一位獨居老人接受半人工肩關節置換術手術全期護理之照護經驗

Perioperative Nursing Experience of a Living alone Elder with Hemi-shoulder Joint Replacement Surgery

本文為照護一位失智症燒燙傷老人之護理經驗。筆者為病人住在燒傷中心的主護護理師，照顧期間自2011年8月27日至10月17日，運用觀察、會談、實際參與及團隊合作等方式收集資料，將其歸納為二個主要護理問題：一、溝通不良∕缺乏與失智症病人有效溝通策略及方法。二、出院準備之困境∕缺乏主要照顧者。針對以上二個護理問題，找出與病人有效之溝通策略及技巧，並針對出院準備之困境，由醫療團隊共同介入及計畫，讓病人的出院安置得以順利進行。筆者在整個護理過程中深感團隊合作及持續性照護的重要性，期望藉由此特殊照護經驗，提供臨床上相關健康照護人員之參考。

This article described the nursing experience of caring a burned senior patient with dementia. The author was the primary care nurse of the patient from August 27th to October 17th in 2011. Through the review, discussion, practice, and teamwork over this care course, two nursing problems were identified, which were (1) poor communication, lack of effective strategies and skills in communication with dementia patients and (2) the obstacle of discharge preparation, lack of primary caregivers. We developed effective methods to resolve these two problems. The first is to enhance the communicating skills with patients, especially in dementia ones. Furthermore, with the assistance from the medical team, the patient was smoothly discharged from the hospital and placed in the elder care facility. We demonstrated the importance of the teamwork and longitudinal care on caring for elderly patients. We hope that the special experience could be an important reference for other health care workers.