頁籤選單縮合
題 名 | 一位肝細胞癌末期病患瀕死之護理經驗=Nursing Experience of a Dying Patient with Hepatocellular Carcinoma |
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作 者 | 高美英; | 書刊名 | 腫瘤護理雜誌 |
卷 期 | 7:2 2007.12[民96.12] |
頁 次 | 頁45-60 |
分類號 | 419.77 |
關鍵詞 | 末期肝細胞癌; 瀕死; 安寧療護; Hepatocellular carcinoma; Dying; Hospice care; |
語 文 | 中文(Chinese) |
中文摘要 | 本報告在探討一位接受安寧療護之肝細胞癌末期個案的生理、心理社會、靈性反應之護理過程經驗,於護理期間2005年5月23日至2005年6月12日間,與個案與家屬建立信任感後,利用觀察、會談、身體檢查評估、檢驗檢查值、病歷查閱等方式收集資料,運用安寧療護生理心理、靈性系統為評估工具,發現個案的健康問題有:身體舒適問題-低效性呼吸型態、腹痛、心理問題-預期性哀傷、靈性問題-靈性困擾等健康問題。護理過程中,由於家屬面臨親人的瀕死過程,擔心突然的病情變化及臨終症狀的不舒服而感到慌張,筆者運用安寧療護的全人、全家、全程、全隊四全之照護理念,提供個案及家屬同理、情緒支持、陪伴,並給予相關的衛教家屬瀕死照顧技能與舒適護理、減輕瀕死症狀身體不適,並共同參與善終準備過程,讓家屬一同參與個案的最後旅程,達到個案及家屬身、心、靈三平安的目標,更肯定護理及醫療團隊的功能,讓病人有尊嚴、有希望、平安地活到最後一刻,達到生死兩相安,希望藉由此報告與護理同仁們分享。 |
英文摘要 | This case report is to describe nursing care of the physiological, psychological, social and spiritual reactions during terminal stage in patients with Hepatocellular Carcinoma. The author took care of the patient from May 23 to June 12 in 2005. First, the author made efforts to build the trust relationship with the patient and his family. Data was collected by using observation, interview, physical assessment, check of laboratory data, and chart review. The assessment tool of hospice care was employed to evaluate the patient's physiological, psychological, and spiritual system. The patient's problems were identified as the follows: physical problems-ineffective breathing pattern and abdominal pain; psychological problem-grieving anticipatory; spiritual problem-spiritual distress. During the nursing process, the family had a hard time to cope with the patient's dying, were concerned about the change of the patient's condition, and felt anxious about the patient's discomfort. The four wholes concepts of the hospice care including whole human, whole family, whole process and whole team were applied to nursing care of the patient and his family. The author offered empathy, emotional support, education of terminal care and comfort care skills, being with the patient and family and alleviation of the dying patient's pain. To achieve physiological, psychological and spiritual peace, the author involved in the preparation for the death and allowed the family to keep company with the patient. The functions of the health care team were affirmed. The patient died with dignity, hopes and peace, and both the patient and his family felt peaceful at the last moment. It is expected that the successful nursing experiences can be shared with other health care providers in hospice care. |
本系統中英文摘要資訊取自各篇刊載內容。