英文摘要 |
This report describes the experience of nursing care for a peritoneal dialysis (PD) patient who developed peritonitis due to appendicitis. Nursing care was provided from September 5, 2013 to October 1, 2013. Data was collected through observations, interviews, physical evaluations and review of hospital records. By using Gordon’s 11 functional health patterns along with data analysis, the author was able to identify the following patient problems during nursing care: acute pain, risk of dangerous infections, nutrition less than body requirements, and anxiety. After a thorough nursing evaluation, the author took the initiative by showing care and solicitude to the patient. Compassion was used to build a strong nurse-patient relationship, and provide individualized nursing care that improved the physical problems of the patient. Collaboration with the medical team to provide the patient with knowledge and nursing guidance reduced infections and the patient’s anxiety. Relaxation techniques such as massage and listening to his favorite music were found to help dramatically with relieving acute pain. Nurses then gave the patient guidance on the nutritional and dietary details for different modes of dialysis, and accurately enforced diet control. This nursing care experience will hopefully assist clinical nursing staff with comprehensive assessments on the factors leading to peritonitis in patients, clarify doubts and relieve anxiety in a timely manner so the patient can face life with dialysis in a positive, optimistic manner. |