- 期刊
一位口腔癌接受氣管切開術病人的照護經驗
Nursing Experiences of An Oral Cancer Patient with Tracheostomy
摘要
口腔癌好發於青壯年男性且常造成身、心、社會之巨大衝擊，本文描述一位29歲即罹患口腔癌的男性，因呼吸道阻塞接受氣管切開術之照護經驗，護理期間為2010年7月27日至8月31日，筆者藉由身體評估、會談、觀察、與其家庭互動等方法收集資料，以Gordon十一項健康功能型態為評估工具，確立其有疼痛、無力感及家庭因應能力失調等健康問題。筆者利用與醫療團隊討論疼痛處置，教導口腔清潔及抽痰技巧，應用關懷、傾聽、同理心幫助個案接納自身的疾病進展、減輕無力感，並教導家屬相關照顧技巧，結合個案管理師、社工師及安寧醫療宗教團隊，教導家屬相關照顧技巧，協助解決出院安置及照護問題，使個案獲得全人及全家的完整照護。
並列摘要
Oral cancer is easy to be found in young male generation and causes the huge impact on physiology, psychology and society. This article describes nursing experiences in a young patient suffering from oral cancer with emergency tracheostomy due to airway obstruction. The period of nursing care was from July 27 to August 31, 2010. The author used physical assessment, interview, observation and interaction with his family to gather information and analyzed these data with Gordon's functional health pattern model. Three major problems were identified: pain, powerlessness and problems in family coping. The author and medical team together discussed pain management, conducted oral hygiene instruction and sputum suction skills. To assist patient in accepting disease progressing and to eliminate powerlessness, the author provided caring, listening and empathy. We also coordinated case manager, social worker, hospice medical team and religion strength to care and arrange residence after discharge. Finally the patient could receive care for himself and his family.