英文摘要 |
This article described the nursing experience of caring a terminal lung cancer patient with bone metastases. The patient's condition exacerbated with illness and faced with problems of physical discomfort and grief. The period of nursing care was from December 12 to December 22, 2016. Comprehensive biopsychosocial and spiritual information were collected through direct patient care, interview, and family interaction, and observation. Health problems included ineffective breathing pattern, chronic pain, and anticipatory grief. Nursing interventions included providing the patient with active caring and accompany to establish reliable nurse-patient relationship, instructing abdominal and purselip breathing, applying the pain visual analog scale to assess pain level, encouraging the patient to express pain feeling, providing individualized nursing interventions such as aroma massage and music for distracting attention and pain, interviewing the patient and family members to speak out the real feeling about facing the impending death, guiding family members to talk about their appreciation to the patient and preparation for death. This paper suggests that the nursing staff participate in grief counseling related courses and conduct early grief assessment and counseling to enhance the quality of care on terminallyilled patients and their family members. |