英文摘要 |
This study involves the nursing experience of a young woman with terminal hepatic cancer. The author assessed the subject with Gordon’s 11 functional health assessment tool, and collected the data through observation, conversation, and team meeting. The duration of nursing care was from October 9 to 18, 2010. The patient’s problem included pain caused by abdominal tumor, fluid volume excess, anticipatory grief, and spiritual distress. For the physiologic aspects, we applied oil massage by aromatherapy to relief cancer pain, and provided diuretics, high-protein and low sodium diet, and water restriction to reduce ascites. For the psychological and spiritual aspects, we accomplished the patient's desire to reconcile with her ex-husband before death. Moreover, the medical team had planned to do the video recording of the subject to relief the mother’s pain from losing her daughter. We also encouraged the family to seek more mental support from the chaplain who offered grief care. Finally, the patient had passed away with full of love and no regret. The nursing process applied hospice care of holistic, individualized, and continuity. We hope the bereavement counseling of the family will continue and this nursing experience will provide a reference for caring terminally ill patients. |