- 期刊
一位大腸癌末期病人接受安寧臨終照護之護理經驗
Nursing Experience of a Patient with Terminal Colorectal Cancer Receiving Palliative Care
摘要
本文主要探討一位大腸癌末期合併淋巴結、肝臟及腹膜轉移病人，在面對死亡衝擊，身心煎熬，伴隨焦慮及害怕等負面情緒產生無望感之護理經驗。護理期間為2022年1月19日至2月10日，通過身體評估、觀察會談及病歷查閱等方式，蒐集身、心、社會及靈性等層面資料進行評估，確立體液容積過量、慢性疼痛及無望感等健康問題。護理過程以病人為中心，教導低鈉飲食、穴位按摩及監測輸入輸出量來改善體液容積過量情形；給予適當止痛藥物合併非藥物輔助方式促進舒適；在疾病末期與安寧團隊共同照護，運用生命回顧方式整理生命歷程，肯定其生命意義及價值，偕同醫療團隊協助完成心願，已達善終，藉此提供照護經驗作為參考。
並列摘要
This article mainly discusses the nursing experience of a patient with terminal colorectal cancer complicated with lymph node, liver and peritoneal metastasis who had a sense of hopelessness. Due to the patient was facing the impact of death, suffering physically and mentally, accompanied by negative emotions such as anxiety and fear, the nursing experience enhances the hopelessness. The nursing period was from January 19th to February 10th, 2022. By means of physical examination, observation, sessions, and reading the patient's medical record, we collect physical, psychological, social, and spiritual information for assessment. The author establish that the case has health problems such as body fluid overload, chronic pain, and hopelessness. During care, we expressed a patient-centered caring way to teach the patient to adopt a low-sodium diet, acupressure and monitor the input and output volume to improve the body fluid overload, to give appropriate painkiller and cooperate with non-drug-assisted methods to promote comfort. At the end of the disease, we will take care together with the hospice team, use the life review method to review and reorganize the life process, affirm the meaning and value of life, assist the patient to fulfill his wish with the medical team, and he has achieved a good death. This nursing experience is shared to provide a reference.