英文摘要
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This study depicts a clinical experience of caring for a patient with terminal liver cancer confronting the end-of-life symptoms and anticipatory grief of the family. The nursing care was conducted from December 22, 2015 to January 6, 2016. Data were collected through counseling, health assessment, observation, and nursing care. An overall assessment and analytical integration were conducted based on the Gordon 11 Function Health Patterns which confirmed that the patient has three complications: Excessive fluid volume, pain, and anticipatory grief of the family. During the nursing care, massage, sodium-restricted and fluid-restricted diet were employed to relieve the patients of pain and discomfort; close monitoring of fluid build-up in body was done to improve the excessive volume. Also, position adjustment for comfort, music therapy, acupressure, and aromatherapy were employed to alleviate the pains of the patient. The medical team developed a friendly relationship with the family through companionship and listening to the primary caregiver looking for the catharsis therapy. The team also helped the patient to accept palliative care and prepare for death with a positive attitude. We suggest that nursing staff pay attention to spiritual needs of terminal cancer patients, help patients adapt to the liver cancer and promote physical and psychological comfort, sympathize with patients' family, and encourage patients' family to express their emotions. The author hopes that the four suggestions mentioned above could help patients get appropriate care and return to their normal life as early as they can. We hope this clinical nursing practice could contribute to future reference.
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