英文摘要 |
Malignant fungating wounds have significant physiological, psychological, social, and spiritual impacts on patients because of foul odor, excessive exudates, and bleeding. This paper described the nursing experiences in wound dressings change and the post-operative care in a malignant fungating wound of a recurrent breast cancer patient post breast reconstruction. The patient received the Mentor Memory Gel Silicone Breast Implants and hospitalized between Oct, first and 21st in 2018. We used the Gordon's 11 functional health patterns to assess nursing problems through direct care, physical assessment, and interview. We found that her nursing issues included impaired skin integrity, body image disturbance, and social isolation. We used the interdisciplinary care to communication and control wound odor, exudates, and bleeding to establish a good nursing-patient relationship. Therefore, the patient could accept the altered body image and receive treatments. In addition, the patient introduced the diseases to other patients and shared their experiences with each other. We encouraged the patient to face the diseases through our and family's mental support to help increase her self-confidence and return to regular social life gradually. It was suggested that the medical personnel could provide the relevant care skills in malignant fungating wounds and use the interdisciplinary care to help communicate and improve quality of medical services. |