照護一位新遷居至護理之家的老年住民之護理經驗

Nursing Experience: A New Elderly Resident in a Nursing Home

隨著老化所帶來的改變，老人遷居至長期照護機構的情形已愈來愈普遍，而遷居對老人而言是一個相當重大的生命改變過程，正常老化使得老人在多方面的適應能力已大不如從前，特別是住進長期照護機構的老人，大多因具有某種程度的生理或心理功能障礙，所以在遷居適應上更容易引起生理、心理及社會的適應問題。本文將以個案報告的方式，探討一位因罹患退化性膝關節炎，在接受全膝關節置換術後因日常生活功能障礙，在家中乏人照顧的情況下遷居至護理之家，於入住機構的過程中，曾經因身體活動功能改變無法調適造成低自尊、及非自願性的遷移至護理之家造成遷移壓力症候群，在給予適宜的護理處置後，活動功能已獲得改善，同時，個案也順利的重返至社區之中。

Demographic changes in the population mean that relocation from community settings to long-term care institutions will steadily increase among elderly adults. As part of a normal aging process, these adults will experience change in their adaptation abilities, especially among those who experience physical or psychological function impairment. In this case report, the author describes an elderly woman with osteoarthritis who had to severely restrict her daily activities. Her move into a nursing home caused problems in terms of self-esteem and adjusting to a new environment. After providing appropriate nursing management and support, the patient’s functional ability and physical challenges improved to the point that she was able to return to her family home.