英文摘要 |
This essay described the experience of nursing a juvenile patient with pulmonary embolism secondary to nephritic syndrome, with the application of Roy's Adaptation Model, in the intensive care unit from May 6, 2007 to May 7, 2007. With physical assessment, on-site observation, interview, and writing, the identified nursing diagnosis were poor tissue perfusion, impaired body image, and powerlessness. Through aggressive medical treatments, poor tissue perfusion was corrected by the use of an invasive bi-level positive airway pressure (BiPAP) ventilator. The patient's respiratory function was maintained at two liters of oxygen per minute via a nasal cannula. In order to provide the patient with psychological support and developing adaptation to the disease, the author cared for the patient by emphasizing proper communication skills, such as empathy and active listening. The author enhanced the patient's knowledge about the disease and the ability of coping and self-care with a surrounding supporting system. The purpose of this essay was to provide the ICU nurses with a reference in regards to nursing care for juvenile patients. |