- 期刊
一位末期腎臟病個案撤除維生醫療之加護護理經驗
An Intensive Care Experience of Withdrawal of Life-Sustaining Treatment from an End-Stage Renal Disease Patient
摘要
本文是探討一位長期接受血液透析之末期腎臟病個案因嗆食致昏迷，歷經加護病房急性期至撤除維生醫療之護理經驗。護理期間為2015年11月18日至12月10日，運用生理、心理、社會、靈性之整體性全人照顧模式做評估，藉由直接照護、身體評估、觀察、會談、收集病史等方法收集資料，確立個案有低效性呼吸型態、尊重病人之自主權、家屬預期性哀傷等健康問題。護理期間協助個案渡過呼吸衰竭的急性期，以重症末期安寧緩和照護概念，引導家屬做撤除維生醫療決策之準備，期間持續支持陪伴家屬調適哀傷情緒。建議各職類醫療成員皆應接受撤除維生醫療之專業訓練，並推動末期腎臟病個案提早預立醫療決策，才能提升末期腎臟病人之照護品質。
並列摘要
This article aimed to present an intensive care experience of an end-stage renal disease patient on chronic hemodialysis withdrawing from life-sustaining treatment after admitted to ICU due to coma after choking. The nursing period lasted from November 18^(th) to December 10^(th), 2015. The authors utilized Gordon's functional health patterns for a comprehensive assessment. Data was collected by direct nursing, physical assessment, observation, and interview. The patient's health problems were ineffective breathing pattern, readiness for enhanced decision making, and anticipatory grieving. We recommend all healthcare professionals regardless of disciplines to receive training on withdrawal of life-sustaining treatment. We would also like to promote early medical decision making for end-stage renal disease patients to effectively enhance the quality of care for these patients.
參考文獻
延伸閱讀
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