【翻訳ノート 英語版】

一般財団法人 海外産業人材育成協会1

編著 一般財団法人 海外産業人材育成協会（AOTS）
執筆者一覧（五十音順・敬称略）
川

崎

美佐子

※「カタボン Low」は興和創薬株式会社の登録商標です。

黒

羽

千佳子

「ラシックス」はサノフィ―アベンティス・ドイチュラ

重

川

明

ント・ゲゼルシャフト・ミット・ベシュレンクテル・

藤

川

多津子

ハフツングの登録商標です。

慶「レニベース」はメルク、シャープ、アンド、ドーム、コー

御子神

美
子

ポレーションの登録商標です。
「ニフレック」は味の素株式会社の登録商標です。

イラストレーション
田

添

公

基

専門日本語入門

場面から学ぶ看護の日本語【翻訳ノート 英語版】
2011 年７月 30 日
編

著

者

初版第１刷発行

一般財団法人 海外産業人材育成協会（AOTS）〒120-8534 東京都足立区千住東1-30-1
電話

03-3888-8211

https://www.aots.jp/
発行

株式会社 凡人社〒102-0093 東京都千代田区平河町1-3-13
電話

03-3263-3959

http://www.bonjinsha.com/©2011 The Association for Overseas Technical Cooperation and Sustainable Partnerships (AOTS)
本書の一部あるいは全部について、著作者から文書による承諾を得ずに、いかなる方法においても、無断で転載・複写・複製することは法律で固く禁じられています。

2

CONTENTS
PART Ⅰ Translation
Essential vocabulary Lesson 1 ～ 20・ ・・・・・ 4PART Ⅱ   Translation Lesson 1 ～ 20・ ・・・・・・・・・ 3 9
Ⅰ Before practice
Ⅱ Speaking practice
Ⅲ Nursing record

3PART Ⅰ				Translation : Essential vocabulary

4

第１課
学習の前に
急病

きゅうびょうsudden illness

看護師

かんごし

食中毒

しょくちゅうどく～に関する～にかんするnurse
food poisoning
regarding …

腹痛

ふくつう

下痢

げり

救急車

きゅうきゅうしゃ

救急外来

きゅうきゅうがいらい

補液

ほえき

突然（の）

とつぜん（の）自覚症状

じかくしょうじょうリスト

abdominal pain
diarrhea
ambulance
emergency outpatient department
fluid replacement
suddensubjective symptom
list

読む練習
事例

じれい

（4）人家族（4）にんかぞく

疑い

うたがい

落ち着く

おちつく

case
(four-person) familysuspicion
become stable

状態

じょうたい

without returning home, directly, withoutchangeevery …
condition

個室

こしつ

夜勤

やきん

日勤

にっきん

交替する

こうたいするそのまま～おきprivate roomnight shift
day shifthandover takes place

for … , on the occasion of …

～にあたって基礎情報

きそじょうほう収集する

しゅうしゅうする

担当看護師

たんとうかんごし

面接［する］

めんせつ［する］

病室

びょうしつ

経緯

けいい

文章

ぶんしょう

主訴

しゅそ

来院［する］

らいいん［する］（来院）方法（らいいん）ほうほう（来院）後（らいいん）ご

口頭

こうとう

苦しい

くるしい

5

basic informationcollect
nurse in chargeinterview
patient's room
process
passagechief complaint
hospital visiting
means (to visit hospital)
after (arrival at the hospital)
oral
sick

体温

たいおん

body temperature
influenza

胃癌

いがんstomach cancer

骨折［する］

こっせつ［する］

bone fracture

治まる

おさまる

improve

夜中

よなか

生（の）

なま（の）

at night
raw
oyster

じたく

home

看護記録

かんごきろくnursing record

入院時情報用紙にゅういんじじょうほうようし

分類する

ぶんるいする

健康保険証

けんこうほけんしょう

ＩＤ

アイディー

現住所

げんじゅうしょ職業

しょくぎょう

主治医

しゅじい

既往症

きおうしょう（ご）関係（ご）かんけい

Ｓ

しょうわ

続柄

つづきがら

Ｈ

へいせい

inpatient information form
classify
health insurance cardID
present address
occupation
physician in charge
previous illness
relationshipShowa (era name)family relationship
Heisei (era name)

診断［する］

しんだん［する］（入院）時（にゅういん）じ

目的

もくてき

経過観察

けいかかんさつ（37.2）℃（37.2）ど

血圧

けつあつ

ｍｍＨｇ

ミリメートルエイチジー

脈拍

みゃくはく

呼吸［する］

こきゅう［する］

身長

しんちょう

ｃｍ

センチメートル

体重

たいじゅう

ｋｇ

キログラム

他（の）

た（の）

（異常）なし（いじょう）なし

水様便

すいようべん

インフルエンザ

話す練習

カキ（牡蠣）
自宅

看護記録

diagnosison (admission)
purposeobservation of the course of events(37.2) degrees Celsius
blood pressure
mmHg
pulse rate
respiration
heightcm

6weightkg
otherno (abnormality)
watery diarrhea

外来処置室がいらいしょちしつ

outpatient treatment roomat …

（しょうじょうがおちつか）ず(condition) does not (stabilize)～にて（症状が落ち着か）ず
ペア

pair
non

なし

7

第２課
清拭［する］

せいしき［する］

bed bath動き

うごきadviceaction動かす （体を～）うごかす（からだを～）届く（手が～）

とどく（てが～）

起き上がる

おきあがる

学習の前に
アドバイス［する］

move (…one's body)reach (hands…)
sit up

読む練習（二人）暮らし（ふたり）ぐらし胆囊摘出術

live with (another person)
ふくぶちょうおんぱけんさ abdominal ultrasonography
detailed examination
せいみつけんさ
gallbladder cancer
たんのうがんたんのうてきしゅつじゅつ cholecystectomy

腹部

ふくぶ

T チューブティーチューブ

排液ドレーン

はいえきドレーン

挿入する

そうにゅうする

背中

せなか

行う

おこなう

腹部超音波検査
精密検査
胆囊癌

ナースコールabdomenT-tubedrain
insertbackcarry out
nurse call
put up with
visit
very

我慢する

がまんする

面会［する］

めんかい［する］

非常に

ひじょうに

顔色

かおいろ

勤務［する］

きんむ［する］

出勤する

しゅっきんする

退院する

たいいんする

be discharged from hospital
positive, plus

管

くだ

腰

こし

tube
lower backfeel uncomfortablecomplexion
duty
come to work

プラス

話す練習

つらい
けっこう
意外に

いがいに

次は

つぎは

向く（右を～）

むく（みぎを～）万歳［する］

ばんざい［する］

8

quite
surprisingly, unexpectedly
now, next
turn (… right)
raising both hands膝

ひざ

開く （足を～）ひらく（あしを～）

knee
spread apart (… one's legs)

仰向け

あおむけ

lying on one's back

腰を浮かす

こしをうかす声をかける

こえをかけるraise one's backspeak toillustration
ear cleaning

イラスト
耳掃除

みみそうじ

おむつ
傷

きず

確認する

かくにんするdiaperwound
check

こうかんするgauze
exchange

ガーゼ
交換する

看護記録
ＳＯＡＰ

ソープ

方式

ほうしき

重要な

じゅうような

主観的な

しゅかんてきな

情報

じょうほう

客観的な

きゃっかんてきな

観察する

かんさつする

測定［する］

そくてい［する］

数値

すうち

変化［する］

へんか［する］

解釈［する］

かいしゃく［する］

予測する

よそくする

記録［する］

きろく［する］手続［する］てつづき［する］

以後

いご

安定する

あんていするsince
become stable, be stabilized

引き続き

ひきつづき

continue to9SOAPsystemimportantsubjective
data
objective
observemeasurement
value, figurechangeassessment
predict
recordprocedure

第３課
シャワー浴

シャワーよく勧める

すすめるshower bathrecommend

担当する

たんとうするtake charge of

清潔保持

せいけつほじ

汗をかく

あせをかく

sanitation maintenance
sweat

学習の前に

さっぱりする温まるfreshen up
あたたまるwarm upplastic sheet
wrap

他界する

たかいする

その後

そのご

転倒する

てんとうする

右足

みぎあし

腓骨骨折

ひこつこっせつたつ （時間が～）（じかんが～）

患部

かんぶ

pass away
after thatfall overright leg
fracture of the fibula
pass (time …)
the diseased partcast, plaster
fix
only …
do withbe allowed, be possible
in the first place

ビニール
くるむ

読む練習

ギプス
固定する

こていする

～のみ
済ませる

すませる

可能な

かのうな

もともと
入浴［する］にゅうよく［する］

～上に

～うえに

浴室

よくしつ

看護計画

かんごけいかく～に基づき～にもとづき

間食

かんしょく

効果

こうか

副作用

ふくさよう

bathingin addition to …
bathroom
nursing care plan
according to…
snack
eﬃcacy, eﬀectside eﬀect
drain

