英文摘要 |
The aim of this paper was to describe a nursing care experience concerning an infant with head injury and his mother faced with her dying baby. The author contacts baby’s mother during the period of pregnancy to the mother in facing with her baby refused aggressive treatment and signed a document concerning do not resuscitate in the neonatal intensive care unit from November 30, 2010 to February 12, 2011. During this period of nursing care experience, the author possesses a deep sense by means of going through the baby’s mother in facing a huge impact due to lost her baby. In the present study, methods of nursing application process and Davidson's grief process were used. In addition, data information was collected through systematic physical examination, observation, listening, and interview. The mainly nursing problem of this case was certified as followed: autonomy ventilation disorders, tissue perfusion failure (specific types for the brain), and sad. The application skills including nesting and holding care were provided by the author and physician to reduce body’s injury of mother. Moreover, grief reaction was found in mother in facing the process of child death. In addition to this, the author used the following principles including humane care, listening, and spirit support to achieve and to build trust from mother. As mentioned above, these principles are helpful for the mother in expressing their grief emotions, facing the situation of baby death, and adapting her lost feelings. In conclusion, by means of our severe acute children's palliative care experience, we also expected and look forward to providing our nursing care experience to those clinical nurses in facing and dealing with those similar situations and cases in the future. |