英文摘要 |
This case study described the nursing experience of taking care of a young adult who suffered from physical, psychological, and social impacts when undergoing initial hemodialysis. From March 12, 2014 to April 30 of the same year, this study utilized Gordons 11 functional health patterns as the assessment method and collected data through observation, interviews, listening, and physical assessment skills. The patient’s major health concerns included: 1. potential risks for infection (related to double lumen catheters) 2. a lack of knowledge (related to not knowing enough about controlling hyperphosphatemia) 3. anxiety (related to the pressure of facing hemodialysis). During the care period of this study the author actively attended and listened to the patient’s needs. After gaining the patient’s trust, the author provided the patient with hemodialysis-related knowledge from research articles, utilized patient instructions produced by the department, improved patient’s selfcare ability, and used the catheterization care bundle to prevent infections. Technological equipment such as the camera on mobile phones was used to replace handwritten records. As a result, the patient became more motivated to learn and easier to take care of. The patient could self-monitor the dietary behaviors, thus be reminded to avoid the consumption of high phosphate food. The patient also consumed calcium regularly to control the phosphate level in the blood. This study was able to reinforce the establishment of family and social support systems and helped the patient to develop positive social interactions and skills. The patient’s self-worth was boosted and was able to adapt to the stress from hemodialysis while having good quality of life. |