ドレーン
不可能な

ふかのうな

不可

ふか

不要な

ふような

impossible
not allowed
not necessary

自力歩行

じりきほこうwalking by oneself

10

話す練習
うーん

well

試す

ためす

try

足元

あしもと

（お）通じ

（お）つうじ昼寝［する］

ひるね［する］

ビタミン剤

ビタミンざいstepbowel movementnap
vitamin pill

着脱［する］

ちゃくだつ［する］

taking oﬀ and putting on

介助［する］

かいじょ［する］（退院）前（たいいん）まえ

同席［する］

どうせき［する］

言い換え

いいかえ

assistance
before (leaving the hospital)in the presence ofparaphrase

本人

ほんにん

申し送り

もうしおくり看護記録

the person himself [herself]handover

11

第４課
学習の前に
発熱［する］

はつねつ［する］

fever

内科

ないか

肺炎

はいえん

併発［する］

へいはつ［する］

internal medicine
pneumonia
complication

回復［する］

かいふく［する］

筋力

きんりょく

食欲

しょくよく

（お）かゆ

recoverymuscle strength
appetiterice porridge

読む練習
長男

ちょうなん

夫婦

ふうふ

小学生

しょうがくせい改善［する］

かいぜん［する］

総合病院

そうごうびょういん

受診する

じゅしんする

判明する

はんめいする（それ）に伴って（それ）にともなって

弱々しい

よわよわしい看護助手

かんごじょしゅ

高熱

こうねつ

eldest son
husband and wife
elementary school student

リハビリ
立ち上がる

たちあがる

めまい
意欲

いよく

出血［する］

しゅっけつ［する］

増加［する］

ぞうか［する］

発赤

ほっせき

後頭部

こうとうぶ

血

ち

皮膚
効く（薬が～）（リハビリをする）気がない

improvement
general hospitalsee a doctor, consult a doctor
be diagnosed
resulting from (that)feeblenursing auxiliary
high fever
rehabilitation
stand updizzinessmotivation
bleeding
increase
redness
occiput, back of the head

blood
skin
ひふ
(the medicine is) eﬀective
きく （くすりが～）（リハビリをする）きがない does not have motivation (forrehabilitation)

話す練習
起こす （ベッドを～）おこす

raise (…the head of the bed)
apron
egg porridge

エプロン
卵がゆ

たまごがゆ

12

豆腐

とうふ

煮物

にもの

tofu
food boiled and seasoned with sugar, soysauce and sake.
look neat

ひさしぶり

after a long time

摂取［する］

せっしゅ［する］（ベッド）上（ベッド）じょうconsumptionon (the bed)

座位

ざい

気力

きりょく

sitting position
mental attitude

上向き

うわむき

upward次回

じかいnext time

進める

すすめる

普通食

ふつうしょく移行［する］

いこう［する］encourage
normal diet
shift

検討する

けんとうする

consider

すっきりする
久しぶり

看護記録

13

第５課
特別食

とくべつしょく

special diet

出す（例を～）だす（れいを～）腎炎

じんえん

show (…an example)
nephritis

むくむ （顔が～）（かおが～）

急性

きゅうせい

糸球体

しきゅうたい腎臓

じんぞう(face…) swell
acute
glomerulus
kidney

男児

だんじ

boy

小学（4）年生

しょうがく（よ）ねんせい (fourth) grade elementary school student

学習の前に

読む練習

スイミングクラブ

swimming clubseveral (weeks)motherpediatric clinic
pass
treatment
the same roomnormal diet

数（週間）すう（しゅうかん）

母親

ははおや

小児科

しょうにか

経過する

けいかする

治療［する］

ちりょう［する］

同室

どうしつ

一般食

いっぱんしょく

不満

ふまん

近づく

ちかづく

塩分

えんぶん

dissatisfaction
walk up to
salt

処置

しょち

treatment

話す練習

I just …
because …

だって
～んだもん
肉だんご

にくだんご

文末

ぶんまつ

敬語

けいご

meatballend of sentence
honorific word

看護記録
口に合う

くちにあう

like
calorielack

カロリー不足［する］

ふそく［する］

カロリー不足カロリーぶそく高カロリー

こうカロリーlack of calories
high-calorie

低タンパク

ていタンパク

low-protein

14

減塩

げんえん

栄養士

えいようし

タンパク質

タンパクしつlow-salt
dieticianprotein15

第６課
排泄［する］

はいせつ［する］

excretion

器具

きぐ

care
equipment

直径

ちょっけい

胆石

たんせき

胆嚢

たんのう

炎症

えんしょう

肥厚［する］

ひこう［する］

摘出［する］

てきしゅつ［する］

創部

そうぶ

学習の前に
ケア

diametergallstone
gallbladderinflammation
thickening
extirpation
wound

読む練習
長女
独立する
離れる
人間ドック
起こす （炎症を～）開腹下胆嚢摘出術

ちょうじょ

eldest daughter
be independent
どくりつするbe far away
はなれる
comprehensive medical examinationにんげんドック
おこす（えんしょうを～） get (…inflamed)
laparotomic cholecystectomy
かいふくかたんのう（横になった）まま

てきしゅつじゅつ（よこになった）まま

医師

いし

歩行

ほこう

湿布

しっぷ

幅

はば

浴槽

よくそう

包帯

ほうたい

bandageeverything
leave, resigh

すべて
任せる

まかせる

具合が悪い

ぐあいがわるい

悪化する

あっかする

車椅子

くるまいす

指

ゆび

不十分な

ふじゅうぶんな

体重計

たいじゅうけいin (the lying position)
doctorwalk
poulticewidthbathtub

be sick
worsenwheelchairfingerinsuﬃcientbathroom scale
idea

アイデア

話す練習
この次

このつぎ

next time

次のように

つぎのように

as follows

16

訴える

うったえる

きつい

complainhard

おかずside dish

看護記録
術後

じゅつご

同意［する］

どうい［する］（痛み）に対する（不安）
早期離床（いたみ）にたいする（ふあん）
そうきりしょう（離床）指導［する］（りしょう）しどう［する］ (ambulation) guidance

離床［する］

りしょう［する］

after the operationagreement

17(fear) of (pain)
early ambulation
ambulation

第７課
要望［する］

ようぼう［する］

demand, request

検温［する］

けんおん［する］

体温計

たいおんけいtemperature checkthermometer

睡眠

すいみん

学習の前に

不眠

ふみん

sleep
vital signs
insomnia

枕

まくらpillow

しんきのう

cardiac function

バイタルサイン

読む練習
心機能
さまざまな
入る（予定が～）はいる（よていが～）

～の際

～のさい

昨夜

さくや

眠る

ねむる

体温表

たいおんひょう

表す

あらわす

月日

がっぴ

時刻

じこく

心電図

しんでんず

大腸

だいちょう

内視鏡

ないしきょうvarious…is plannedat the time oflast nightsleep
temperature record
mean/imply
date
time
ECG
colon
endoscope

肺

はい

polyp
lung

影

かげ

Ｘ線

エックスせん超音波

ちょうおんぱポリープ

shadow
X-ray
ultrasound, supersonic wave
echo
stomachエコー
胃い巡回［する］

じゅんかい［する］

洗面所

せんめんじょgoing roundlavatory

話しかける

はなしかける

talk to

ふみんしょうinsomnia

か

section

話す練習
不眠症

看護記録
科

18

輸液

ゆえき

尿量

にょうりょうinfusionurine volume

便通

べんつう

bowel movement

臨床状況

りんしょうじょうきょう

胸部

きょうぶ

及び

および

ＥＫＧ

イーケージーclinical condition
chest
and
ECG, electrocardiogram

心エコー

しんエコー

トレッドミル
ホルターＥＫＧ

ホルターイーケージー

緊張する

きんちょうする

echocardiographytreadmillHolter monitoring
be nervous
signature

サイン

19

第８課
学習の前に
ふらつく
支える

ささえる

滑る

すべる

stagger
supportslip, slide

読む練習
社会人

しゃかいじん

吐血する

とけつする

搬送する

はんそうする

胃潰瘍

いかいよう

絶飲食

ぜついんしょく

点滴チューブてんてきチューブ

点滴台

てんてきだい

使用する

しようする

注射［する］

ちゅうしゃ［する］

逃げ出す

にげだす

適当な

てきとうな

発見する

はっけんする撮影［する］

さつえい［する］

意識

いしきworking member of society
vomit bloodtake to hospital
gastric ulcer
nil by mouth
drip tube
drip standuse
injection
run awayproperfind out
photographing
consciousness

話す練習
針

はり

誤解する

ごかいする

needlemisunderstand

点滴

てんてき

drip infusion

ｃｌｅａｒ

クリア

clear

点滴刺入部

てんてきしにゅうぶ

ｎ．ｐ

エヌピー

ＮＰＯ

エヌピーオーneedle insertion site
no problem
nil per os (Latin), nil by mouth

帰室する

きしつする

（帰室）す

（きしつ）す看護記録

return to the room
return to the room (literary
expression)

20

第９課
学習の前に
同時に

どうじに

at the same time

受ける（ナースコールを～）

うける

病棟

びょうとう

（病棟）内

（びょうとう）ない

移動［する］

いどう［する］answer (…the nurse call)ward
within (a ward)
move

バランス
崩す

くずす

呼び止める

よびとめる

balancelosestop someone

読む練習
暮らす

くらす

前立腺

ぜんりつせん

転移する

てんいする

live
prostate
metastasize
control
answer (… the nurse call)another
forearm

コントロール［する］
出る（ナースコールに～）

でる

別の

べつの

前腕

ぜんわん

認める

みとめる

病名
発生する（事故が～）ナースステーション
ホワイトボード
薬局
通りかかる

find
name of the disease
びょうめい
はっせいする（じこが～） occur, happen (an accident …)
nurse station
whiteboard
pharmaceutical department
やっきょく
pass byとおりかかる

話す練習
何だか

なんだか

力が入らないちからがはいらない

発疹

ほっしん

麻薬

まやく

腫れる

はれる

外れる

はずれる

for some reason
go weakrash
narcotics
swell
come out

看護記録
（森）氏

（もり）し

Mr. (Mori)call

訪室［する］

ほうしつ［する］

床

ゆか

付き添う

つきそう

going to the room
floor
accompany

継続観察

けいぞくかんさつ

continuous observation

コール

21

第 10 課
告知［する］

こくち［する］disclosure
support

癌

がん

一般的な

いっぱんてきな

cancercommon初期（の）しょき（の）

癌細胞

がんさいぼうearly stage
cancer cell

大学生

だいがくせいuniversity student

高校生

こうこうせい健康診断

けんこうしんだん

high school student
medical examination

胃粘膜

いねんまく

細胞検査

さいぼうけんさ（治療）方針（ちりょう）ほうしん

サポート［する］

学習の前に

読む練習

さらに
日程

にってい

口頭報告するこうとうほうこくする

全く

まったく

そうしたら
信じる

しんじる

stomach lining
cytoscopy(treatment) policy
furtherschedule
report verbally
not at all
thenbelieve

