This study explores the nursing experience for caring of a patient who first suffered cerebral stroke together with limb hemiplegia. The patient was assessed using Gordon’s 11 functional health patterns, with the data collected through observation, interviewing, and physical assessments from July 23rd to August 16th, 2018. The nursing problems identified included impaired physical mobility, risks for falls, and hopelessness. In the process of nursing, a good relationship with the patient and his family members was established through active caring, listening and timely encouragement. In terms of impaired physical mobility, the cross-team cooperation method was used to establish a rehabilitation plan with the patient and his family members, and through the family supports and the sharing of some successful rehabilitation cases, the patient was guided to think positively and continue to rehabilitate, thereby maintaining the best possible limb functions. In terms of risks of falls, daily care techniques were introduced to the patient to reduce the risks of falls and avoid reoccurring damages. In terms of hopelessness, the effectiveness of physical mobility after rehabilitation was specifically pointed out to boost confidence and hope of the patient toward the rehabilitation, thereby helping the patient overcome the crisis of powerlessness, smoothly adapt to the life changes after the stroke, and improve his quality of life.
Through this caring experience, it is learned that having a deep understanding of psychological well-being is very important. It is recommended that the relevant nursing units should conduct continuous re-education on assessment of psychological needs and the handling ability as well as exerting the uniqueness of caring to further improve the holistic health care. In addition, the service scope of clinical nurses and cerebral stroke case managers is a major limitation of continuous follow-up after the patient is discharged. It is suggested that a seamless care system that is from the hospitals to the homes of the patients should be established in the future to reduce the re-admission rate of cerebral stroke and the incidence of comorbidities. This study of care experience can be used as a reference for future care of such patients.