英文摘要 |
This report describes the experience with an end-stage renal disease patient requiring long-term peritoneal dialysis that experienced decisional conflict due to a misunderstanding over method of treatment. Through observation, conversation, direct care and Gordon's 11 functional health patterns, several health problem were identified: risk for infection, decisional conflict and anxiety. To deal with the risk for infection, the patient was taught how to correctly perform the CAPD fluid change aseptically. A basic ”CAPD Wound Home Care Kit” was also put together with the help of CAPD technicians for the patient to use for home care and reduce the risk of infection. With regards to decisional conflict, the patient was shown around the CAPD ward, watched the educational video on CAPD fluid exchange and introduced to successful CAPD cases. These measures helped the patient come to terms with CAPD treatment. Lastly, we respected and accepted the patient's negative and emotional reaction to long-term dialysis. We then patiently explained the CAPD fluid exchange process, provided the patient with the CAPD educational handouts, demonstrated CAPD fluid exchange technique and answered patient's concerns. By reducing the patient anxiety in these ways, the patient was able to resume a normal life and was better-equipped for home care. We hope the nursing experience will prove useful to nursing staff caring for similar patients in the future. |