話す練習（癌）なんて（がん）なんて

indicates a quote of words
feel as fit as a fiddle

初めは

はじめは

提供する

ていきょうする体力

たいりょく

during the early stages
providephysical strength

感じる

かんじる

曲がる（指が～）まがる（ゆびが～）

内臓

ないぞう

水分

すいぶん

補給［する］

ほきゅう［する］

長時間

ちょうじかん予防注射

よぼうちゅうしゃ

ぴんぴんしている

はしか
肺癌

はいがん

文字

もじ

自然に

しぜんに

feel
be able to flex (one's fingers)
internal organs
water
supplylong time
immunization shot
measleslung cancer
letters such as hiragana, katakana, andkanji
naturally

22

看護記録
腫瘍マーカー検査

しゅようマーカーけんさ

肺機能検査

はいきのうけんさ

担当医

たんとうい

上記（の）

じょうき（の）相談窓口

そうだんまどぐち23

tumor marker test
pulmonary function test
doctor in charge
the above
contact point for advice andsupport第 11 課
学習の前に
心臓病

しんぞうびょう

大動脈弁閉鎖不全症

heart disease
しんぞうカテーテルけんさ cardiac catheterizationaortic valve incompetence
だいどうみゃくべんへいさ

息苦しい

いきぐるしい手足てあしbreathing diﬃculty
limbs

孫

まご

grandchild

まな板の上のコイ

まないたのうえのコイ

参考にする

さんこうにする

There is no escape for me.
refer to

受け持つ

うけもつ

人物紹介

じんぶつしょうかい

心臓カテーテル検査

ふぜんしょう読む練習

オリエンテーション

take charge of
profileorientation

話す練習
歳

とし

心臓

しんぞう

体がもつ

からだがもつ麻酔

ますい

覚める （麻酔から～）さめる（ますいから～）

多少

たしょう

トイレ
栄養

えいよう

age
heart
be strong enough to withstandanesthesia
come out(…from the anesthetic)someexcretion
nutrition

看護記録
にこにこする

smile

繰り返す

くりかえす

（家族）談

（かぞく）だん心配事

しんぱいごと医療者

いりょうしゃkeep saying
according to (her family)
worries
medical personnel

24

第 12 課
励ます

はげます

cheer up

上肢じょうし麻痺［する］

まひ［する］

upper limb
paralysis

くも膜下出血くもまくかしゅっけつ

頭痛

ずつう

後遺症

こういしょう右片麻痺

みぎかたまひ

下肢

かし

拘縮

こうしゅく

予防［する］

よぼう［する］right hemiplegia
lower limb
contracture
prevention

自立［する］

じりつ［する］

independence

激しい

はげしい

緊急手術

きんきゅうしゅじゅつ

命

いのち

熱心に

ねっしんに

完全な

かんぜんな

severeemergency surgery
life
hard
completegoal
right arm
activities of daily life
start

学習の前に

subarachnoid hemorrhage
headachesequelae

読む練習

ゴール
右腕

みぎうで

日常生活

にちじょうせいかつ開始［する］

かいし［する］

減少［する］

げんしょう［する］

血糖値

けっとうち

正常な

せいじょうな

褥瘡

じょくそう

高齢者

こうれいしゃ

年少者

ねんしょうしゃthe elderly
younger population（お）加減（お）かげんcondition感じ

かんじ

掛ける （ボタンを～）かける

like, feeling
fasten (…a button)

深い

ふかい

杖

つえ

補助具

ほじょぐ

decrease
blood sugar levelnormaldecubitus

話す練習

deep
cane
treatment aid

25

看護記録
減退［する］

げんたい［する］

支援［する］

しえん［する］

再度

さいど

前向き

まえむき

declinesupportagain
positive attitude26

第 13 課学習の前に
ミス

mistakedevice, idea
vasopressor
continuous intravenous infusion

工夫［する］

くふう［する］

昇圧剤

しょうあつざい

静脈持続注入じょうみゃくじぞくちゅうにゅう

注射指示書

ちゅうしゃしじしょ

薬品

やくひん

器材

きざい

投与［する］

とうよ［する］（投与）量（とうよ）りょう

時速

じそく

注入ポンプ

ちゅうにゅうポンプ

injectiondose, (injected) quantity
rate per hour
infusion pump

設定［する］

せってい［する］

setting

ＭＲＩ

エムアールアイ膵臓癌

すいぞうがん膵頭十二指腸切除術後

すいとうじゅうにしちょう
せつじょじゅつのちMRIpancreatic cancer
pancreaticoduodenectomy

ＩＣＵ

アイシーユー

カタボンＬｏｗ

カタボンロー（12）ｍｌ／ｈ
薬剤

じそく（12）
ミリリットル
やくざい

静脈

じょうみゃく経口投与

けいこうとうよ

（お）尻

（お）しり

直腸内投与

ちょくちょうないとうよ

解熱剤

げねつざい

（お）小水

（お）しょうすい

抑える

おさえる

利尿剤

りにょうざい

鎮痛剤

ちんつうざい増やす

ふやす

injection order
medicineequipment

読む練習

ICU
Catabon-Low

rectal administration
antipyreticurine

increase
acetaminophen

ラシックス

Lasix
indomethacin

インドメタシン
こうあつざいantihypertensive
Renivace
instruction

レニベース
指示［する］(12) ml/h
medicineveinoral administration
anus, buttock, hip

suppress
diuretic
analgesic

アセトアミノフェン

降圧剤

after

しじ［する］

27

話す練習
ミリリットル

ml

セットする

set
chief nurse

主任

しゅにん

ｍｇ

ミリグラム

ｍｌ

ミリリットル

ｃｃ

シーシー

（1）Ｔ

（1）じょう（1）Ａ（1）アンプル

（1）コ

（1）こ

（1）Ｐ／（2）Ｐ（1）ぽう／（2）ほう

mg
ml
cc
(1) tablet（1）アンプル（1）包／（2）包（1）ぽう／（2）ほう

坐剤

ざざい

(1) ampule(1) piece(1) pack/ (2) packs(1) ampule(1) pack/ (2) packs
suppository

看護記録
経時記録
肺動脈圧モニター
ＳａＯ2 モニター
動脈圧モニター
心電図モニター
入室［する］
Ｄｒ．～
来棟［する］
上昇する

けいじきろくtemporal record
pulmonary arterial pressure monitor
はいどうみゃくあつモニター
サチュレーションモニター SaO2 (saturation) monitor
arterial pressure monitor
どうみゃくあつモニター
electrocardiogram monitor
しんでんずモニター
entering the roomにゅうしつ［する］
Dr. …
ドクター
coming to the ward
らいとう［する］
increase, rise
じょうしょうする28

第 14 課
学習の前に虫垂炎

ちゅうすいえん

appendicitis

開腹手術

かいふくしゅじゅつpeellaparotomy

膿

うみ

糸

いと

pus
stitch, thread

消毒する

しょうどくする

disinfect

緊急入院するきんきゅうにゅういんする

虫垂切除術

ちゅうすいせつじょじゅつ

no sign of
be hospitalized immediately
appendectomy

典型的な

てんけいてきな

良好な

りょうこうな

翌日

よくじつ

はがす

読む練習
いっこうに

テープ
見舞い客

みまいきゃく

鳴る

なる

緊急（の）

きんきゅう（の）休憩室

きゅうけいしつtypicalfavorable, goodthe day after
tapevisitorring
urgentstaﬀ room

話す練習
あとひやっとするthe rest
feel slightly cold
insert (…a needle)
step

刺す（針を～）

さす（はりを～）

段差

だんさ

越える

こえる

go overjerk

カンカンとおとがする

clang

掛ける（お湯を～）かける（おゆを～）

sting a little
massagepour (…hot water)

採血［する］

さいけつ［する］

blood collection

排膿

はいのう

通常（の）

つうじょう（の）purulent drainage
standard

ガタンとするカンカンと音がする
ちくっとする
マッサージ

看護記録

29

第 15 課プリセプターpreceptor

学習の前に
新人

しんじん

new staﬀ

点滴漏れ

てんてきもれ抗癌剤

こうがんざいsolution seeping into
anticancer agent

シスプラチン

cisplatin

漏れる

もれる

皮下組織

ひかそしき

滴下［する］

てきか［する］

傷む

いたむ

seep
subcutaneous tissue
drip
be damaged

読む練習
～とも

both
mother-in-law
job

義母

ぎぼ

業務

ぎょうむ

点滴が落ちる

てんてきがおちる

用件

ようけん

肝臓癌

かんぞうがんショック
受ける（ショックを～）

うける

死因

しいん

心不全

しんふぜん

悪性

あくせい

solution for intravenous infusion
drips
purposehepatoma, liver cancershock
get (…shocked)
cause of deathcardiac failure
malignant

話す練習
順調に

じゅんちょうに項目

こうもく

steadilyitem
come unstuckswelling

はがれる
腫れ

はれ

全体的な

ぜんたいてきな

眠気

ねむけ

変質する

へんしつする

胎児

たいじ

影響する（胎児に～）光

えいきょうする（たいじに～）
ひかり

当たる（光に～）あたる（ひかりに～）

抗ヒスタミン剤

こうヒスタミンざい

抗生物質

こうせいぶっしつ

antihistamine
antibiotics

妊婦

にんぷ

pregnant woman

overall
drowsinesschange in quality, deteriorate
fetus
aﬀect (…on fetus)

