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乳癌末期病患之安寧護理

Nursing Experience in Terminal Breast Cancer

摘要


本文指探討一位乳癌末期病患,經過一連串的乳癌治療後病情仍持續惡化,錯綜複雜的身、心、靈問題困擾著病患。照顧期間自92年10月12月到92年11月20日共38天,以Gorden 11項功能性健康型態進行護理評估,發現個案有疼痛、淋巴水腫、情緒及靈性困擾等問題。筆者於護理過程中,運用舒適照顧技巧,及完整的疼痛評估與疼痛處置,並採用主動關懷、陪伴、禱告、傾聽等支持鼓勵方式,幫助個案的痛苦減到最輕,讓個案的身心靈獲得安適,進而陪伴她走出疼痛及死亡的陰霾,透過關懷與專業的協助陪伴病人一起面對生死,達到平靜、安詳且無遺憾。

關鍵字

乳癌 末期 安寧護理

並列摘要


The paper presents what a terminally ill patient experienced who had accepted cancer treatment program but got and suffered from physical, psychological and spiritual pain. This patient was hospitalized thirty-eight days form October 12 to November 20 2003. This study, which uses the eleven items of Gordon’s functional healthy patterns, is focus on the nursing care of a terminally ill breast cancer patient with pain, lymphoedema, emotional and spiritual stress. We provided the patient with physical, psychosocial and spiritual relief by supportive treatment, such as comfortable caring, pain relief skills, active attention, empathy and acceptance with the basis of hospice and palliative care. Furthermore, we accompanied the patient to face her death and made best use of her last life.

被引用紀錄


林雅涵、黃芷翎、王菀姿(2018)。臨終諮商與關懷的倫理議題諮商與輔導(393),28-33+55。https://www.airitilibrary.com/Article/Detail?DocID=16846478-201809-201809110013-201809110013-28-33+55

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