- 期刊
照護一位肺癌中晚期病人自殺的急診照護經驗
Emergency Care Experience of Caring for A Suicide of A Patient with Advanced Lung Cancer
摘要
本文描述一位中年男性因肺癌治療不如預期而自殺的急診照護經驗。自2019/12/9至2019/12/11以會談、觀察、身體評估等方式，運用Gordon十一項健康功能性評估，確立有低效性呼吸型態、急性疼痛、無望感等健康問題。筆者藉由維持高坐臥、通風且安靜的舒適環境，並配合噘嘴呼吸訓練運動，有效改善呼吸型態；換藥前提供止痛藥物，運用聽音樂、精油按摩等放鬆技巧，緩解傷口疼痛；與個案及醫療團隊共同擬定圓夢計畫，善用跨領域團隊資源，藉由簡易承諾「不自殺契約」進而強化生存的動機。急診是緊急搶救生命的單位，未能深入探討心理及靈性層面為照護之限制，建議腫瘤跨團隊應及早並持續性關懷，使病人及家屬正向積極面對治療。期盼此急診照護經驗分享，讓醫護人員瞭解自殺病人照護的重要性。
並列摘要
This article describes the emergency care experience of a middle-aged man who committed suicide due to poor lung cancer treatment. From December 9, 2019 to December 11, 2019, using Gordon's eleven health functional assessments through interviews, observations, physical assessments, etc., to establish health problems such as inefficient breathing patterns, acute pain, and hopelessness. The author maintains a comfortable environment of sitting and lying high, ventilated and quiet, and cooperating with pout breathing exercises to effectively improve the breathing pattern; provide painkillers before changing dressings, and use relaxation techniques such as listening to music and essential oil massage to relieve wound pain; Work with the case and the medical team to develop a dream realization plan, make good use of cross-disciplinary team resources, and strengthen the motivation for survival by simply promising a "no suicide contract". The emergency department is a unit that saves lives urgently. It has not been able to thoroughly explore the psychological and spiritual aspects of the limitations of care. It is recommended that the tumor cross-team should take early and continuous care so that patients and their families can face treatment positively. I look forward to this sharing of emergency care experience, so that medical staff can understand the importance of caring for suicide patients.