結合安寧共照照顧一位乳癌末期患者之護理經驗

Nursing Experience in Care of a Terminal Breast Cancer Patient with Hospice Shared Care

周憶珊(Yi-Shan Chou) ； 廖婉君(Wan-Chun Liao) ； 葉美杞(Mei-Chi Yen)

《馬偕護理雜誌》 11卷1期 (2017/01) Pp. 69-79

https://doi.org/10.29415/JMKN.201701_11(1).0006

摘要

本文主要探討一位乳癌末期病人，因病情持續惡化，病人面對即將死亡的事實，身心承受煎熬及打擊，出現極大的負面情緒。護理期間於2015年5月3日至5月20日，透過生理、心理、社會及靈性四層面進行整體性的評估，確立病人有呼吸困難、營養不均衡及無望感等健康問題。筆者於護理過程中，依照病人的病況、體力及家庭成員的支持度，提供適切的護理計畫，有效緩解呼吸喘及營養不均衡之生理症狀；另外運用同理心、主動關懷及溝通，更結合安寧共照了解病人內心深處的需求及心願，建立良好的護病關係，執行圓夢計畫完成病人心願，使得病人與家屬達到生死兩相安。

關鍵字

癌末病人 ； 無望感 ； 護理經驗 ； 安寧共同照護

並列摘要

This article describes a patient diagnosed with terminal breast cancer who also developed negative emotion as her disease was progressing and posing a threat of imminent death. A biopsychosocial and spiritual holistic evaluation was made during the period between 2015/5/3 and 2015/5/20 and she was found to suffer from such health problems as difficulty in breathing, malnutrition, and hopelessness. The author gave the patient appropriate nursing care and effectively alleviated her dyspnea and improved her nutrition according to her condition, stamina, and family support. The author also succeeded in establishing good relationships with the patient and understanding her needs and wishes through empathy, caring, communication, and hospice shared care. In conclusion, the deceased completed her unfulfilled wish and her family achieved peacefulness in mind.

並列關鍵字

Terminal cancer patient ； Hopelessness ； Nursing experiences ； Hospice shared care