英文摘要 |
This article describes a nursing experience for a patient in the 21st week of pregnancy. The fetus died from a virus infection. Because of the fetal death, the patient experienced not only physical pain but also anticipatory grief and psychological guilt. The nursing period was from August 15 to 17, 2010. Advanced observation and patient interviews were performed during the patient's hospital stay and a couple of times during post-discharge home visits. With the application of Watson's Caring Theory, a trusting and caring nurse-patient relationship was built up. The decision was made based on the systematical and scientific steps for problem solving. The patient was encouraged to express her feelings in both positive and negative ways. The patient was provided with a supportive, protective, and corrective environment in all physical, psychological, social, cultural, and spiritual aspects. In such an interactive process, the patient could obtain physical care and council. Moreover, the patient could ventilate and share personal feelings and the experience of grief, manage her bereavement in a proper way, and further solve the problems she encountered in physical, psychological, and social aspects. |