英文摘要 |
This report describes a nursing experience of caring for a patient who had difficulty in weaning off the ventilator. The patient was on the ventilator as a result of respiratory failure, a complication developed after a surgery for gall bladder removal. The nursing period was from February 23 to March 4, 2010. The author collected data by means of patient observation and interview, utilizing Gordon's eleven functional health patterns. The major health problems that were identified were dysfunctional breathing resulting from a withdrawal response, impaired skin integrity, anxiety, and the role tension of the caregiver. The author provided individualized continuity of care through active caring and companionship. The patient education sheet was offered to provide information about the disease. Along with other team members' coaching, the patient had a better understanding of the weaning process. The author authentically listened to the patient's daughter regarding her concern about tracheostomy care. The related tracheostomy care was taught to the daughter in order to enhance her confidence of taking care of the patient. All above strategy eased the patient's and family's tension and anxiety. This nursing experience can be referenced by other nurses while caring for similar cases. |