運用安寧共照護理一位腎細胞癌末期年輕女性之經驗

Hospice Shared Care Experience of a Young Female with Terminal-stage Renal Cell Carcinoma

10.6540/NTJN.202109_23(2).0012

林欣慧(Hsin-Hui Lin)；魯啟玉(Chi-Yu Lu)；王錦雲(Chin-Yun Wang)

安寧共照 ； 死亡焦慮 ； 善終 ； hospice shared care ； death anxiety ； good death

新臺北護理期刊

23卷2期（2021 / 09 / 01）

137 - 146

繁體中文

本報告探討一位腎細胞癌末期年輕女性，因疾病進展迅速，承受身體症狀與面對死亡將近之護理經驗，護理期間自2016年1月29日至4月5日，以Gordon十一項健康功能型態進行整體性評估及資料整合分析，確立健康問題有「增進舒適的準備度」、「身體心像紊亂」、「死亡焦慮」。與安寧共照團隊合作，提供個別性且整體性護理措施，調整及舒適臥位，運用芳療按摩，協助病人減輕腹脹及皮膚水腫程度，增加舒適；穿著寬鬆衣服，提供假髮等適宜裝扮；採持續性照護及主動關懷、傾聽家屬的感受，與病人、家屬建立良好的護病關係，使病人在生命的最後階段平靜安詳度過。

This article describes the nursing experience of hospice shared care for a young female with terminal-stage renal cell carcinoma. The rapid disease progression caused the patient to experience physical symptoms and face the impact of death. The nursing care period was between January 29th and April 5th, 2016. The nursing assessment was based on the Gordon's Eleven Functional Health Patterns. Three health problems were identified, including readiness for enhanced comfort, disturbed body image and death anxiety. We cooperated with hospice team members to provide individual and holistic nursing, and position adjustment and aromatherapy to relieve abdomen distension and extremity edema. Continuity of care was ensured and the patient's and family members' concerns were attentively listened to. Therefore, a good nurse-patient/family rapport was established. The family was able to reach a consensus regarding care decision so that the patient underwent the terminal stage of life with calm and serenity.

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