一位大腸癌末期病人之臨終照護經驗：眼角膜捐贈的心願完成

本文探討一位大腸癌末期病人之臨終照護經驗，筆者照護期間為2012年5月22日至6月11日，運用觀察、身體評估及會談方式進行資料收集，以安寧療護生理、心理、社會、靈性與善終評估表單做整體評估，確認出病人於安寧病房住院期間有：疼痛、完成心願、家屬預期性哀傷等主要健康與照護問題。照護過程中藉由提供穴位按摩及芳香療法緩解疼痛不適，團隊並積極協助病人與家屬表達內心想法、陪伴哀傷情緒、共同面對死亡的歷程。最後完成病人眼角膜捐贈之遺願，以不同形式延續生命，達到病人善終、家屬無憾之目標。藉此照護經驗分享，讓臨床護理師能面對生命末期病人及家屬的臨終照護需求和陪伴意義、共同找尋存在價值，讓死亡安祥有尊嚴，並落實安寧緩和與哀傷關懷的照護理念。

關鍵字

疼痛；臨終照護；角膜捐贈；預期性哀傷

並列摘要

The authors reported the nursing experience of a patient with terminal stages of colorectal cancer in this article. The palliative care period was from 22nd of May to 11th of June, 2012. The evaluation information was collected through observations, physical examinations, and interviews. To have a holistic understanding, the inventories of palliative care were also used, including physical, psychological, social, spiritual, and good-death domains. The main health and care problems of this patient were recognized as pain, a wish-fulfillment, and her families' anticipatory grief. To relief her suffering, the palliative care team provided acupressure massages and aromatherapy to ease her pain. We also actively assisted the patient and her families to express feelings authentically, and accompanied the families to face their grief as well as the dying process of their loved one. In the end of her life journey, the palliative care team worked with her family to fulfill her final wish of cornea donation, which continued her life in a meaningful form. The goals of ＂good death for the deceased＂ and ＂no regret for the bereaved＂ were achieved. This nursing experience may provide clinical nurses a standpoint to achieve the quality and meanings of end-of-life care, furthermore, to achieve the valued goals of palliative care and grief counseling.

並列關鍵字

Pain ； end of life care ； cornea donation ； anticipatory grieving

被引用紀錄

周佩君、林素珍（2018）。提供一位癌症末期病人安寧療護之經驗。護理雜誌，65(5)，105-111。https://doi.org/10.6224/JN.201810_65(5).13

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一位大腸癌末期病人之臨終照護經驗：眼角膜捐贈的心願完成

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