- 期刊
- OpenAccess
照護一位血管性失智症患者之護理經驗
Nursing Experience of Caring an Patient with Vascular Dementia
摘要
本文為一位腦中風引起血管性失智症患者之護理經驗。護理期間自2014 年9 月15 日至2014 年10 月15 日，筆者以Beck 和Heacock 四大層面評估為指引，經由觀察、會談、身體評估等方法進行資料收集，確立護理問題有：慢性混亂、思考過程改變、自我照顧能力缺失、潛在危險性跌倒等主要護理問題。護理過程與個案及家屬建立信任感及治療性人際關係，藉由加強重複、安心、轉移焦點、增強時間感等護理措施，使得個案症狀得以改善，並強化日常生活技巧與自我照顧能力，進而改善生活品質，尋求多項醫療團體支持系統，如營養師、社工師、宗教團體等，使個案能減輕各層面護理問題，提升日常生活品質，並提供護理人員於照顧相關個案時之參考。
並列摘要
This report described the experience of nursing care for a 69 year-old Patient with vascular dementia. During the period of nursing care, from September 15, 2014 to October 15, 2014, the author collected the information through interview and observation. Beck and Heacock theory was used to analyze the information. We identified that the patient had the following aspects need to be addressed, including chronic confusion, change of thinking process, selfcare deficit, and risk for fall. In order to help him to have a better function and independence in the activities of daily life, a therapeutic relationship based on trust was built between client and nurses, and through the provided diet instruction, the case was encouraged and reassured to repeat and redirect. Moreover, the search for resources in medical support systems, such as dieticians, social workers, chaplains, helps the patient successfully go through therapy courses and promote quality of life. We hope this holistic nursing experience can prove the nursing staff a reference when taking care of such patients.