- 期刊
運用輔助療法於長期照護機構乳癌末期長者的護理經驗
Nursing Experience of Using Complementary Therapy for an Elderly Resident with Terminal-Stage Breast Cancer
摘要
本文旨在描述一位罹患乳癌末期的腦中風女性長者之護理經驗，個案因腫瘤擴大導致疼痛及呼吸喘等問題經常呻吟，但又因腦中風導致無法言語表達，引發筆者的照護動機。護理期間自2018年4月9日至5月4日，藉由與案女會談及觀察個案並依生理、心理、社會、靈性四層面進行整體性健康評估並收集相關資料，確立長者主要的健康問題，包括：疼痛、呼吸道清除功能失效及家屬預期性哀傷。筆者運用全人、全家、全隊、全程的安寧照護為理念，以芳香療法與按摩及音樂治療為輔，協助長者緩解疼痛及呼吸喘；與案女建立治療性關係，透過主動關懷、傾聽，以正向的態度陪伴，讓長者和家屬得到最佳的照護，達到生死兩相安。藉此照護經驗，期望能提供長期照護機構護理人員照護癌症末期個案之參考。
並列摘要
We report the case of an elderly woman with terminal-stage breast cancer and describe the nursing experience after she had a stroke. She lived in a long-term care institute . The nursing period lasted from April 9 to May 4, 2018. The authors collected subjective and objective data from observations, medical records, and interviews with the patient's daughter during the period of care and assessed the physical, psychological, social, and spiritual aspects of the case. The authors identified three health problems, namely chronic pain, ineffective airway clearance, and anticipatory grieving for family. To relieve the patient's breathing and pain problems, we performed comfort-orientated care using the traditional ＂4 whole care concept＂ (whole person, whole family, whole team, and whole process), supplemented by aromatherapy, massage, and music therapy. Moreover, hospice care was provided for the patient and her family to provide the best care for their body, mind, and spiritual peace.