英文摘要 |
Patients with cancer face not only pain but also impacts on the body and spirit aspects due to the change of body appearance to experience negative feelings. This article described the nursing experience of caring a 63 years old male with stage III colorectal cancer. The patient presented with symptoms of abdominal pain and bloody stool passage for one year. He did not receive treatment until persuaded by his family members. Tumor invasion sites included ureter and bladder. He received intra-abdominal cancer excision, permanent colostomy, and cystostomy. The patient experienced negative feelings such as depression and hopelessness because he could not face the serious conditions of cancer and was worried about the unusual judgment of others after surgery. During the period of nursing care between September 15 and 27, 2017, the author used listening, communication, observation, interview, and Gordon 11 function health patterns analysis to identify the nursing problems. The results showed that the patient had anxiety problem before operation. The main nursing problems included acute pain, body image disturbance, and hopelessness. During the nursing process, both pharmacological pain controllers and essential oil massage were used to relieve pain. Good relationship between the patient and the nursing staff was built via accompanying and showing concerns and support for his family members. Moreover, care from interprofessional team was offered. The patient accepted his body appearance, adapted illness status, performed effective self-care for cystostomy, and finally turned negative attitude to positive. Interprofessional Practice (IPP) resource was offered to restore his self-confidence and successfully returned home to maintain good quality of life. |