30

light, ray
be exposed(to the light)

看護記録
皮膚障害

ひふしょうがいskin disorder

可能性

かのうせい

皮膚科

ひふか

possibility
department of dermatology

31

第 16 課
学習の前に
乳癌

にゅうがん

breast cancer

右乳癌

みぎにゅうがん

乳腺部分切除術
世話

にゅうせんぶぶん
せつじょじゅつせわright breast cancer
partial mastectomy

吸引バッグ

きゅういんバッグ

リンパ節

リンパせつ

切除する

せつじょする

地下

ちか

売店

ばいてん

気にかける

きにかける

読む練習

drainage bag
lymph node
removebasement
store, stall, kiosk
be concerned, be worried

リーダー
気に障る

きにさわる

ビタミンＢ１

ビタミンビーワン

トレーニング
気にする

care

きにする

leaderbe annoyed
vitamin B1
training
be bothered by

看護記録
感覚

かんかく

取り戻す

とりもどす

院内

いんない

要（説明）

よう（せつめい）32

feeling
recoverwithin the hospital(explanation) needed第 17 課学習の前に再発［する］

さいはつ［する］

在宅療養

ざいたくりょうよう

浮腫

ふしゅ

だるさ
介護疲労

recurrence
home careedema
listlessness

かいごひろうfatigue from caregiving
morphine

結腸部分切除術

けっちょうぶぶんせつじょじゅつ～に伴う～にともなう表情

ひょうじょうpartial colectomy
associated with …
facial expression

再び

ふたたび

結腸

けっちょう

～に対して

～にたいして～に基づいて～にもとづいて

モルヒネ

読む練習

低下［する］ていか［する］～に基づく～にもとづく

精神的

せいしんてき（今月）中（こんげつ）ちゅう

考え

かんがえ

again
colon
toward …, to …
based on …
by …
decreasebased onmentalwithin (this month)
opinionていど

however
extent排便

はいべん

be clearbowel movement

目が覚める

めがさめる

寝つきが悪いねつきがわるい

awake
have diﬃculty falling asleep
soundly

～とともに

with…

～によって

話す練習
ただ
程度
はっきりする

ぐっすり

看護記録
～と共に

33

第 18 課緊急事態

きんきゅうじたい

emergency

目の前

めのまえ

急変する

きゅうへんする

大腸内視鏡検査
潜血

だいちょうないしきょう
けんさ
せんけつ

in front of youchange suddenlycolonoscopy

低残渣食

ていざんさしょく経口腸管洗浄剤

けいこうちょうかん
せんじょうざい

学習の前に

ニフレック

occult blood
low residue dietoral intestinal lavage solution
Niflec

読む練習～を前にして～をまえにしてin preparation for

前日

ぜんじつ

当日

とうじつ

ℓ

リットル

冷や汗

ひやあせ

（血圧 70）台（けつあつ 70）だい

五分粥

ごぶがゆ

清潔

せいけつ

血液

けつえき

平熱

へいねつ

前半

ぜんはん

糖尿病

とうにょうびょう後半

こうはん

従う（指示に～ )したがう（しじに～）

the day before
the day ofliter
cold sweat(blood pressures is) in the (70)'s
thin rice porridgecleanlinessblood
normal temperaturelowdiabeteslatefollow (…the instructions)

救急カート

きゅうきゅうカート

hang onemergency cart

心電計

しんでんけい師長

しちょう

応援［する］

おうえん［する］

無表情な

むひょうじょうな

話す練習
しっかりする

electrocardiographhead nurse
help
expressionless

看護記録
呼名反応

こめいはんのう顔面蒼白

がんめんそうはく

救命処置

きゅうめいしょち

34

response to one's own namefacial pallor
emergency medical treatment

第 19 課
死

し

看取る

みとる

death
attend to someone's deathbed

学習の前に
病状

びょうじょう進行する

しんこうする

意識不明

いしきふめい下顎呼吸

かがくこきゅう

息を引き取る

いきをひきとる

極楽

ごくらく

死亡診断

しぼうしんだん

死亡時刻

しぼうじこく逝く

いく

お別れをする

おわかれをする

condition of sickness
progress
unconsciousness
agonal respirationdie, breathe one's lastparadisecertifying deathtime of deathdie, pass away
say goodbye

読む練習
子宮癌

しきゅうがん

末期

まっき

骨盤内臓器

こつばんないぞうき

緩和的な

かんわてきな

緩和的治療

かんわてきちりょう著しい

いちじるしい再入院する

さいにゅういんする

介護負担

かいごふたん

在宅ケア

ざいたくケア

望む

のぞむ

希望する

きぼうする

前夜

ぜんや

囲む

かこむ

palliative
palliative careconsiderable
be hospitalized again
burden of caregiving
home carewant
want, choose
the night before
gather around

さする（声をかける）中（こえをかける）なか

告げる

つげる

一礼する

いちれいする

隅

すみ

避難する

ひなんする

非常ベル

ひじょうベル

訪問看護

ほうもんかんご（ご）遺体（ご）いたい後にする（病院を～）

uterine cancer
terminal
pelvic viscera

strokewhile (talking to)tellbowcornerevacuate
alarm bellvisiting nursing

dead body
あとにする（びょういんを～）leave (…the hospital)

35

見送る

みおくる

握る

にぎる

祈る

いのる

see oﬀ
holdpraygive up

あきらめる
穏やかな

おだやかな

peaceful（家族）水入らず（かぞく）みずいらず

着せる

きせる

最期

さいご

安らかな

やすらかな

(family members) with no one else
presentdress
end of life
peaceful

幸せな

しあわせな

happy

死亡する

しぼうする

die
love

天寿を全うする

てんじゅをまっとうする（お）星（様）（お）ほし（さま）

祖母

そぼ

大往生

だいおうじょう先立つ

さきだつ

ぽっくり逝くぽっくりいくlive out one's natural life
star in heaven
grandmothera peaceful death
predecease
die suddenly

話す練習

かわいがる

看護記録
末梢

まっしょう

微弱

びじゃく

死後

しご

持参［する］

じさん［する］

葬儀社

そうぎしゃ

死亡退院する

しぼうたいいんする

peripheral
very marginal
postmortem
bringing

36

funeral home, funeral parlor
be discharged dead from hospital第 20 課
学習の前に
スタッフ
教育入院

きょういくにゅういん

検診

けんしん

尿糖

にょうとう

陽性

ようせい

食生活

しょくせいかつ

staﬀ
educational hospitalization
medical checkup
urine sugar
positive
dietary

読む練習
和菓子

わがし

服用［する］

ふくよう［する］

提出［する］

ていしゅつ［する］

名簿

めいぼ

文書

ぶんしょ

Japanese sweets
dosingsubmission
name list
document

話す練習
本番

ほんばん

（お）心遣い（お）こころづかい

教科書

きょうかしょ

家族構成

かぞくこうせいthe hardest partyour kindness
I'll have to beg oﬀ.
Thank you very much, but...
It's just a small token of ourappreciation.
be fired
textbookfamily structure

一場面

いちばめん

one scene

せっかくですが、～
ほんの気持ちです

ほんのきもちです

クビになる

37

		

PART ⅡTranslation :						Ⅰ Reading practice				Ⅱ Speaking practice				Ⅲ Nursing record

38

Main Characters in the Conversations
Ogawa, nursing auxiliary (40)

Mizuno, nurse (22)

みずの かんご し

お がわかんご じょしゅ

Inoue, doctor (38)Aoki, chief nurse (35)

いのうえい しあおき しゅにんかんご し39Lesson 1 Meeting a new inpatient
Reading practice
Case1
Akiko Yamamoto: 44-year-old woman who lives with her husband, and two children aged 17 years old and 14
years old.
She was taken to the emergency outpatient department in an ambulance at 6:00 in the morning for acuteabdominal pain and diarrhea. As she was suspected of suffering from food poisoning, she was put underobservation for some time while being treated with fluid replacement on a bed in the consultation room. However,her condition did not become stable and she was then admitted to the hospital. Since she needed to use the toilet
every 30 minutes, she was accommodated in a private room with toilet. The handover between the night and day
nurses has just finished. The nurse in charge of her is about to interview her to collect basic information for her
hospitalization.
Mizuno, the nurse, walks into her room and says, “You are Ms. Akiko Yamamoto, aren't you? How do you do?”Speaking practiceMizuno:	You are Ms. Akiko Yamamoto, aren't you? How do you do? My name is Mizuno. I am your nurse.
Nice to meet you.

Yamamoto : My name is Yamamoto. Nice to meet you, too.
Mizuno:	I am sorry to hear what happened. It just happened all of a sudden, didn't it? How are you feelingnow?

Yamamoto :	I think I am feeling slightly better now. I went to the toilet at around 8:30 and I haven't been since.
Mizuno:	Oh really? So, your condition seems to have improved a little. I heard you were suffering fromsuspected food poisoning. You need to stay in hospital for some time to be sure. As part of theadmission procedure, I would like to know about your physical condition and your family. Can I startnow?

Yamamoto : Yes.
…………………………
Mizuno: Last night, around what time did your symptoms start?

Yamamoto : Around 2:00 at night.
Mizuno: Around 2:00, right? What did you eat yesterday?

		 Could you start with telling me what you had for dinner last night?
Yamamoto : Let me see. I ate raw oysters for dinner.

40

Lesson 2 Giving a bed bath in the patient's room
Reading practiceCase 2Shinichiro Tanaka: 42-year-old man who lives with his wife. He has no children.
After abdominal ultrasonography revealed an abnormality, he received a detailed examination and was diagnosed
with gallbladder cancer. He was hospitalized and underwent a cholecystectomy. It is the third day after his operation.
He still has a T-tube and a drain inserted in the abdomen. He wants to stay as still as possible since he seems to feelpain when he moves his body. During a bed bath, he cleans himself where he can do by himself, although he needs tohave a nurse clean where his hands cannot reach such as the back.
Mizuno, the nurse, makes preparations for a bed bath and walks into his room.
“Excuse me. Mr. Tanaka, would you like a bed bath?”

