英文摘要 |
This report describes the caring experience for a female patient with autosomal dominant polycystic kidney disease (ADPKD). The patient had been infected with Salmonella enteritis that evolved into sepsis, acute renal failure and respiratory failure. The period of care was between October 10~27, 2007. The author collected data through listening, face-to-face (written) discussions, monitoring, physical assessments and clinical caretaking of the patient. Gordon's 11 Functional Health Patterns were carried out at the same time to better comprehend the physical and psychological impacts from the patient's genetic disease and complications resulting from Salmonella enteritis. Caretaking problems identified included acute pain, diarrhea and anxiety. During the caretaking period, proactive visitations, companionship, monitoring, documentation of the disease progression as well as attention directed at enteric isolation measures, fluid and electrolyte balances and pain relief, helped the patient understand how her disease was progressing and what her treatment plan was. The efforts reduced patient anxiety, built up a sense of security and averted the need for hemodialysis. This case report will hopefully help share the caretaking experience with other care providers. |