英文摘要 |
This article describes a nursing experience of taking care of a female patient with dermatomyositis. The patient, admitted for dysphagia and weakness of proximal extremities, was preliminarily diagnosed with dermatomyositis. During the nursing period from August 3 to September 1, 2010, the authors collected information through direct patient care, observation, and interview. Gordon's 11 functional health patterns were used to assess the patient's nursing needs. The three identified health problems included difficulty of swallowing, intolerance of activity, and disturbance of body image. Through proactive caring and the establishment of a good patient-nurse relationship, the patient was taught about adequate swallowing techniques and nasogastric tube feeding. Physical therapy was planned with the patient and her family to promote the patient's physical function. The patient was provided with an educational pamphlet regarding dermatomyositis-related information. With the family's encouragement and support, the patient's confidence increased and perceptions of body image secondary to disease improved. The family was taught about the skills for daily life activity after discharge from the hospital. Dermatomyositis is a rare chronic disease, so the patient has to live with it for the rest of her lifetime. Besides medical care required during the acute stage, skills for home care are vital. This nursing experience can serve as a reference for other nurses who take care of patients with the same diagnosis. |