一位漸凍人之加護經驗

The Care of a Patient with Amyotropic Lateral Sclerosis in Intensive Care Unit: A Nursing Experience.

孫眞瑩(Zhen-Ying Sun)

《領導護理》 10卷2期 (2009/08) Pp. 81-91

https://doi.org/10.29494/LN.200908.0008

摘要

本文探討一位罹患進行性神經肌肉萎縮症的病患（俗稱漸凍人），入住加護病房後的生理變化及心理衝擊。筆者於照護期間97年1月25日至2月6日，以羅氏適應模式進行護理評估，確立個案主要護理問題有一、呼吸道清除功能失效，二、言詞溝通障礙，三、預期性哀傷。筆者除給予個案生理照護外，並運用非語言溝通技巧，同理支持，使其勇於表達內心，與家屬（太太）共渡哀傷反應，並經由鼓勵個案與家屬一起做生命回顧，促使家庭成員陪伴個案安祥地走完人生最後旅程。謹以此經驗與同仁分享漸凍人的病程變化及臨終病患的照護。

關鍵字

漸凍人 ； 羅氏適應模式 ； 護理經驗

並列摘要

This report is intended to study the psychological influence and physiological impact of an amyotrophic lateral sclerosis patient in an Intensive Care Unit setting. From 2008, January 25 2008-March 6, using the Roy adaptation model, we assessed an Amy-tropic Lateral Sclerosis patient for his health related problems and confirmed the existence of these main problems Ineffective airway clearance. Impaired verbal communication. Preanticipat-ed grieving. Other then providing the patient with basic nursing care, using non-verbal communicating meth and compassionate support to encourage the patient to express his feeling.
Assist the family (his wife) to overcome the grieving reaction, Encourage the family and the patient make a life review, lead ng the family to company the patient passing through the last journey of his life peacefully. Hereby, we presented a case of a patient with Amyotropic Lateral Sclerosis in Intensive Care Unit experience.

並列關鍵字

Amyotrophic Lateral Sclerosis ； Roy Adaptation Model ； Nursing Experience