英文摘要 |
This article is about a nursing experience of a patient complaining of recurrent dyspnea and repeated Emergency Department (ED) visits because of chronic obstructive pulmonary disease (COPD). This time, the patient made another ED visit for shortness of breath. After stabilization of vital signs by means of emergency medical treatment during ED stay from March 18 to 22 2006, we gather our data via direct nursing measures, consultation and obervation. In addition, we applied Roy's model and confirmed quite a few nursing problems such as low efficacy respiratory pattern, exercise intolerence, and cognition deficiency. We also adopted correct respiratory training, improvement of ventilation oxygenation, progressive exercise training to improve physical tolerance, and health instruction to improve the understanding of the disease. The patient was finally discharged uneventfully. We followed up the patient after discharged on the telephone. The patient was able to return to out-patient clinic as schedule. In addition, the patient hadn't made another ED visit for acute exacerbation for the next six months. In conclusion, we often take stabilization of symptoms as our priority in ED instead of digging deep into the reasons of repeated ED visits. Therefore, these patients are always in a dilemma of discharge and return. We hope that the sharing of the nursing experience can be beneficial to nursing staff when treating patients with similar situations in the future. |