Speaking practiceMizuno : Excuse me. Mr. Tanaka, would you like a bed bath?
Tanaka : Oh yes, thank you.
Mizuno : Can you sit up?
Tanaka : Yes, I can.
Mizuno : Please clean your front by yourself. Please be careful with the tube.
Tanaka : OK.
Mizuno : Now I am going to wipe your back.
Tanaka : Thank you.
Mizuno :	Lying in the bed for a long time, do you feel uncomfortable in the upper and lower back?
Tanaka : Yes. To tell you the truth, it is quite hard to lie down for a long time.
Mizuno :	Sitting up like this and lifting and swinging your arms from time to time makes you feel a bit better, I guess.
Tanaka : You are right.
Mizuno : Do you feel pain around the tube?
Tanaka : Not really.
Mizuno : Good. You can move now. Now I am going to wipe your feet.

41

Nursing record
Keeping nursing records is one of the most important tasks for nurses.
S:

subjective data		What the patient and his/her family members have saidO : objective data		What the nurse has observed, measured values, changes in the conditions of the patientA : assessment
		What the nurse judges, determines and predicts from S and O

P : plan		

What to do in the future

Sample 1S

O

Sudden pain in the abdomen; diarrhea does not stop.

Taken to hospital in an ambulance, accompanied by her husband; diarrhea continues.
Loose bowel movement every 30 minutes.

A

Observed for a while but conditions not improved; suspected of food poisoning.

P

Started admission procedure.

Sample 2

S

I think I am feeling slightly better now.

O

Acute diarrhea stopped; not been to toilet since 8:30.

A

Condition is becoming stable.

P

Continue to observe her.

42

Lesson 3 Recommending a shower bathReading practiceCase 3
Hisao Sato: 74-year-old man. He lives alone since his wife passed away three years ago. He has two children, whoboth live in his neighborhood with their own families.
He fell over at home and was taken to hospital in an ambulance. He was diagnosed with a fracture of the fibula in
the right leg and was admitted to the hospital. One week has passed. The affected part is immobilized in a cast andhe has been given a bed bath only, but his condition now allows him to have a shower bath. He does not like bathing,and he is not used to taking a shower, since there is no shower in the bathroom of his home. However, the nurse has
decided to recommend a shower bath to him according to the nursing care plan.
Mizuno, the nurse, walks into his room and says, “Mr. Sato, you can use a shower today.”Speaking practiceMizuno :	Mr. Sato, you can use a shower today. How about taking a shower?
Sato: No, I don't need to, because I don't sweat much really.

Mizuno: But you have been having a bed bath only. Washing your body will refresh you.

Sato

: Sounds like too much hassle to me.

Mizuno: I'm sure you will feel better.

Sato: But isn't it cold to use a shower only?

Mizuno:	I know what you mean, but the shower room is warm and taking a shower will warm you up quite nicely.

Sato: Do you think so?

Mizuno: Yes. Why don't you give it a try?

Sato

: OK, I'll give it a try.

Mizuno: Great. Let's go.

…………………………
Mizuno : Can you take off your clothes by yourself?
Sato: Yes. I can do that.

Mizuno : You can take your time. I will wrap this leg in vinyl.
		Please watch your step.
Sato

: OK.

43

Nursing record

S

O

A

P

Taking a shower sounds like too much hassle to me, and it seems cold.

Recommended a shower bath, saying that it would be refreshing. He agrees to go.
He is able to take oﬀ and put on his clothes by himself.

He even seems to be able to wrap the cast in vinyl by himself.
He will be able to have a shower bath at his home, with a little assistance.

Brief him on how to have a bath in the presence of his family before he leaves hospital.

44Lesson 4 Talking during feeding support
Reading practiceCase 4
Yoko Suzuki: 84-year-old woman. Her husband passed away five years ago. She lives with her eldest son, his wifeand child (elementary school student).
She developed an acute fever but decided to just wait and see for some time at home if the symptom would get
better. However, no improvement was seen and she went to a local general hospital to consult a physician. She wasdiagnosed with a combination of influenza and pneumonia and immediately admitted to the hospital. It is her third
day in hospital. Although her pneumonia and fever are clearing, her muscles have weakened, resulting in feeble body
movements. She has little appetite and needs the assistance of a nursing auxiliary to eat because it is not easy for her
to eat independently.
Ogawa, the nursing auxiliary, walks into her room, and says, “Ms. Suzuki. It is lunch time.”

Speaking practice
Ogawa :	Ms. Suzuki. It is lunch time. Can I raise the head of your bed?
Suzuki : Yes. Thank you for your help.
Ogawa : You look very well today. Your color is very good.
Suzuki : Do you think so? I'm a bit hungry. I want to eat now.
Ogawa : I am happy to hear that. Let me put a bib on you. Today we have egg porridge, tofu hamburger andvegetable Nimono.
Suzuki : Thank you.
Ogawa : What do you want to eat first?
Suzuki : Porridge, please.
Ogawa : Sure. Is this enough for you? Here you are.
…………………………
Suzuki : That was very nice.
Ogawa : You have eaten a lot today.
Suzuki : Yes. I am feeling much better now.
Ogawa : Yes, you look much better. I am pleased.
Suzuki : Well, is it still too early for me to eat regular white rice?
Ogawa : Oh, you want to eat boiled white rice.
Suzuki : Yes. I don't like porridge very much, to tell you the truth.
Ogawa : Oh, I see. It may be time you went back to regular white rice. I will talk to your nurse.
Suzuki : Thank you.

45

Nursing record

S

O

A

P

I am feeling much better now. Is it still too early for me to eat regular white rice?

Consumed 80%, with assistance.
Maintained a stable sitting position on the bed.

Appetite has increased. Mental attitude has become positive.

Encourage her to eat independently at the next meal. Consider the possibility of a shift toa normal diet.

46

Lesson 5 Talking to a child on a special diet
Reading practiceCase 5
Kenta Hashimoto: 10-year-old boy, fourth grade elementary school student. He lives with his parents and brother,
3 years his junior. He has taken swimming lessons since he was 5 years old.
He seemed to lack energy since he caught a cold several weeks before. He did not want to attend his swimming
lesson which he normally likes very much. His mother thought that his face was swollen and took him to a local
pediatric clinic. Since the consultation and laboratory examinations showed that he was suspected of acuteglomerulonephritis, he was admitted to a general hospital in the city. One week has passed since he was hospitalized.
He is now on a special diet as the treatment. He feels that other children in the same room, who are on a normal
diet, eat better food, and is unhappy with what he is being served.
At lunchtime, Mizuno, the nurse, walks up to his bed and speaks to him. “Kenta, don't you feel like eating?”

Speaking practiceMizuno : Kenta, don't you feel like eating?
Kenta: I just...

Mizuno : You just what? Please tell me.
Kenta: My food is different from theirs.

Mizuno : Do you want to eat the same thing as they do?
Kenta: Yes, because (my lunch) tastes awful.

Mizuno : Does it contain something you don't like?
Kenta: I hate this, and this.

Mizuno : Then what do you want to eat?
Kenta

: I want to eat things like hamburgers or sushi.

Mizuno : I know what you mean. I like hamburgers and sushi, too. But I guess you'll just have to wait until yourkidneys say they are ready again. Can you wait until then?
Kenta: I don't know...

Mizuno : Let's think together later what you can eat.
Kenta

: Sure.

Mizuno : Now you can have rice, meat balls and a banana. Can you eat them?
Kenta: I think so.

47

Nursing record

S

My food is diﬀerent from theirs. It tastes awful. I want to eat things like hamburgers or
sushi.

O

He hardly eats anything for lunch.

A

He doesn't like the special diet; lack of calories.

P

Think together what he can eat that is high-calorie, low-protein and low-salt.
Invite a dietician to join.

48Lesson 6 Encouraging a patient to go to the toilet
Reading practiceCase 6Hiroshi Nakamura: 6 5-year-old man who lives with his wife and eldest daughter. His eldest son, who is
independent from them, lives in a far way town.
As part of a comprehensive medical examination, he underwent abdominal ultrasonography, which showed that
he had a gallstone of about 2.5 cm in diameter. As further medial examinations revealed that the gallbladder wall
also had thickened due to inflammation, he was hospitalized and underwent a laparotomic cholecystectomy. It is
the second day after the operation. He has some pain in the postoperative wound and has not yet gotten out of
bed since the operation. At present, he uses the toilet in the lying position on the bed. As his doctor has permitted
him to walk, his nurse has decided to encourage him to walk to the toilet with support.
Mizuno, the nurse, walks into his room and says, “Mr. Nakamura, Dr. Inoue says you can walk now. Why don't
you walk to the toilet next time?”

Speaking practiceMizuno:	Mr. Nakamura, Dr. Inoue says you can walk now. Why don't you walk to the toilet next time?

Nakamura : I want to, but the wound still hurts.
Mizuno:	Oh does it? It has only been two days since the operation. But you can walk. I will assist you.

Nakamura : No, I don't think I can walk yet.
Mizuno: Are you worried?

Nakamura : Yes, I am.
Mizuno:	Then, how about just walking one way only and using a wheelchair the other half?

Nakamura : Well…, I will give it a try.
Mizuno: Good. Will you walk to the toilet or walk back?

Nakamura :	I guess I will walk back from the toilet, because I don't want to fail to make it to the toilet in time.
Mizuno:	All right. So you will go to the toilet in a wheelchair and then walk back slowly, OK?

49

Nursing record

S

O(The wound) still hurts. I don't think I can walk.

