運用周全性老年評估照護一位良性陣發性姿勢性眩暈長者之護理經驗

Nursing Experience of a Elderly Applying Comprehensive Geriatric Assessment with Benign Paroxysmal Positional Vertigo

楊淑慧(Shu-Hui Yang) ； 陳碧蓮(Bi-Lian Chen) ； 侯慧明(Hui-Ming Hou)

《安泰醫護雜誌》 19卷3期 (2013/09) Pp. 15-25

摘要

良性陣發性姿勢性眩暈是老年人頭暈最常見的原因，由於老年人大多罹患一種或一種以上的慢性病，因此頭暈的症狀很容易被認為是正常的老化現象、夜眠差、輕微感冒或血壓不穩所致；本文中個案持續受眩暈症狀困擾了近三個月，體重減輕約10公斤，引發生理、心理上明顯的不適症狀，甚至有厭世的感覺。住院期間筆者運用周全性老年評估量表訪談收集資料，確立個案的主要護理問題有：營養少於身體需要；自我照顧能力缺失：沐浴、衛生；潛在危險性跌倒；無望感。藉由跨專業領域提供相關知識、整體性及持續性照護模式，使高齡個案在短期內可以恢復身體健康，增進日常活動功能，改善生活品質並微笑的面對生活。

關鍵字

老人 ； 周全性老年評估 ； 良性陣發性姿勢性眩暈

並列摘要

Benign Paroxysmal Positional Vertigo (BPPV) is the main reason of dizziness for the elderly. Because elders suffer from at least one chronic disease, they may contribute dizziness to aging, night sleep disturbance, common cold or unstable blood pressure. We discussed the client with dizziness for 3 months companied with body weight loss 10 kilogram and presented a series of physical and psychological symptoms, even the intent of suicide. We used the Comprehensive Geriatric Assessment to interview and collect related data. Health problems identified were: Nutrition, altered: less than body requirements, self care deficit: bathing/hygiene, risk for falls and hopelessness. We provided related knowledge, holistic and continuity of care through the interdisciplinary team work to help the elders recover his health, improve active daily living, quality of life and face to his life smiling in a short period.

並列關鍵字

elderly ； comprehensive geriatric assessment ； benign paroxysmal positional vertigo