傳統(tǒng)醫(yī)學(xué)更重視疾病的預(yù)防”是正確的。
6. C第四段第四句只說到從國際級的世界衛(wèi)生組織一直到地方社區(qū)的醫(yī)療機構(gòu)構(gòu)成了一個龐大的衛(wèi)生機構(gòu),但是沒有說每個國家都已建立有效的防治體系,故本題應(yīng)是沒有提到的。
7.C文章最后一句說在教育每個病人保持全面健康,即身心的健康方面,醫(yī)護行業(yè)將要承擔(dān)更多的責(zé)任。至于醫(yī)生是更愿意治療軀體疾病還是精神心理性疾病根本就沒有提及。
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(責(zé)任編輯:vstara)