一位肺癌合併骨轉移年輕女性之照護經驗

A Nursing Experience of Caring a Young Woman Patient of Lung Cancer Combined with Bone Metastasis

方琳瑜(Lin-Yu Fang) ； 林巧惠(Chiao-Hui Lin)

《彰化護理》 25卷3期 (2018/09) Pp. 81-93

https://doi.org/10.6647/CN.201809_25(3).0011

摘要

This paper described lung cancer combined with bone metastasis nursing experience of A young woman patient. The nursing period lasted from January, 11th to 27th, 2017. With Gordon's functional health patterns as framework for assessment, we integrated bed side observation, listening, communication and interviews in order to evaluate the patient. And confirmed and documented the patient's health issues as acute pain, sleeping disorder and anticipatory grief. Through a good nursing-patient relationship, the authors and the family listened and encouraged the patient to express his feelings. We also using team management with hospice nurse, pain management nurse and psychotherapist, through the convening of family conferences, the uniqueness of nursing functions is brought into play, and favorable resources are integrated to satisfy all levels. We hope to provide the nursing staff with this experience as a reference when taking care of similar cases.

關鍵字

young woman ； lung cancer and team management

參考文獻

田彩英(2016)‧協助一位肺癌末期患者接受安寧照護之護理經驗‧彰化護理，23（1），26-37。

吳佳玲、黃俊薰、吳秋燕（2015）‧古今中外芳香療法之探討‧長庚科技學刊，22，119-129。

林佳慧、陳玉如、蔣立琦（2013）‧應用跨專業領域團隊之實證醫療促進臨床病人安全及照護品質‧榮總護理，33（2），121-129。

陳月蓉、王雅芳、郭淑華、楊婉萍（2015）‧心慟不捨中放手祝福：一位末期肺癌病人之家屬預期性哀傷撫慰‧安寧療護雜誌，20（1），79-87。

陳依萍、黃鳳玉（2013）‧一位肺癌末期病人善終之護理經驗‧榮總護理，30（1），103-110。