| 英文摘要 |
This article describes nursing experience with a long-term hemodialysis patient facing physical handicaps and psychological adjustment after stroke. During the nursing period from September 26, 2012 to December 31, 2012, the author used Gordon’s eleven functional health patterns as the assessment framework, and collected data using communication, observation, interview and listening techniques. Conclusions included: change in nutritious status and hyperphophatemia related to poor diet control; impairment of self-care ability related to neurological dysfunction and right side limb weakness; falling related to right side limb weakness due to complications; and powerlessness related to reduced control over daily life. By establishing good interactions with the patient and family, the author and provided knowledge related to the disease and encouraged cooperation with physiotherapy. Personalized nursing care activities were also arranged for the patient and family to enhance self-care ability and prevent falling. At the same time, proactive caring and companionship for the patient and family members encouraged them to express of their feelings and sense of helplessness. We also enhanced co-operation between patient and family, continued to give positive feedback and support, helped the patient adapt to lifestyle changes so that he could to face the future with greater confidence. This in turn enabled him to maintain good quality of life with dialysis. |
