- 期刊
協助一位大腸癌末期病人臨終之護理經驗
Nursing Experience of End-of-life Care for a Patient with the End Stage of Colorectal Cancer
摘要
本文為協助一位大腸癌末期病人臨終之護理經驗，提供整合性醫療團隊資源協助病人面對死亡的過程。筆者於2018年1月8日至2月9日透過直接照護、傾聽、會談及查閱病歷等方式收集資料，運用生理、心理、社會及靈性層面進行整體性的護理評估，確立低效性呼吸型態、疼痛、營養少於身體所需及死亡焦慮之健康問題，藉由氧氣使用、姿勢擺位來改善呼吸喘；結合芳香療法、按摩及藥物治療來減輕疼痛；因病人營養需求，教導家屬備餐技巧，給予適當營養支持；在面臨死亡焦慮時，與安寧團隊共同照護，引導病人說出內心感受，得知擔憂母親及子女，偕同個管師及社工師安排家人後續照顧，讓病人無後顧之憂，以正向態度面對死亡，藉此提供照護經驗做為分享。
並列摘要
This report discusses the nursing experience of the end-of-life care of a patient with the end stage of colorectal cancer and describes the process of an integrative medical team providing resources to and helping the patient cope with death. The author collected data in the period between January 8 and February 9 in 2018 through direct care provision, listening to the patient, interviews, reading the patient's medical record and conducting comprehensive nursing evaluation on the physical, mental, social and spiritual aspects of the patient. According to the collected data, the author determined the patient to have an ineffective breathing pattern, pain, insufficient nutrition intake and death anxiety. The patient's breathing condition was alleviated through the use of oxygen therapy and positioning, while aromatherapy, massage, and medication were used to relieve the attendant pain. In response to the patients' nutritional needs, the author gave the patient's family some instruction on meal preparation to provide adequate nutrition for the patient while also working with the hospice team to help the patient cope with death anxiety and guide them to express their feelings. Learning about the patient's concern for their mother and children, the author, case manager and social worker together made subsequent arrangements for the family members to ease the patient's worries and hence help them face death positively. This nursing experience is shared to provide a reference for care of patients with similar conditions in the future.
參考文獻
延伸閱讀
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