It is the second day after the operation. He agreed to walk to the toilet
from now on.

A

He has fear of pain. Postoperative ambulation does not begin yet.

P

Encourage him to leave the bed.

50

Lesson 7 Listening to the needs of patients
Reading practiceCase 7
Michio Ito: 57-year-old man who lives with his wife and a 24-year-old daughter.
A comprehensive medical examination indicated abnormalities in cardiac function, and it was decided that hewould be hospitalized for five days for further examination. Various tests are planned for him every day. It is his third
day in hospital. At the time of the morning temperature check, Mizuno, the nurse, handed a thermometer to him
and asked him about how he slept last night. He said that he went to the toilet in the middle of the night and was
unable to get back to sleep after that.
After entering the vital signs in the temperature record, Mizuno asks him about his sleeping problem. “Mr. Ito,you said earlier that you had not slept well last night.”

Speaking practiceMizuno :	Mr. Ito, you said earlier that you had not slept well last night.
Ito:	Yes. I woke up to go to the toilet at around two, and after that I could not get back to sleep.

Mizuno : Do you have something on your mind?
Ito:	Nothing in particular. Maybe it's just because the pillow is different from the one I use at home.

Mizuno  	: The pillow?
Ito: Yes, this pillow is too flat. Actually, it's as good as having no pillow at all.

Mizuno : Shall I adjust the height?
Ito: Yes, please. Otherwise I may develop insomnia.

Mizuno : You can bring your own pillow from home, too.
Ito

: Oh really? Then I will ask my wife to bring it today.

Mizuno : That's good. Is there anything else you are worried about?
Ito: No, that's all for now, I think.

Mizuno : Good. If you have any problems, please do not hesitate to tell me.
Ito: Thank you.

51

Lesson 8 Helping a patient who has fallen overReading practiceCase 8Jiro Yamada: 55-year-old man who lives with his wife. His two sons are now independent. Both of them live in
his neighborhood.
He vomited blood at home, was taken to a hospital in an ambulance and diagnosed with an acute gastric ulcer.
It is his third day in hospital. He has been placed on nil by mouth status since he was admitted to the hospital.
Although he can go to the toilet by himself, he keeps the drip tube with him and needs to walk with a drip stand.
When he was about to walk back to his room from the toilet, he felt dizzy and staggered. He tried to support
himself on the drip stand but the stand slipped and he fell over.
Having heard a loud sound coming from the corridor, Mizuno, the nurse, comes to see if there is a problem.
“Mr. Yamada, are you all right?”

Speaking practiceMizuno : Mr. Yamada, are you all right?
Yamada : I'm OK. I just fell over.
Mizuno : Did you hit your head?
Yamada : No, I didn't hit my head.
Mizuno : Good. Do you have any pain?
Yamada :		 No. Not in particular.
Mizuno : I see. Don't you feel sick?
Yamada : Not really.
Mizuno : Looks like you are all right. Could you show me the needle insertion site?
Yamada : Yes.
Mizuno : Nothing is wrong here, either. Did you slip?
Yamada : I just walked out of the toilet and felt dizzy.
Mizuno : You felt dizziness?
Yamada : Yes.
Mizuno :	OK. I will take you to your room in a wheelchair. I will be back in a second. Could you wait here,
please?

52

Nursing recordS

I walked out of the toilet and felt dizzy. I'm OK.

Having heard a sound, I went out to the corridor and found him lying on the floor in
front of the toilet.
O

Consciousness (clear), nausea (－), dizziness (＋), IV insertion site (n.p.); he went backto the room in a wheelchair; Bp = 110/68 P = 86 R = 18 (measured after going backto the room)AP

Was the dizziness caused by three days of NPO?

Report the accident to the doctor. Provide walking support for him until the situation
improves.

53

Lesson 9 Asking a colleague to do some work
Reading practiceCase 9Masaaki Mori: 82-year-old man, who has been living alone since his wife passed away 10 years ago. His son'sfamily live far away.
His prostate cancer has metastasized to the bones. He has been staying at a hospital for pain control. When he
was trying to move into a wheelchair from his bed by himself, he lost his balance and fell over. A patient in thesame room (Kato) called a nurse using the nurse call system. Ogawa, the nursing auxiliary, answered the call.
“Hello. What's happened, Mr. Kato?”
On the way to his room, Ogawa was stopped by another patient (Ikeda) in the corridor. Ikeda complained that
the IV insertion site in his forearm was hurting. Ogawa examined the insertion site and found redness there.

Speaking practice(Nurse call)
Ogawa : Hello. What's happened, Mr. Kato?
Kato: Mori-san has just fallen over.

Ogawa : Thank you for calling. I'll be there in a minute.
…………………………
(In the corridor)
Ikeda: Excuse me.

Ogawa : Yes?
Ikeda

: This site hurts.

Ogawa :	Oh, the skin is a little red. Mizuno-san, Ikeda-san's IV insertion site has become red. Could you take careof him? I was told that Mori-san has fallen over, so I have to go to his room.
Mizuno : OK.
Ogawa : Ikeda-san, Mizuno will be with you in a minute. Please wait a moment.
…………………………
(In the patient's room)
Ogawa : Mori-san, are you all right? Aren't you injured?
Mori:	Oh, thank you for coming. I think I just went weak for some reason. But I'm all right now.

Ogawa : I see. Could you stand up slowly now?

54

Nursing recordS

I think I just went weak for some reason.

A patient in the same room with Mr. Mori informed us over the nurse call that he hadOfallen over. Nursing auxiliary Ogawa went to Mr. Mori's room and found him lying on hisback between the bed and the wheelchair.

A

P

Observation is required, as he is currently being prescribed with narcotics.

Accompany him when he leaves the bed.
Continue to observe his state of consciousness and pain.

55

Lesson 10 Support following cancer disclosure
Reading practiceCase 10
Tomoyuki Kobayashi: 52-year-old man who lives with his wife and two children (university and high school
students).
Workplace medical examinations indicated stomach abnormalities. Although he had no subjective symptoms,
a cytoscopy was performed at the outpatient department to examine the stomach lining, which revealed that hehad early-stage stomach cancer. Dr. Inoue called Mr. Kobayashi and his wife and told them that he had cancer.
For treatment policy, they agreed to decide through consultations, while taking further examinations. Mizuno, thenurse, is explaining to Mr. Kobayashi about the content and schedule of future examinations in a room adjacent to theconsultation room.
Mr. Kobayashi says to Mizuno, “I can't believe what the doctor said to me.”Speaking practice
Kobayashi : I can't believe what the doctor said to me.
Mizuno: What? What do you mean by that?

Kobayashi :	He said I have cancer. But I have no pain anywhere, and I'm feeling as fit as a fiddle. Perhaps he was
mistaken.
Mizuno:	I know what you mean. But it is not unusual for cancer patients to have no subjective symptoms
during the early stages. I think you are lucky to have your cancer detected at an early stage. You should
undergo thorough examinations.

Kobayashi : You may be right. But I just can't believe it.
Mizuno:	I understand how you feel. But once you have subjective symptoms, it is sometimes too late. At least
you have your cancer detected at an early stage, and that's a great thing.

Kobayashi : Maybe so.
Mizuno:	Yes. Your next examination will be on Friday. I suppose you have many things to think about before
that. If you have any worries or questions, please feel free to call us anytime.

Kobayashi : OK. Thank you very much.

56

Nursing record
No.
ふりがな

Name

6-200137
こばやし

ともゆき

52

Kobayashi Tomoyuki

Date ofconsultation

years oldMale・
FemaleTuesday, October 6

RecordS : He said I have cancer. But I have no pain anywhere, and I'm feeling as fit as afiddle. Perhaps he was mistaken.
O: He received a diagnosis of early stage cancer from the doctor in the presenceof his wife. The above is what he said when I explained to him about his next
examinations. I gave him the telephone number of the outpatient department sothat he can contact us for advice and support.

Scheduled dateof the next
hospital visit

Friday, October 9

Appointments

Tumor marker test, electrocardiography, pulmonary function test

Doctor inchargeInoue

Recorder57

MizunoLesson 11 Talking to a pre-surgery patient
Reading practiceCase 11
Chiyoko Hayashi: 72-year-old woman who lives with her husband, son and daughter-in-law and a grandchild(elementary school student).
She suffered from breathing difficulty and swelling of the limbs for several months. Since no sign of improvement
was seen, she visited the outpatient department. She was hospitalized, underwent cardiac catheterization and othertests, and was diagnosed with aortic valve incompetence, for which she is going to have an operation. It is thesecond day of her hospitalization for surgery. Her surgery is scheduled for tomorrow. She smiled and said to thedoctor and nurses, “There is no escape for me. I leave everything in the hands of the doctor.” But she told her family
that she felt very nervous because this would be her first ever surgery.
Mizuno, the nurse, walks into her room and says, “Excuse me, Ms. Hayashi. How are you feeling today?”Speaking practiceMizuno: Excuse me, Ms. Hayashi. How are you feeling today?

Hayashi : Nothing special. Nothing is wrong.
Mizuno: Good. Your surgery is tomorrow. Can I talk to you for a minute now?

Hayashi : Yes.
Mizuno: I heard that this would be your first surgery. You have been so healthy.

Hayashi : Thank you. But finally I'm going in for surgery for the first time at this age.
Mizuno: Are you worried about your age?

Hayashi :	To tell you the truth, I'm a bit worried about whether I am strong enough to withstand a heart operation
at this age.
Mizuno:	Are you? But I assure you that you will be all right because Dr. Inoue has decided that you should have
surgery, taking into account both your age and physical strength.

Hayashi :	After all, there is no escape for me. I leave everything in his hands. There is nothing I can do.
Mizuno: You are very composed. Don't you have any worries?

