英文摘要 |
This report discusses a hemodialysis patient who was suffering from dispel, pulmonary edema and electrolyte imbalance due to non-compliance with fluid & diet regulation. The complications influence the life quality of the patient. The nursing period was from June 11, 2008 to August 31, 2008. By applying Gordon's eleven health functions evaluation, three nursing problems on the part of the patient related to noncompliance, and poor adjustment ability were noted through interview, observation and chart review, namely: fluid overload, excessive high-phosphate food intake, and medicine taken irregularly, resulting in high levels of serum phosphate. In order to provide integral care, we drafted a nursing plan according to the diet behavior as well as mental and physical adjustment problems. In order to correct the patient's diet behavior problem, we administered behavior modification methods by enhancing skills of self-monitoring, stimulation control and knowledge rebuilding. We also revised the perspective of fluid and diet regulation of the patient. In regard to the mental, social & economic adjustment stress of the patient, in addition to paying particular attention during the hemodialysis period, a social worker helped the patient's son to seek social resources and working opportunity. In order to give positive support and provide stable family economic support and normal social activity, we also encouraged the patient to participate in peer group experience exchanges, successfully improved the adjustment ability of the patient during dialysis therapy and achieved a more ideal health status. |