- 期刊
一位單親母親面臨癌末惡病質及死亡之照護經驗
Caring experience for a single mother facing terminal cancer cachexia and death
摘要
本文探討一位單親母親面臨直腸癌末期之照護經驗，以Gordon十一項功能性健康評估進行整體性分析，確立個案有營養少於身體所需、知識增進準備度及預期性哀傷等主要健康問題。照護期間改善個案因食慾不振所引起的生理不適，因為主要照顧者案女現階段處於青少年期，故藉拍攝「居家靜脈營養照護過程」影片的方式指導個案及案女學習居家靜脈營養注意事項及技術，並回覆示教，另外同理個案身為單親母親對子女的擔憂，及癌末疾病不可逆的進展而產生的預期性哀傷，藉由引導個案生命回顧，讓個案表達內心感受，找到生命的價值，進而完成心願，讓個案人生最後的旅程有家人的相伴，生死兩無憾。筆者期望藉此個案報告的照護經驗，提供日後護理人員照護癌症末期病人之參考。
並列摘要
The paper explores the experience of caring for a single mother having terminal rectal cancer. Gordon's 11 functional health patterns were employed to conduct overall analysis so as to establish the patient's major health problems, such as altered nutrition less than body requirements, readiness for enhanced knowledge, and anticipatory grief. During the caring period, through individualized and continuous caring measures, the patient's physical discomfort caused by poor appetite was improved. Meanwhile, as it was known that the patient's daughter was currently at the stage of adolescence, video clips were taken to teach the patient and her daughter the related home parenteral nutrition (HPN) procedure and techniques. The researcher also asked them to repeat what was demonstrated to them. Besides, through empathetic understanding of the single mother's worries about her daughter and the anticipatory grief in her caused by the irreversible development of the terminal cancer, the researcher guided the patient to review her life retrospectively and let her express her feelings in her heart. Furthermore, the researcher helped the patient realize her wish to have her family's company in the last trip of her life. She turned to calmly face the future of her life without regrets, no matter whether to live or die. This report of the researcher's caring experience could be provided as a reference for future nursing staff in taking care of related terminal cancer patients.