Nursing Experience of Applying Comfort Theory for a Terminal Gastric Cancer Patient with Palliative Care in an Intensive Care Unit Setting
陳姿郁(Zih-Yu Chen)；林芳宇(Fang-Yu Lin)
胃癌 ； 加護病房 ； 生命末期照護 ； Kolcaba舒適理論 ； 安寧療護 ； gastric cancer ； intensive care unit ； end-of-life care ； Kolcaba's comfort theory ； palliative care
|Volume or Term/Year and Month of Publication||
23卷2期（2021 / 09 / 01）
113 - 125
This article describes the nursing experience of caring a female with metastatic gastric cancer, who had received palliative care in the intensive care unit. The period of nursing care was from April 14^(th) to May 11^(th), 2018. The conceptual framework of comfort theory, which composed of physical, psychospiritual, sociocultural, and environmental context, was applied in daily nursing care. Four major health problems were identified, including ineffective breathing pattern, chronic pain, anxiety, and disabled family coping. During the nursing process, we educated the patient with appropriate breathing exercises and used mechanical ventilation to reduce dyspnea. The opioid therapy was administered Depends on level of pain, essential oil massage and music therapy were also implemented for relieving pain and discomfort. We achieved the peace of mind to the patient through the interactions with her friends, connected with her family and offered the religious support. Family conference was held for effective communication and family consensus, which improved the physical, psychological, spiritual peaceful for the patient and the patient finally returned home for a good death.
醫藥衛生 > 社會醫學