運用安寧療護協助一位肝癌末期病人及家屬之護理經驗

Hospice palliative care Experience of a terminal-stage hepatocellular carcinoma Patient and family

黃喬伶(Chiao-Ling Huang) ； 林佳蓉(Chia-Jung Lin)

《安寧療護雜誌》 26卷2期 (2022/03) Pp. 151-164

https://doi.org/10.6537/TJHPC.202203_26(2).04

摘要

本文案主是一位69歲肝癌末期選擇在院善終之照護經驗。護理期間為2020年4月8日至4月24日，藉身體評估、訪談及參與式觀察家庭互動蒐集資料，並運用Gordon十一項健康型態評估，確立有口乾、皮膚癢、潛在皮膚完整性受損及家屬預期性哀傷之健康問題。於護理過程中，藉由安寧療護提供案主具個別化之舒適照護，以緩解生理不適，並利用生命回顧鼓勵案主及家屬說出面對死亡之擔憂及預期性哀傷，最後讓彼此在充滿愛中無憾往生，家屬見其安詳面容也備感欣慰，達生死兩相安之使命，期望此護理經驗分享，可作為未來對癌末病患照護之參考。

關鍵字

肝癌末期 ； 安寧療護 ； 預期性哀傷

並列摘要

This article describes the palliative care nursing experience of a hospice patient and family with hepatocellular carcinoma. The nursing period was from 08^(th) April to 24^(th) April in 2020 and the authors collected physical examination, interviewed and observed family interaction along with use of Gordon's 11 functional health patterns. The patient had presented with dry mouth, skin itch, risk of impaired skin integrity and anticipatory grief health problems. Therefore, we used individual comfort nursing to relieve physical discomfort, and life review to encourage family expressing the worries and expected grief in the face of death. In the end, the case filled with love without regrets, and the family members who were also relieved to see the case's peaceful face, to achieve the mission of peace of life and death. We share this nursing experience and expect it as a reference for care of terminal-stage of hepatocellular carcinoma patients in the future.

並列關鍵字

terminal-stage of hepatocellular carcinoma ； hospice palliative care ； anticipatory grief

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