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頁籤選單縮合
| 題 名 | 協助食道癌末期病人出國圓夢:一個案報告=Assistance in Realizing the Dream of Going Abroad for a Patient in the Terminal Stage of Esophageal Cancer: A Case Report |
|---|---|
| 作 者 | 陳姿樺; 王靜瑜; 劉子沄; 黃洽鑽; 吳維純; | 書刊名 | 安寧療護 |
| 卷 期 | 18:3 2013.11[民102.11] |
| 頁 次 | 頁330-340 |
| 分類號 | 419.77 |
| 關鍵詞 | 末期病人; 病患自控式止痛; 嗎啡; 圓夢; 全人照護; Terminal ill patient; Patient-controlled analgesia; PCA; Morphine; Dream realization; Holistic care; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 個案是一位正值事業巔峰卻被診斷為食道癌末期的中年男性病人。面對此衝擊,個案選擇坦然接受,珍惜當下,積極把握所剩生命達成心願,並妥善規劃自己的身後事及財產分配。個案認為生命的質重於量,不選擇化學及放射線治療,以安寧緩和醫療減輕其不適症狀,維持良好生活品質。個案的最大心願為往生前能再次回到菲律賓長灘島重溫回憶,面對個案身體狀況不穩定以及使用病患自控式止痛機需要高劑量靜脈注射式嗎啡出境問題,團隊人員各有不同想法,但基於尊重自主、行善、正義之原則,團隊溝通後達成共識,協助個案圓夢。個案赴長灘島五天後返台,相當感謝團隊幫忙,表示能再度看到長灘島的蔚藍大海,此生再無遺憾。希望藉由本經驗分享,有助於各安寧團隊未來提供更整體性之全人照護。 |
| 英文摘要 | The case was a middle-aged man who was diagnosed as the terminal stage of esophageal cancer at the summit of his career. He decided to accept the mishaps with an open mind and treasure every moment of life. He seized the remaining life to make his dreams come true and make plans for his funeral ceremony and distribution of his estate. He thought that the quality of life is more important than quantity, so he did not choose chemotherapy and radiotherapy, and he decided to receive hospice care in order to relieve his discomfort and maintain good life quality. His greatest wish was to go back Boracay island in Philippines to recall the past. Our team members had different opinions because his physical condition was not stable, and there might be problems in going abroad with high-dose parenteral morphine in a patient-controlled analgesia pump. Based on the principles of respect for autonomy, beneficence, and justice, we reached consensus after communication, and we assisted him in realizing his dream. He went to Boracay island for five days, and he deeply appreciated our assistance after coming back to Taiwan. He said that he would have no regrets in his life because he had seen the blue ocean of Boracay island again. According to the experience, we wish that it could help more hospice teams to provide better holistic care in the future. |
本系統中英文摘要資訊取自各篇刊載內容。