陪妳去看澎湖的海：運用生命回顧於肺癌末期個案之照護經驗

Let's See the Sea in Penghu: A Nursing Experience of the Application of Life Eminiscence for a Patient with Terminal Lung Cancer

謝佩珊(Pei-Shan Hsieh)

《志為護理-慈濟護理雜誌》 22卷3期 (2023/06) Pp. 107-117

摘要

本文為肺癌末期身心靈困擾病人之臨終照護經驗。護理期間運用Gordon十一項健康功能型態評估，經身體評估、觀察、會談、查閱病歷等方式，進行資料收集及分析，確立低效性呼吸型態、體液容液過量、預期性哀傷健康問題。在醫療團隊照護下，使用嗎啡、鎮靜劑等藥物及維持舒適臥位、精油淋巴按摩、遠紅外線等輔助療法，緩解低效性呼吸型態及體液容積過量問題；運用生命回顧，協助個案面對生命末期及引導向家人說出內心感受及期待，陪伴其及家屬一起回顧生命、重新審視生命的意義，合作完成臨終心願的過程，不僅留下珍貴回憶，也讓重新強化家庭連結肯定生命意義，互相道謝、道歉、道愛及道別，完成四道人生。期望藉此護理經驗分享，做為照護此類病人之參考。

關鍵字

肺癌 ； 精油淋巴按摩 ； 生命回顧

並列摘要

This case report described the nursing experience of end-of-life care for a female patient with terminal lung cancer with physical and mental distress. During the nursing period, authors collected data through physical examination, observation, interviews, medical records, and Gordon's 11 functional health patterns to assess the patient's nursing needs. Authors confirmed that the patient presented the major health problems as following: ineffective breathing pattern, body fluid overload, and anticipatory grief. The medical team adjusted the patient's medication of morphine and sedatives, and assisted the patient to maintain a comfortable lying position, and gave the patient lymphatic massage with essential oils and the far-infrared therapy to improve the patient's health problems of the inefficient breathing pattern and body fluid overload. In addition, by using life review, authors helped the patient face the end of life and guided her and her families to express their feelings as well as expectations and also accompanied the patient and her families to review life and re-examine the meaning of life. The process of working together to fulfill the patient's dying wishes not only left precious memories to the patient and families, but also re-strengthened the connection among them to affirm the meaning of life that made the patient and families can carry out "the Four Principles of Life" to each other, including: gratitude, forgiveness, love and saying goodbye. We hope take this special nursing experience to share with everyone and provide an example of caring similar cases in the future.

並列關鍵字

essential oil lymphatic massage ； life review ； lung cancer

參考文獻

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