本文描述運用跨團隊資源協助一位48歲急救後恢復自發性心跳病人與家屬之護理經驗。到院前心肺功能停止之病人雖經過有效的急救,但其存活率相當低,家屬面臨親人隨時都可能被宣告死亡,造成家屬極大的衝擊。筆者於2018年2月1日至2月20日護理期間,經評估發現個案經急救治療後仍無法恢復意識狀況,住院期間家人無法接受病況進展而持續出現哀傷,逃避等情緒問題,經確立個案有腦組織灌流改變、預期性哀傷及出院準備服務需求三個健康問題。筆者與醫師討論後召開跨領域團隊討論會議,與各專業領域成員溝通,並與家屬達成後續照護共識,提供適合個案之護理計畫。故期許藉由此次經驗的分享,未來在加護單位能讓更多家庭在突發事件中,也能獲得良好的照護。
This article discussed use to interdisciplinary Care of the patient was 48 years old with out of hospital cardiac arrest with at the Post-Resuscitation Phase, survival rate is quite low, family face relatives may be declared dead at any time, causing great impact on family. The nursing period was form Feb 1 to 20, 2018, after evaluation, it was found that the case could not be restored after the treatment. During the hospitalization, the family could not accept the progress of the disease and have grief, escape and other emotional problems, the nursing problems were determined as: ineffective tissue perfusion, anticipatory grief, discharge preparation service. After discussion with the medical team, and reach a follow-up care consensus with the family to provide a case-specific care plan. In the future, by sharing this experience, the ICU will enable more families to receive good care in emergencies.