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題名 | 協助一位腦瘤病人出院準備服務之照護經驗=Discharge Planning for a Patient Post Brain Tumor Surgery |
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作者姓名(中文) | 劉苑蓉; 彭美姿; | 書刊名 | 源遠護理 |
卷期 | 3:1 2009.05[民98.05] |
頁次 | 頁61-68 |
分類號 | 419.73 |
關鍵詞 | 出院準備服務; 腦瘤; 長期照護; Discharge planning; Brain tumor; Long term care; |
語文 | 中文(Chinese) |
中文摘要 | 本篇報告係協助一位因罹患腦瘤導致意識不清及全癱之個案出院返家的過程。個案於住院期間,原本由輕微中風的案夫照顧,惟其案夫亦再度中風半癱而住院。照顧之責轉而倚賴子女,甫成年即擔任主要照顧者的長子,因認知缺乏、照護技巧生疏、及擔憂個案後續安置照護與經濟、人力負荷等問題,一再拒絕出院,亦造成醫病關係的緊張。護理期間自2007年5月18日至6月24日,經由出院準備服務的介入,評估其護理問題包括:「危險性肺吸入」、「危險性廢用症候群」、「照顧者角色緊張」等。藉著與案家建立信任感及家庭評估,教導鼻胃管灌食技巧以避免個案發生肺吸入情形,亦諮詢復健師共同提供復健照護指導,以避免個案發生廢用症候群。此外,轉介社區資源如長期照護管案中心、創世基金會等以減輕個案經濟、輔具、與照護人力的負荷,進而克服家屬的照顧者角色緊張而順利出院,後續追蹤個案亦無再入院情形故予結案。透過出院準備服務,早期篩選與適時介入,依個案家庭評估提供適切適所的照護資源服務,確保了個案出院返家的過程皆能得到持續性且完整的照護。建議醫療各專業應將出院準備服務納入在職教育的課題,使其推行更為順暢,以保障持續性照護的品質與安全。 |
英文摘要 | This article describes the discharge planning process for a paralyzed disoriented post brain tumor surgery patient over a five-week period. Discharge assessment identified three nursing problems: (1) patient's risk for aspiration, (2) risk for disuse syndrome, and (3) caregiver role strain. Multidisciplinary interventions included building trusting relationships, family assessment and support, teaching caregiver proper feeding techniques, physical therapy assessment and interventions, and proper referral to community resources. The long-term care case facility provided proper home care equipment and aides that helped relieve some of the family's financial and manpower burdens. The patient did not require readmission after discharge. Early discharge screening and planning to identify discharge needs assure a smooth patient discharge, comprehensive care needs, quality of care and patient safety. It is strongly recommended that the healthcare team receive proper training on patient preparedness and discharge planning. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。