英文摘要 |
This article described the nursing experience of caring a 62-year-old woman with acute respiratory distress syndrome due to respiratory failure. She faced hypoventilation and threat of near-death experience that produced negative emotions. The author applied the nursing experience of prone-position therapy to improve oxygenation. Nursing Care was from November 14 to 26, 2012. Gordon 11 Functional Health Pattern was used to assess the patient’s health status. Data was collected through observation, direct care, and physical assessment, using writing, figure cards, and communication. The nursing care problems included impaired gas exchange, ineffective airway clearance, potential for impaired skin integrity, a sense of hopelessness. The authors provided individualized nursing care plans, including improving oxygenation in prone-position therapy, monitoring oxygen exchange, maintaining adequate ventilation, and enhancing confidence and hope. When the patient could not expectorate sputum by herself, assistance was provided to facilitate suction and maintain free airway flowing. To prevent pressure ulceration, water polo and cushion under bony prominences were provided. The patient was encouraged by nursing staffs and family support to receive the long-term treatment. The healthcare team helped the patient wean ventilator, thus transferred to chest medical ward. |