英文摘要 |
This article discussed the experience of providing nursing care to a nearly blind ICU patient with shock secondary to GI bleeding. With fear of the strange ICU environment and feeling of helplessness due to blindness, this patient refused all medical interventions. Based on the application of Gordon Health Functional Assessment, the author concluded that the major problems this patient experienced were anxiety, pain, and poor tissue perfusion. The author assisted the patient with identifying the causes of anxiety and helped reduce anxiety through coping skills. The author also educated the patient about the effective methods of relaxation to alleviate the patient's pain. With an improvement in pain and anxiety, the patient accepted all necessary treatments. Perenteral nutrition supplement stabilized patient's vital signs and tissue perfusion. Suitable diet adjustment solved the patient's problem of poor nutrition. Individualized nursing care not only helped the patient survive, but also helped the patient achieve best physical, psychological, emotional, and social function status. |