- 期刊
運用跨團隊模式協助一位下咽癌患者面對死亡恐懼之照護經驗
Nursing Experience from Caring a Hypopharyngeal Cancer Patients to Face the Fear of Death by Utilizing Cross-Team Model
摘要
當癌症惡化時病人不僅必須面臨生理症狀，更必須面對即將死亡的內心恐懼。如何使病人及家屬獲得安適，是護理角色功能之一。此病人的護理期間2019年11月24至12月21日，依據生理、心理、社會及靈性等層面進行整體性評估，確立了呼吸道清除功能失效、組織完整性受損及死亡恐懼的健康問題。透過全人照護理念及運用跨團隊模式，與團隊成員共同擬定照護計畫，探究病人死亡恐懼的癥結點，藉由團隊協助降低病人的恐懼。建議所有護理人員必須認識各專業成員的角色功能，並培養溝通及協調能力，善用跨團隊模式於護理實務，讓各專業的醫療成員發揮最大的作用，並「以病人為中心」提供個別化的照護措施，以達全人照護之成效。
並列摘要
Apart from facing physical symptoms, the patients also face the fear of forthcoming death when cancer progresses. One of an important function of the nursing role is to create comfort for patient and their family. The nursing period for this patient was from November 24 to December 21, 2019. Based on the overall assessment of physical, psychological, social and spiritual, health problems identified include airway clearance failure, impaired tissue integrity, and fear of death. Through the concept of holistic care and the use of a cross-team model, a care plan was formulated with team members to explore the crux of the patient's fear of death, and to help reducing the patient's fear. It is recommended that all nursing staff requires to understand the roles and functions of each professional member, in order to cultivate communication and coordination skills, make good use of the cross-team model in nursing practice, allow each professional medical member to play their role effectively, and base on "patient-centered" orientation, provide individualized nursing measures to reach the effectiveness of holistic care.