照顧一位口腔癌末期病人之安寧善終療護經驗

許淑婷; 施秀鈴; 潘雪幸

doi:10.3966/168395442015121502007

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来源数据

P83 - 94

医药卫生 > 预防保健与卫生学
医药卫生 > 内科
医药卫生 > 社会医学

DOI： 10.6880/TJON

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照顾一位口腔癌末期病人之安宁善终疗护经验

An Hospice Care Experience of Caring for an End-stage Oral Cancer Patient

许淑婷(Shu-Ting Hsu) ；施秀铃(Hsiu-Ling Shih) ；潘雪幸(Hsueh-Hsing Pan)

肿瘤护理杂志； 15 卷 2 期 (2015 / 12 / 01) ， P83 - 94

繁体中文 DOI： 10.3966/168395442015121502007

口腔癌；安宁疗护；善终； Oral cancer ； Hospice care ； Good death

2 个人觉得这篇文章赞

摘要 │ 参考文献 (11) │ 被引用文献 (3) │ 国际计量

摘要〈TOP〉

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This article explores the hospice nursing care experience for an end-stage oral cancer patient who happens to be also a geriatric case. He had limited interaction with family because of work. While facing worsening physical illness of cancer, he did not want to share the news for fear of burdening his family. He later felt he had failed his family and wanted to make up to them, and that motivated the author to explore the situation. The caring period was from August 19 to 26, 2013. Data were collected by means of physical evaluation, medical record review, observation, listening, and talks; data were evaluated in the physical, psychological, social and spiritual aspects for the assessment of holistic health. The major health problems we found were pain, impaired tissue integrity and anticipatory grief. Through the mutual trust and the family relationship, and with the use of the hospice concepts of the whole person, whole family, whole course, and whole team, we provided everyone the measures of care for relieving pain and odor from the tumor-related mushroom-shaped ulcer wound. Furthermore, the patient became willing to actively participate in the wound care. By offering companionship and caring, we ease the patient and the family of the anticipatory grief; we also help them understand the meaning and value of life, how to maintain quality and dignity of life, and finally, approaching the end of life. There is a limit to what a clinical nurse alone could do in guiding the patient and family in dealing with the grief and hospice care. Therefore, we suggest collaboration of teams of hospice to organize family meetings for proper communications and appropriate care channels. That way we could accompany the patient and family through a valley of meanings where they could understand both peace and tranquility of life as well as the death issue without regret. We hope our experience could provide guidelines for similar care of the future.

参考文献 ( 11 ) 〈TOP〉

Alexander, S.(2009).Malignant fungating wounds: Managing pain, bleeding and psychosocial issues.Journal of Wound Care,18(9),418-425.
Alexander, S.(2009).Malignant fungating wounds: Managing malodour and exudate.Journal of Wound Care,18(9),374-382.
Baykul, T.,Yilmaz, H. H.,Aydin, U.,Aydin, M. A.,Aksoy, M. C.,Yildirim, D.(2010).Early diagnosis of oral cancer.The Journal of International Medical Research,38(3),737-749.
Oskam, I. M.,Verdonck-de Leeuw, I. M.,Aaronson, N.K.,Witte, B.I.,de Bree, R.,Doornaert, P.,Leemans, C. R.(2013).Prospective evaluation of health-related quality of life in long-term oral and oropharyngeal cancer survivors and the perceived need for supportive care.Oral Oncology,49(5),443-448.
Silvoniemi, M.,Vasankari, T.,Vahlberg, T.,Vuorinen, E.,Clemens, K. E.,Salminen, E.(2012).Physicians’ self-assessment of cancer pain treatment skills--more training required.Supportive Care in Cancer,20(11),2747-2753.

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