Poem
poem 课件
to express themselves
Para 2: Nursery rhymes
• What is Papa going to buy for the baby if that billy-goat runs away? A. a looking glass B. today C. another billy-goat D. nothing
POEM C answer the following questions 1. What sports do you think the speaker is writing about? Football 2. Did his team win the game? No 3. How many excuses did they make to Nine explain why they didn’t win? 4. Does the speaker really believe his own No excuse? If no, what is the reason for they are not The reason why they are fail is that their failure?
Shelley--- Ode to the west wind (西风颂)
*Can you tell us some foreign poets?
England : Keats , Byron , Shelly, Shakespeare
India : Tagore Germany : Goethe America : Emerson
nursery rhymes 童谣
rhyme [raim] rhythm [‘riðəm] n.韵；压韵的词
英语：Unit2《Poem》课件1
★★
List poems
Unit 2 Poems
If winter comes, can spring be far behind?
Shelley--- Ode to the west wind
轻轻的我走了，正如我轻轻的来； 我轻轻的招手, 作别西天的云彩。
Say Goodbye to Cambridge Again
How long will the bright moon appear? Wine-cup in hand, I ask the sky.
I do not know what time of year, It would be tonight in the palace on high.
水调歌头 明月几时有？把酒问青天。 不知天上宫阙，今夕是何年？ ——— 苏轼
has rhyming words at the end of lines
repeats words or phrases
Discussion:
Are poems good for our life? What can we get from poems? 1. Poems bring passion (激情)to our life. 2. Poems help us to understand life, virtues, beauty and romance. 3. Poems make us know we are here and that we can make our life and the world more colorful and beautiful!
What forms are the following poems?
Life is Life is Life is Life is Life is Life is Life is Life is
英语课件 (poem介绍)
Dickinson, Emily (Elizabeth) (born Dec. 10, 1830, Amherst, Mass., U.S.-died May,15,1886, Amherst)
U.S. poet. Granddaughter of the cofounder (共同发起人）of Amherst College and daughter of a respected lawyer and one-term onecongressman. Dickinson was educated at Amherst (Mass.) Academy and Mount Holyoke Female Seminary. She subsequently spent virtually all her life, increasingly reclusive, in her family home in Amherst. She began writing in the 1850s; by 1860 she was boldly (大胆地，冒失地）experimenting with language and prosody（作诗 法）, striving for vivid, exact words and epigrammatic concision（短 句） while adhering to the basic quatrains（四行诗） and metre （诗的韵律、格律） of the Protestant hymn(新教圣歌）. The subjects of her deceptively simple lyrics（抒情诗）, whose depth and intensity contrast （强度对比）with the apparent quiet of her life, include love, death, and nature. nature.
poem术的治疗和护理
poem术的治疗和护理
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并发症的观察和护理（二）
• 感染：术后患者可能会出现贲门部位感染及胃肠外感 染，为防止此类感染，术后要严密监测患者体温，注 意患者是否有发热、咳嗽、胸骨疼痛等现象，并常规 给予抗感染静脉滴注治疗3-5天
