Nursing Experience of Caring for a Patient Firstly Diagnosed with Langerhans Cell Histiocytosis
吳素玲(Su-Ling Wu)；管珮如(Pei-Ju Kuan)
蘭格罕氏細胞組織球增生症 ； 恐懼 ； 體溫過高 ； langerhans cell histiocytosis ； fear ； hyperthermia
|Volume or Term/Year and Month of Publication||
22卷1期（2021 / 03 / 01）
68 - 83
This paper describes the nursing experience of caring for a patient suspected to have suffered from cholangitis at the early stage of treatment, suspected to have suffered from thoracic malignancies at the middle stage of treatment, and eventually was diagnosed with Langerhans cell histiocytosis. The patient received care from June 16, 2016 to July 11, 2016. During the care process, this study used interviews, observations, physical assessment skills, and Gordon's 11 functional health patterns to collect data. It also analyzed the healthcare problems encountered by the patient, including hyperthermia, potentially dangerous hepatic dysfunction, fear, caregiver role strain. This illness affects various organs. From the early stage of the illness to the final confirmation of diagnosis of Langerhans cell histiocytosis using biopsy, this illness caused severe discomfort in the patient, and the transition of disease condition caused a heavy impact on the patient's mother. Because this illness is rare and the patient's mother experienced emotional distress due to the unfamiliarity with this illness, the patient was provided with individualized nursing measures during the nursing process. The author developed a good nurse-patient relationship with the patient's mother by proactively expressing care and listening to her. Moreover, the author proactively provided the patient's mother with information on relevant examinations, and jointly developed a care plan with her to further strengthen her confidence and ability in providing subsequent care and accompany the patient to attend the follow-up outpatient visits after being discharged from the hospital. The sharing of this experience with other nurses may serve as reference for future care of patients with such illness.
醫藥衛生 > 社會醫學