如何介入癌末病患與潛在精神疾病家屬之互動關係

Caring the Terminal Cancer Patients and Skilful Interaction with Their Family Having Concealed Psychiatric Disorders

戴明燊(Ming-Shen Dai) ； 高振益(Jen-Yi Gau) ； 陳益乾(Yi-Chian Chen) ； 蔡惠芳(Huei-Fang Tsai) ； 謝玉慧(Yu-Huei Shie) ； 周嶺梅(Ling-Mej Jou) ； 方慧芬(Huei-Fen Fang) ； 汪幼麗(You-Li Wang) ； 蔡富雄(Fu-Shiung Tsai) ； 周秋燕(Chiou-Yan Jou) ； 高偉堯(Wei-Yau Gau)

《安寧療護雜誌》 8卷4期 (2003/11) Pp. 422-432

https://doi.org/10.6537/TJHPC.2003.8(4).7

摘要

個案為73歲攝護腺癌末期病患，因持續有疼痛問題，故陸陸續續出入院多次，案主的妻子為主要照顧者，但因長年在家暴的陰影下生存，所以有被害妄想的精神症狀產生。當個案接受緩和安寧的諮商後，逐能接受接受疾病所帶來的痛苦並減少心理的壓力，案妻在個案末期至臨終後也能持續接受精神科的治療並逐漸恢復正常生活步調，達到圓滿之生死兩相安。

關鍵字

癌末病患 ； 精神疾病 ； 安寧療護

並列摘要

A 73-year-old patient with advancer stage prostate adenocarcinoma required several hospitalizations because of metastatic bone disease causing persistent cancer pain. His wife, also the key care-provider, harbored persecutory delusion resulting from long-term domestic violence. The patient’ s psychological distress and physical derangement got alleviated after hospice referral and specialists’ intervention. His wife can continuously receive psychiatric treatment and resumed to her daily activity as well after the patient pass away. Both his family and the death had peace of mind eventually.

並列關鍵字

terminal cancer patient ； psychiatric disease ； hospice palliative care