• 穿孔 ：为最严重的一种并发症，若患者发生食管穿 孔，主要表现为胸痛、气短、气胸及皮下气肿等症状。 因此，术后一定要严密观察患者胸痛、气短等情况， 一旦发现异常，立即报告医生处理。
poem术的治疗和护理
34
传统治疗方式
• 药物治疗 • 内镜：局部注射肉毒杆
菌毒素、球囊扩张 • 外科手术：改良Heller
手术
poem下括约肌压力，使食管 下段松弛，从而解除功能性梗阻， 使食物顺利进入胃内。
poem术的治疗和护理
4
各种方法的优缺点
药物治疗
• 早期有一定疗效，后期完全无效 • 现临床很少使用
10
我院开展情况
• 2012年至今采用POEM术累计治疗5 例贲门失驰缓症患者
• 术后临床症状显著缓解，短期恢复进 食，未出现任何并发症，有效率 100%
• GI检查食管狭窄消失、功能显著改善
poem术的治疗和护理
11
编号
1 2 3 4 5
病例资料
性别
Eckardt评分
术前
术后1 月
食道最大宽度 （cm）
1
贲门失迟缓症临床表现
• 1)吞咽困难 无痛性咽下困难是本病最常见最早出现的症状，占
80%～95%以上。
• 2)疼痛 约占40%～90%贲门失弛缓症的患者有疼痛的症状，性质不一，
可为闷痛、灼痛、针刺痛、割痛或锥痛。
• 3)食物反流和呕吐
poem术的治疗与护理
功能并减少手术的并发症
POEM的操作步骤
初步临床评价
• 术后早期即可进食，95%的患者术后吞咽困难得 到缓解，且反流性食管炎发生率低
• 与传统治疗方法相比，该技术具有创伤小、恢复
快、操作安全、近期疗效显著等优势
• 是治疗贲门失弛缓症的最佳选择之一，目前属国
际先进水平
适应症和禁忌症
适应症
确诊为贲门失弛缓症并影 响生活质量者
贲门失迟缓症临床表现有（）
• • • • • A.吞咽困难 B.疼痛 C.食物反流和呕吐 D.呃逆 E.声音嘶哑
POEM术的并发症有（ ）
• • • • A.出血 B.感染 C.穿孔 D.休克
患者出院指导包括（）
• • • • • A.嘱患者避免精神紧张，保持愉快的心情 B.禁食刺激性食物及粗超食物 C.少食多餐，避免食物过冷或过热 D.注意细嚼慢咽，减少食物对食管的刺激 E.坚持服用抑酸及保护食管胃粘膜药物
出院指导
• 嘱患者避免精神紧张，保持愉快的心情 • 养成良好的饮食习惯，少食多餐，避免食物过冷或过 热，注意细嚼慢咽，减少食物对食管的刺激 • 禁食刺激性食物及粗超食物 • 保持大便通畅 • 如出现不适应及时来医院就诊 • 遵医嘱坚持服用抑酸及保护食管胃粘膜药物。
首次将POEM术用于贲门失弛缓症的治疗的国 家是（）
病例报道
术前GI 术后GI
操作演示
横开口法经内镜下经口内镜下肌切断术的操作步骤
1a:胃食管连接处(CEJ)近端约8 cm处拟切开处黏膜下注射； 1b:于注射位置做横行切口； 1c:逐渐剥离黏膜下层，建立黏膜下隧道，隧道的远端至GEJ下约3 cm处； 1d:用三角刀由近侧端像远侧端切开环形肌； 1e:钛夹夹闭横行的隧道入口
POEM护理及健康宣
沟通交流
与患者及其家属保持良好沟通， 了解他们的需求和意见，以便不
断改进护理服务。
03
POEM护理的优势
提高患者满意度
患者对POEM护理的满意度高， 因为它注重患者的需求和感受， 提供个性化、全面、连续的护理
服务。
POEM护理通过与患者建立良好 的沟通，了解患者的期望和需求， 从而提供符合患者期望的护理服
POEM护理及健康宣教
目录
• POEM护理概述 • POEM护理的实施 • POEM护理的优势 • 健康宣教在POEM护理中的作用 • 健康宣教的实施方法 • 案例分享
01
POEM护理概述
POEM护理的定义
POEM护理是一种以患者为中心的护 理模式，强调在护理过程中关注患者 的生理、心理、社会和灵性需求。
数据分析
对收集到的数据进行分析，评 估宣教效果，以便不断完善和
改进宣教工作。
06
案例分享
POEM护理在心血管疾病中的应用
总结词
POEM护理在心血管疾病中应用广泛，有助于提高患者的生活质量和预后。
详细描述
POEM护理在心血管疾病中关注患者的心理、社会、生理和医学需求，通过全 面评估和个性化护理计划，提供综合护理服务。这种护理模式有助于改善患者 的生活质量，减少并发症，提高治疗效果和预后。
POEM护理在糖尿病管理中的应用
总结词
POEM护理在糖尿病管理中具有显著效果 ，能够提高患者的自我管理和控制能力 。
VS
详细描述
POEM护理在糖尿病管理中注重患者的个 体差异和需求，通过健康教育、心理支持 、饮食指导、运动建议等方面的综合干预 ，帮助患者建立良好的自我管理和控制习 惯。这种护理模式能够显著提高患者的自 我管理能力和控制效果，降低血糖水平， 减少并发症的发生。
poem的名词
poem的名词
poetry是英语文学和诗歌的总称。
与poetry相关的名词有：poetry（文学），作者，译者，作家，词汇等等。
poetry出自古希腊语，意思是“技巧”或“艺术”，包括“技巧”或“艺术”。
文学作品，用一种特殊的方式讲述了一个故事，在这个故事里，通过声音、图像、色彩、象征、寓言等表现形式，包含了说话者所采取的观点、描述、情感、价值观以及所要传达的信息。
文学可以分为抒情诗、叙事诗、戏剧诗、小说诗四大类。
poetry是一种具有音乐性的文学体裁，大部分都使用传统的英语诗歌的韵律，但是在格律上已经大大地简化。
根据
thebelly-international在1991年的定义， poetry指的是“大约1400年前，用来创作戏剧、抒情诗和叙事诗的一种新型的文学形式”。
在历史发展进程中， poetry出现了一些差异。
在古代，文学成为贵族教育的一部分，从而培养出了最早的诗人。
文学被划分为“经典文学”，这是源于希腊、罗马的古代文学作品。
其他还有：基督教文学、伊斯兰教文学、拜占庭文学、俄罗斯文学、中世纪文学、近现代文学等。
- 1 -。
有关poem的英文作文
