| 英文摘要 |
This case report describes a home health care experience of caring a 65 years old patient who was long-term bed-ridden resulting from stroke. From July 15th to December 16th 2013, the author collected data through home visiting, observation, communication, physical assessment and history taking, as well as receiving information from patient’s son. . Gordon’s 11-item functional health pattern was applied to assess the patient’s problems. Three nursing problems were identified, including the risk of infection, impaired skin integrity, and impaired physical mobility. A mutual trust relationship was established through creating a good communication experience with the patient and family members during the nursing care. The caring knowledge was provided such as prevention of urinary tract infection, wound caring, and the technique of changing position. In addition, education was provided to help maintain patient’s muscle power to improve extremities and joints activities by performing PROM. Information about applying supportive devices was also provided. Caregivers’ and patients’ confidence can be enhanced through supportive systems and appropriate caring skills to release their pressure and anxiety so that the quality of life can be improved. |