Hayashi : Let me see. Nothing in particular, but I don't like pain.
Mizuno: Are you afraid of pain?

Hayashi : Yes, because this part will be cut open. How much does it hurt?
Mizuno:	As you will be put under anesthesia, you will not feel any pain during surgery. When you come out fromunder the anesthetic after surgery, you may feel some pain. If you feel pain, you should not endure thepain. Just tell us. We will use pain relief medication. There is no need to worry.

Hayashi : OK.

58

Nursing record

S

There is no escape for me. I leave everything in the hands of the doctor.

She keeps saying the above with a smile.
O

According to her family, she tells them that she feels nervous because this is her first ever
surgery.

A

P

Although she seems to have some worries about her operation, she does not tell the
medical personnel.

Take the time to listen to her while observing her.

59

Lesson 12 Cheering up a patient undergoing rehabilitation
Reading practiceCase 12
Susumu Kimura: 63-year-old man who lives with his wife. His two children are independent.
Complaining of a severe headache, he was taken to the emergency department in an ambulance. After examination
by a doctor, he was diagnosed with a subarachnoid hemorrhage and underwent emergency surgery. Although his life
was saved, he developed sequelae in the form of right hemiplegia. As he tried hard in postoperative rehabilitation,
he made a good recovery in the lower limbs but did not make much progress in the upper limbs. When about fourweeks passed after the surgery, he was told by the doctor in charge of him that complete recovery would be difficultin his case. For the past one week after that, he seems to have lost his motivation for rehabilitation. The goals of his
rehabilitation are to prevent contractures in the right arm and to become independent in activities of daily life.
Today's rehabilitation time has come. Mizuno, the nurse, walks into his room and says, “Mr. Kimura, now it's
rehabilitation time for you.” “I don't feel like it today.”Speaking practiceMizuno: Mr. Kimura, now it's rehabilitation time for you.

Kimura: I don't feel like it today.

Mizuno: What's wrong? Do you feel sick today?

Kimura: Not really. I just don't feel like it today.

Mizuno: Is the rehabilitation too hard for you?

Kimura: Not really.

Mizuno: What rehabilitation exercises do you do usually?

Kimura: Stretching and bending the arms, and so on.

Mizuno: Could you show me how you do that?

Kimura: OK. Like this.

Mizuno:	Oh, you can move your arms much more smoothly than before. It sure pays off to exercise regularly, evenfor a very short period at a time.

Kimura: You may be right.

Mizuno:	Why don't you just go (to the rehabilitation room)? Once you are there, you may feel like doing exercises.
Or you could just see Dr. Ishikawa.

Kimura: OK, I will go.

Mizuno: Good. Let's go.

60

Nursing record

S

O

A

P

I don't think the rehabilitation is (eﬀective anymore.)

Last week he was told by the doctor in charge that complete recovery would be diﬃcult. He
has been reluctant to go to the rehabilitation room at rehabilitation time since then.

Decline in motivation for rehabilitation; in need of support.

Tell him about the importance of rehabilitation. Encourage him to regain a positive
attitude.

61

Lesson 13 Checking numbers
Reading practiceCase 13
Koji Maeda: 73-year-old man who lives with his wife. His two grown-up children live far away.
He had been suffering from abdominal pain and weight loss for about three months when he first consulted
an outpatient physician. As an MRI and other examinations showed that he had pancreatic cancer, he underwent
pancreaticoduodenectomy. After the six-hour surgery, he is now under observation in the ICU. As his blood pressure
has remained low, Dr. Inoue, who is in charge of him, decided the continuous intravenous infusion of Catabon-Low, avasopressor, and entered “12 ml/h” into the injection order. Mizuno, the nurse, mistook this for “2 ml/h” and began toprepare medicine and equipment accordingly.
Mizuno speaks to Dr. Inoue to check the name and dose of the medication. “Dr. Inoue, let me check on the intravenous
drip for Mr. Maeda.”

Speaking practiceMizuno : Dr. Inoue, let me check on the intravenous drip for Mr. Maeda.
Inoue

: OK.

Mizuno : It is Catabon, right?
Inoue: Right. But Catabon has two types, Hi and Low. Please be careful.

Mizuno : Yes. It is Low, right?
Inoue: Right. Let's use Low this time.

Mizuno : 2 ml per hour, right?
Inoue: What? Wait a minute. It's 12, not 2.

Mizuno : Oh, it's 12.
Inoue: Sorry. (My handwriting) was unclear.

Mizuno :	Not at all. Now let me check once again. Koji Maeda, Catabon-Low, 12 ml per hour.
Inoue:	Correct. Koji Maeda, Catabon-Low, 12 ml per hour. Please make sure that the setting of the infusion pumpis correct.

Mizuno :	Certainly. Once I have set the pump, I will ask Chief Nurse Aoki to recheck the setting.

62

Nursing record□

Pulmonary arterial pressure monitor□

SaO2 (saturation) monitor□

Arterial pressure monitor□

Electrocardiogram monitor

15:00 Taken into the room from the operation room.
Bp 92/80

T 36.8°C

P 50/minuteR 18/minute

15:30 Dr. Inoue came to the ward.
Blood pressure remained low.
According to the direction of Dr. Inoue, Catabon-Low began to beinfused at 12ml/h.

63Lesson 14 Treating a patient in the patient's room
Reading practiceCase 14
Yumi Yasuda: 16-year-old female high school student. She lives with her parents and brother, who is a university
student.
Due to abdominal pain, she decided not to go to school and rested at home. However, as her condition showedno sign of improvement, she consulted the emergency department in the evening. She was diagnosed with acuteappendicitis, hospitalized immediately and underwent an appendectomy. This was a typical acute appendicitis case,and her operation went well. She has been doing well after the operation as well. It is now the afternoon of the day
after the operation. She was chatting happily in her room with her high school friends who had come to see her in
hospital when the doctor and nurse came in. They asked her friends to leave the room for a while, approached thebedside, and began to examine her postoperative wound and make preparations for changing the gauze.
Mizuno, the nurse, says to her, “Do you mind if I peel off the tape now?”

Speaking practiceMizuno :	Do you mind if I peel off the tape now? This may hurt a little. Try to put up with it.
Yasuda : OK.
…………………………
Mizuno : All right, now it's done.
Inoue: Do you feel pain?

Yasuda : I'm feeling much more comfortable than yesterday.
Inoue:	That's fine. The wound is very clean, too. No redness and no pus. Can you take care of the rest, Mizunosan?

Mizuno : Sure. … Ms. Yasuda, do you want to look at your wound?
Yasuda : Oh, it's so small. I thought it would be larger.
Mizuno : Very small, isn't it? It will become almost invisible in a year or so.
Yasuda :	Really? I'm relieved to hear that. Will I leave the hospital after removal of the stitches?
Mizuno :	No. You will leave the hospital much earlier, maybe today, although I have to check with the doctor.
Yasuda : What? Today?
Mizuno :	Yes, if the doctor says OK. The stitches will be removed at the outpatient department after you leave thehospital. If there are no problems, it will be in about a week's time.
Yasuda : I see.
Mizuno :	OK. So I'm disinfecting your wound now. It will feel slightly cold. Are you ready?
Yasuda : Yes.

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Nursing record

S

The wound is so small. I thought it would be larger.

O

Wound redness (－), purulent drainage (－), pain (－)

A

Good postoperative course.

P

Give her standard discharge advice.

65

Lesson 15 Receiving training from a preceptor
Reading practiceCase 15
Reiko Nagano: 56-year-old woman who lives with her husband and mother-in-law. She has two independent
children.
She has been on an intravenous drip of cisplatin, an anticancer agent, for three days for the treatment of lungcancer. The nurse in charge of her, Mizuno, is new to her job and is now learning her job under the guidance of apreceptor, Aoki. Mizuno and Aoki were in the nurse station when they received a nurse call saying that the solution
for intravenous infusion had stopped dripping. The two went to her room to see what the problem was and foundthat she had redness of about 10 cm in diameter around the IV insertion site. It turned out that the redness had
been caused by the solution seeping into subcutaneous tissue.
After treatment in her room, Aoki talks to Mizuno in the nurse station, “Mizuno-san, around what time did you lastvisit Ms. Nagano's room?”

Speaking practice
Aoki:	Mizuno-san, around what time did you last visit Ms. Nagano's room?

Mizuno : About 30 minutes ago.
Aoki

: Didn't you notice that the solution was seeping at that time?

Mizuno : No, I didn't notice anything wrong.
Aoki: What made you conclude that nothing was wrong?

Mizuno : The solution was dripping steadily, and I think there was no skin redness.
Aoki: I see. Do you know about cisplatin?

Mizuno : Yes. It's an agent that can seep into and damage subcutaneous tissue.
Aoki:	That's right. If so, you have to keep a particularly close eye on (patients who are on it).

Mizuno : I'm sorry. I will try not to let this happen again.
Aoki: Let's run over the check items for intravenous drips once again together.

Mizuno : Yes, please.

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Nursing record

S

O

A

P

The solution for intravenous infusion has stopped dripping.

Went to her room in response to a nurse call stating the above.
Redness of about 10 cm in diameter around the IV insertion site.

Suspected of a skin disorder caused by cisplatin seeping into subcutaneous tissue.

Continue to observe the state of the skin.
Ask the doctor in charge of her and a dermatologist for guidance.

