一位腦中風個案出院準備服務的經驗

Nursing Experience of Caring for a Cerebrovascular Accident (CVA) with Discharge Planning

本篇是敘述一位81歲罹患腦中風男性個案，接受出院準備服務，順利返家自我照顧護理過程。護理期間於2006年8月15日至9月2日，筆者運用出院準備服務需求、巴氏量表及高登(Gorden)11項功能性健康型態進行整體性評估，個案主要健康問題：身體活動功能障礙、高危險性損傷：跌倒、自我照顧能力缺失、身體心像紊亂等。於護理過程中，協助個案面對身體失能，進而接受身、心復健治療，促進身體功能恢復及改善自我照顧能力，重建正向的自我概念，並幫助個案渡過身體心像紊亂之過程。希望藉此護理經驗能提供護理同仁照護類似病患時，除了減輕生理不適外，亦能重視並以同理心深入瞭解其心理層面，以達全人之照護。

This describes an 81-year old male cerebrovascular accident patient who accepted discharge planning,went home process of the attendance. The nursing period was from August 15 to September 2, 2006. Theauthor utilized discharge planning, the Barthel's score and Gorden 11 functions to carry on the appraisal, andmain health questions which included impaired wheelchair mobility, risk of falls, self-care deficit, and disturbedbody image. The nursing process, assisted in facing the loss of energy, accepting his body, heart recoverytreatment, and the promotion of body function. It also and improved self-attendance ability reconstructionof self-concept, and helped the patient to overcome the bodily image disorder. It is hoped this experience canassist staff in treating similar patients and reduce the physiology of the illness.