| 英文摘要 |
This article describes the nursing experience of a patient diagnosed with terminal stage hepatocellular carcinoma (HCC). He had experienced both physical and psychological discomfort during hospitalization. Nursing care was provided from November 10th to 22nd, 2012. The author collected data through direct care, physical assessment, close observation, and interviews. Gordon’s 11 functional health patterns were served as a framework for gathering and analyzing information. The results revealed three major health problems: pain, anxiety, and a sense of hopelessness. During the nursing process, the author administered the analgesic medication based on pain assessment, and offered alternative therapy such as acupuncture point massage and relaxation techniques to mitigate the patient’s discomfort and pain. With active listening and consistent communication, the authors made efforts to understand and empathize with the patient and family’s feelings and perspectives. In addition, the author educated the patient and family members the methods to shift attention away from anxiety and the therapy to massage with soft music, and provided intervention of religious and so on to continue nursing care. By establishing a therapeutic relationship with the patient, the author not only helped the patient to accept the diagnosis with hepatocellular carcinoma, but also developed a family support system, for increasing the patient’s positive attitude and fostering a sense of hope and optimism towards his disease. |
