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題名 | 一位口腔癌末期病患接受安寧緩和醫療共同照護之護理經驗=Nursing-care Experience of Integrating Hospital-based Palliative Consultation Service (HBPCS) to a Terminal Stage Patient with Oral Cancer |
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作者 | 江姿瑩; 陳美杏; 陳麗琴; | 書刊名 | 腫瘤護理雜誌 |
卷期 | 7:1 2007.06[民96.06] |
頁次 | 頁55-66 |
分類號 | 419.77 |
關鍵詞 | 口腔癌; 末期病患; 安寧緩和醫療共同照護; Oral cancer; Terminal stage patient; Hospital-based palliative consultation service; |
語文 | 中文(Chinese) |
中文摘要 | 本文敘述如何協助一位罹患口腔癌末期病患面對疾病及預後所造成衝擊的照護經驗,筆者於2005年10月26日至11月21日的照護期間,經由與病患及主要照顧者會談、觀察,並與安寧緩和醫療共同照護(簡稱安寧共照)之醫療團隊討論,進行資料收集,針對病患生理、心理、社會、靈性等各方面評估,發現個案有口腔黏膜障礙、營養不均衡:少於身體需要、無望感、心靈困擾等問題;並配合安寧共照團隊,提供個案藥物及非藥物之疼痛控制,調整飲食、改善其營養及便秘問題,協助病患增強自我照顧的信心,最後幫助病患修復與家人的關係,並表達心願,使病患在疾病最後一程能得到身心靈的安適。 |
英文摘要 | This article described a nursing-care experience of integrating hospital-based palliative consultation service palliative consultation service (HBPCS) to help a terminal stage patient with oral cancer facing the impact of disease and prognosis. Data collection from 10/26/2005 to 11/21/2005 focusing on physical, psychosocial, and spiritual aspects was accomplished by in-depth interview, clinical observation, and discussion with the health care team and the HBPCS team during the period of patient's hospitalization. The patient's primary health problems included impairment of oral mucous membrane, imbalanced nutrition: less than body requirements, hopelessness, and spiritual distress. Collaborating with the HBPCS team, the patient was provided drug or non-drug pain control management, diet adjustment, constant listening, attention, and encouragement, which helped strengthening the patient's confidence in self-care competency and improving the reconciliation and the communication between family members in order that the patient could reach a state of peaceful mind during the last mile of his life. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。