一位失智失能個案之社區居家護理經驗報告

A Community-based Home Nursing Experience Report on A Case with Dementia and Disability

蕭瑋鈴(Wei-Ling Hsiao) ； 郭俐蘭(Li-Lan Kuo) ； 施秀珍(Hsiu-Chen Shih)

《中西醫結合護理雜誌》 4期 (2020/11) Pp. 84-94

https://doi.org/10.6211/TTCMNA.202011_(4).0008

摘要

本篇為以公衛居家整合照顧模式照顧一位84歲輕度失智失能個案之居家護理經驗。個案因認知及神經功能退化，伴隨多種健康問題，照護期間自2017年4月5日至2017年8月17日，運用Gordon十一項健康功能評估，藉由訪視、電訪、觀察等收集資料。確立健康問題有潛在危險性跌倒、自我照顧能力缺失、吞嚥障礙。因個案年邁及輕度失智失能，除了以影片指導簡易健康操，也製作穴位圖卡，藉由視覺效果，了解中醫護理穴位按摩技巧；鼓勵參與沐浴與如廁，使生活品質更好更有尊嚴；教導合宜正確食物攝取、進食技巧、健口操，讓家屬及移工了解食物攝取知識，同時改善吞嚥困難預防吸入性肺炎。期望藉由此經驗分享做為照顧參考，有效延緩病程發展並提升生活品質與尊嚴。

關鍵字

失智失能 ； 自我照顧

並列摘要

This report is about the home-based nursing experience of taking care of an 84-year-old patient with mild dementia and disability. The patient has different kinds of health problems due to the cognitive and neural function deterioration. The caring period was from April 5th, 2017 to August 17th, 2017, applying Gordon 11 Functional Health Patterns to collect the information by home visits, phone calls and observation. The health problems were confirmed, such as potential danger falls, self-care deficit, and dysphagia. Because the patient is old while having mild dementia and disability; healthy exercise film and acupoint illustrations are made to help the patient with visual aids to understand the Chinese medicine nursing acupoint massage skills. Participating in bathing and using the restroom is also encouraged for the patient to have better living quality with dignity. The intake of Chinese medicinal foods, dietary intake skill, and mouth exercise are also taught to let the family members and the foreign caregivers to understand the knowledge of food intake, as well as improve dysphagia in order to prevent the aspiration pneumonia. Through the experience sharing, it is hoped that it can be a caring reference to defer the course of disease and improve quality of life and dignity.

並列關鍵字

dementia and disability ； self-care