一位血管性失智症老人的護理經驗

Nursing Care Experience Involving an Elderly Patient with Vascular Dementia

本文是一位罹患血管性失智症病患，因近期記憶衰退及肢體無力入院治療的護理經驗。筆者於護理期間，運用Gordon十一項功能性健康型態評估架構，評估個案生理、心理、社會、靈性層面；發現個案有慢性混亂、家庭治療計劃的處置不當、自我照顧能力缺失等護理問題。藉實際護病互動過程，運用身體評估、同理心、傾聽等技巧，建立良好人際關係，聯合醫療團隊提供疾病相關資訊，與個案及主要照顧者共同討論，訂定照顧計劃，協助個案及家屬調適發病初期的困擾問題。

This article illustrates the nursing management of an elderly patient with vascular dementia. The patient was admitted due to showing short-term memory impairment and bodily weakness. The authors applied the eleven functional health patterns as described by Marjory Gordon to evaluate the physiology, mental acuity, social nature and spirituality of the patient. During the nursing period, the patient was found to have problems with chronic confusion, the management of therapeutic drugs, a self-care deficit and ineffective family intervention (is this what you want?). We combined a physical assessment tool, empathy and listening to build up a good interpersonal relationship in order to provide sufficient information to the patient and main caregiver. This allowed the creation of a case plan and resulted in the patient’s problems being alleviated.