67

Lesson 16 Talking with a colleague about a patient
Reading practiceCase 16
Harumi Onishi: 48-year-old woman who lives with her husband and university student son.
She was hospitalized due to right breast cancer and a partial mastectomy was performed a week ago. Her
postoperative course has been good. Her husband comes to see her every day and takes care of her. Although adrainage bag is attached to her, it does not prevent her from walking. As the lymph nodes were also removed, sheneeds rehabilitation such as lifting her arms. However, she is reluctant to do so, saying it hurts, and spends most of
her time in bed. Today she asked the nurse in charge of her, Mizuno, to do some shopping for her because she did
not want to go to the hospital store in the basement. Mizuno encouraged her to go there herself.
The other nurses are also worried about her delayed ambulation. Aoki, today's nurse leader on the ward, talks to
Mizuno in the nurse station, “It is taking so long for Ms. Onishi to leave her bed, isn't it?”Speaking practice
Aoki:	It is taking so long for Ms. Onishi to leave her bed, isn't it? She doesn't do much rehabilitation either, doesshe?

Mizuno :	No. She hardly moves. For example, she asked me to go to the hospital store and do some shopping forher a while ago.
Aoki

: Did she?

Mizuno :	Yes. I asked her why she would not go there herself and she said that it was because she was afraid. But
she has the doctor's permission to walk around and I think she is all right now.
Aoki

: She said she was afraid?

Mizuno :	Yes. She said that she was afraid of going somewhere where there are other people.
Aoki: How about you accompanying her?

Mizuno : Do you mean I should accompany her shopping?
Aoki: I think the attendance of a nurse could be of help to Ms. Onishi.

Mizuno : You have a point. I'll ask her later.

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Nursing record

SO

I don't want to go to the hospital store. I'm afraid of going somewhere where there are otherpeople.

It has been one week since her operation. She spends most of her time in her room.
She has been fully taken care of by her husband.
Delayed ambulation. She is afraid of going somewhere where there are other people.

A

She needs to get used to being with people around her as preparation for life after leaving
hospital.

P

Accompany her for a walk within the hospital.
Need to explain to her family also about the importance of ambulation.

69

Lesson 17 Reporting to a doctor
Reading practiceCase 17
Jun-ichi Yamashita: 85-year-old man who lives with his wife, eldest son, daughter-in-law and two grandchildren.
He was diagnosed with colon cancer three years ago. Both he and his family were told about the cancer, andhe underwent a partial colectomy. However, he had a recurrence six months ago. Although he had been receiving
home care after the recurrence, he has recently developed an edema in the lower limbs associated with lymph nodemetastasis. He also complained of severe listlessness. As his wife was also showing signs of fatigue from caregiving,it was decided that he would be hospitalized for observation for some time. It is the fourth day of his hospitalization,and he has been given continuous narcotic pain control. Although he is not the sort of patient who would speak
about pain or anxiety, Chief Nurse Aoki feels that his face has been composed since he began narcoics. Aoki thinksthat given his current state he can now leave the hospital and receive home care again.
Dr. Inoue, who is in charge of him, comes to the nurse station and asks nurse Aoki about the pain of the patient,“How about Mr. Yamashita? Does he still seem to have pain?”Speaking practiceInoue : How about Mr. Yamashita? Does he still seem to have pain?
Aoki:	Since he was put on morphine, his face shows less pain. But he seldom speaks and so I don't know to what
extent (the narcotics) have worked.

Inoue : I see... Does he sleep well at night?
Aoki:	According to the nursing reports from the late night shift, he slept till around 5:00.

Inoue : I see. How about bowel movements?
Aoki: He has had daily bowel movements over the past three days.

Inoue : Good. The medicine seems to be working.
Aoki: Yes. So I guess...

Inoue : Do you have any suggestions?
Aoki: Yes. Given his current state, I guess he can go home...

Inoue : I think so, too. Shall I talk to him? Can you come in with me?
Aoki

: OK.

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Nursing record

S

O

A

P

He seldom speaks.

His face shows less pain.
He has had a good night's sleep and has good control of his bowel movements.

His condition allows him to leave hospital.
We haven't heard his wishes yet.

Discuss his future (treatment) with him, his family and the doctor in charge.

71

Lesson 18 Reporting an emergency
Reading practiceCase 18
Setsuko Sasaki: 71-year-old woman who lives with her husband. Her two children are independent and live far
away.
Fecal occult blood was detected in her on medical examination and she was hospitalized for further medical
examinations. In preparation for a colonoscopy, she was on a low residue diet on the day before. On the morningof the colonoscopy, she started to have two liters of oral intestinal lavage solution. Although it has been about
two hours since then, she has not had a bowel movement yet. She is now lying on the bed in the endoscopy room,
showing distress. She looks pale and is in a cold sweat. Her blood pressure is in the seventies.
Mizuno, the nurse, thinks it emergency situation and decides to call Dr. Inoue, “Dr. Inoue, this is Mizuno.”

Speaking practiceMizuno :	(On the phone) Dr. Inoue, this is Mizuno. Something is wrong with Ms. Setsuko Sasaki. Please come to theendoscopy room immediately.
Inoue: (On the phone) OK. I will be there in a minute.

Mizuno : Ms. Sasaki, can you hear me? Hang on. Dr. Inoue will be with you soon.
…………………………
Inoue: What's happened?

Mizuno :	She began taking Niflec two hours ago. Her blood pressure is in the seventies.
Inoue: I see. Ms. Sasaki, Ms. Sasaki, can you hear me?

		 Mizuno-san, please bring me an emergency cart and an electrocardiograph.
Mizuno : An emergency cart and an electrocardiograph, OK.
…………………………
Mizuno : Dr. Inoue, here are the emergency cart and electrocardiograph.
Inoue:	Thank you. Then, tell the head nurse of the outpatient department, Ms. Harada, it is an emergency andask her for help.

Mizuno   : OK.
…………………………
Mizuno :	(On the phone) Head Nurse Harada, this is Mizuno. There is an emergency. Please send some help to theendoscopy room.

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Nursing record

8:00(Administration of) Niflec started.

9:50

Niflec-induced defecation (－)
Lying on the bed in the endoscopy room.

9:53

No response to her own name; facial pallor; cold sweat (+); Bp = 74
Called Dr. Inoue.

9:55

Emergency treatment by Dr. Inoue started; asked Head Nurse Harada for help.

73Lesson 19 Attending a patient on his/her deathbed
Reading practiceCase 19
Kyoko Nakajima: 6
 1-year-old woman who lives with her husband. She has two independent children.
She had terminal uterine cancer with metastasis to the pelvic viscera. Although she had been treated with
anticancer agents as palliative care, her cancer progressed considerably, and she was hospitalized again two weeks
ago. She did not want to receive home care and chose to stay in hospital, perhaps because she did not want to place
the burden of caregiving on her husband. The night before, she lost consciousness and began to suffer from agonal
respiration at 5:30 in the morning. While her husband and children, who were gathered around her bed, werestroking her hands and feet, and continuing to talk to her, she died quietly and peacefully at 7:10. Her husband said
to her that he wanted her to go to heaven ahead of him and reserve a good spot for him. The doctor who certified
her death told the time of death to her family, bowed and left her room.
Her husband speaks to Mizuno, the nurse, who is standing in the corner of the room, “Thank you very much for
all your help.”

Speaking practice
Nakajima : Thank you very much for all your help.
Mizuno: She passed away peacefully surrounded by her family.

Nakajima : Yes, she did. Thank you very much.
Mizuno:	Please take your time saying goodbye to her. Please be by yourselves for a while. I will be back later toclean her body, so please call me (when you are ready). I will be outside the room.

Nakajima: Thank you.
…………………………
Nakajima : Thank you for waiting. We are ready.
Mizuno:	OK. So I am going to clean her body now. Would you like to do it with me?

Nakajima : Can I?
Mizuno: Sure. Is there anything you want to dress her?

Nakajima : Yes. This is her most favorite kimono.
Mizuno: It's so beautiful. Now let's make the preparations.

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Nursing record

5:30

Agonal respiration started.
Called Dr. Inoue's mobile phone. He said,“I'm coming.”
Her husband and children gathered around her bed and kept talking to her while stroking
her hands and feet.

6:50

Her peripheral blood pressure became very marginal. Dr. Inoue arrived.
Dr. Inoue certified the death of the patient.

7:10

Her husband said,“Thank you very much for all your help.”
Carried out postmortem care with her family. Dressed her in a kimono brought by her

7:30

family.

8:30

Funeral staﬀ arrived. Saw her oﬀ. Discharged dead from hospital.

75Lesson 20 Turning down a gift
Reading practiceCase 20
Naoaki Ishii: 38-year-old man who lives with his wife, son and daughter (elementary school students)
He tested positive for urine sugar in his company medical checkup. He underwent further medical examinations
and was diagnosed with diabetes. After two weeks of educational hospitalization, the aim of which was to educate
the patient to improve his dietary habits, etc. today is the day of his discharge from hospital. His wife came to thenurse station, bringing a box of Japanese sweets with her. Although it is often the case that a patient or his/herfamily member offers a gift to hospital staff members at the time of hospitalization or discharge from hospital, thehospital's regulations forbid the acceptance of gifts from patients.
His wife walks up to Mizuno, the nurse in charge of him, and says, “Mizuno-san, we really appreciate the help andsupport you have given us. Thank you very much.”

Speaking practiceIshii:	Mizuno-san, we really appreciate the help and support you have given us. Thank you very much.

Mizuno :	These two weeks must have been hard for you. But now comes the hardest part. But I'm sure Mr. Ishii cancarry it through.
Ishii: I'm glad to hear that. I will do my best to support him, too.

Mizuno :	Please take it easy. The most important thing is to carry it on for a long time.
Ishii:	Thank you for your advice. Here is a small gift for you and the other staff members. I want you to share it
together.

Mizuno : Thank you for your kindness. But we cannot accept it. Sorry.
Ishii: It's not an expensive thing. It's just a small token of our appreciation.

Mizuno :	Thank you very much, but we can't accept it. It's also for other patients. Just saying thanks to us means a
lot to us.
Ishii: Oh, don't say that. Please accept it. I don't want to take it back home.

Mizuno : I will go and ask the head nurse, OK? Can you wait here for a minute?

76