照護一位乳癌併發結締組織轉移病患之加護經驗

本篇為照護一位乳癌併發結締組織轉移病患之護理經驗，於2016年6月24日至2016年7月11日期間，透過持續性照護、身體評估及會談，運用Gordon十一項健康功能型態評估，歸納出主要護理問題有:疼痛／與無效疼痛控制有關；低效性呼吸型態／與呼吸道狹窄、疼痛及肌肉無力有關；無望感／與疾病末期進展有關。護理期間，疼痛方面透過芳香療法、穴位按摩、藥物控制及心理支持，達到有效的疼痛控制。面對腫瘤壓迫呼吸道，引導個案採取支持性療法，緩解呼吸道不適症狀。在無望感方面，藉由主動關懷及傾聽感受，即早介入安寧緩和治療，有效改善靈性問題。期望藉此護經驗能提供護理人員之臨床照護參考。

This article was a nursing experience of a breast cancer with connective tissue metastasis patient. Care period 2016/6/24- 2016/7/11. Primary care problem include: 1. Pain, 2. Ineffective breathing pattern, 3. Hopelessness. First, effective pain control through aromatherapy, acupressure, medication control and psychological support. Second, medical team discuss to design individual nursing plan to provide appropriate care measures in order to teach the patient effective deep breathing, coughing skills, by teaching patient to use supportive therapy to relieve tumor compression respiratory symptoms. Third, early intervention in calm and palliative treatment, we can effectively improve spiritual problems. This care experience as a reference for clinical work.