英文摘要
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This article describes the nursing care experience of a patient with pneumonia related acute respiratory failure. Patient received emergent intubation because of difficult breathing. The first attempt of extubation failed and the patient was intubated again. The patient experienced difficult breathing and anxiety from failed mechanical ventilation weaning process. Associated data were collected through observation, conversation and physical assessment between March 20th and April 4th, 2019. Gordon's 11 health function assessment identified patient problems included ineffective airway clearance, difficulty weaning from mechanical ventilation and anxiety. Evidence-based nursing interventions included chest physiotherapy to improve oxygenation, pulmonary rehabilitation for lung expansion and teamwork to involve the patient and family to participate the weaning protocol. The care team attenuated psychophysiological stress by listening, accompanying and encouragement. Continuous care should include provision of smoke cessation program to achieve optimal outcome. Our experience may be as a reference for future clinical care.
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参考文献
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連結:
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