有关poem的英文作文Poem is like a painting, with words instead of colors. It's a way to express emotions, thoughts, and experiences in a creative and artistic way.When I read a poem, I feel like I'm entering the mind of the poet. The words create a vivid picture in my head, and I can feel the emotions behind them.Some poems are like a punch in the gut, hitting you with raw and powerful emotions. Others are like a gentle breeze, soothing and comforting.I think the beauty of poetry lies in its ability to convey complex emotions and ideas in a simple and concise manner. It's like distilling a powerful feeling into a few lines of verse.Poetry has the power to make us see the world in a different light, to make us question and reflect on our ownlives and experiences.I love how poetry can be interpreted in so many different ways. It's like a mirror, reflecting back our own thoughts and feelings.When I write a poem, I feel like I'm capturing a moment in time, freezing it in words. It's a way to make sense of the world around me and to connect with others on a deeper level.In the end, poetry is like a secret language, a way to communicate the incommunicable. It's a form of art that transcends boundaries and speaks to the heart.。
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Poem
(1)
Heart‘s core orphaned boat
Slowly navigates
But, surely do not have to roam through in the tear sea (2)
The flower opens just exuberantly
It smiles to you!
But the smart person knew
Should let the smiling face slightly rest
(3)
The star goes home time
Front always stares
Sea that side
Whether has it the friend?
(4)
Is holding fresh flower‘s child
The sunlight is smiling is looking you
Did not forget to water for family‘s in flower!
(5)
The day wears the gray as before the veil,
Rain patter patter,
Like sentimental young girl,
Also likes the youth which loses presence of mind at a loss.
(6)
Hopes the rain to come again time
I cannot pace back and forth in the alley
Since came
Boldly to front
(7)
The moonlight is misty
Chilly black night
The lamp unexpectedly extinguished
The heart lamp also no longer dodges
(8)
Places oneself under piece by piece the sunlight
Welcomes the lotus leaf to stand upright piece by piece servesas contrast the lotus
I am the lotus or the lotus leaf?
No, only is the side butterfly
(9)
The child said to the old person that, "
Why not happy lives?"
The old person answers: "Happy general meeting past,
Does not want again to recollect the happy time,
Let it pass."
(10)
The poet thought the poem most has the sentiment
The writer actually said that, "Is the implicit expressionsentiment like direct how good?"
The poet has silently smiled, shakes the head.
Is the poet only then to be able to feel the true pleasure. ---来源网络整理，仅供参考。