英文摘要 |
This article addresses the nursing experience of a 42-year-old male patient who underwent his first hemodialysis treatment. The duration of nursing care for this patient was from December 14, 2006 to January 16, 2007. In this study, the assessment of the patient, by using Roy’s adaptation theory, revealed that the patient had retention of body fluids and ineffective adaptation to renal diet as well as role adjustment. The author kept a complete record of intake and output of the patient during the nursing process, in terms of retention of body fluids; and also assisted the patient in dialysis arrangement, weight monitoring and diet management. In addition, the author taught the patient how to put the renal diet into daily practice in a way that is simple and easy-to-understand. Due to the patient’s mal-adaptation to dialysis, the patient’s hope for a miracle cure was treated with empathy by the author. The author furthermore supported the patient’s wish to seek religious consolation by going to temples to pray for recovery when his health was stable. It was found that family was a positive influential factor that could help the patient to establish his goals in life. Family is the most essential and important unit of humankind and civilization. Understanding the patient’s family role prior to a clinical interview is helpful in constructing the whole picture of the patient’s adaptation situation. It is suggested that patient’s family tree and the information about his family interactions should be indicated in the nursing record. It is hoped that the nursing record can become the most valuable record among future medical records. |