| 英文摘要 |
This study examines the nursing experience from taking care of a patient with a long history of rheumatoid arthritis undergoing hemodialysis. The patient suffered from renal failure due to hypertension and improper intake of dietary supplements (notably grape seed extract). The care period spanned June 14, 2012 to July 14 of the same year. This study utilized Gordon’s 11 functional health patterns as the assessment method and collected data through observation, interviews, and physical assessment skills. It was discovered that the patient’s joints had become deformed and stiff due to rheumatoid arthritis. The patient was therefore unable to function independently and needed to be accompanied by family members during the hemodialysis process. Faced with hemodialysis required by end-stage renal disease, the patient began suffering from physical malnutrition as well as psychological effects such as hopelessness and negativity. The main problems with the patient’s care included: (1) imbalanced nutrition - below the body’s requirements; (2) lack of self-care ability; (3) sense of hopelessness. By actively taking care of the patient’s needs, nursing intervention, professional nursing knowledge, along with patient instructions, assistive devices, as well as interdepartmental medical counseling, all helped to achieve improvements in the patient’s nutrition and self-care ability. The condition of the joints were also stabilized to prevent further stiffening and deformation. Measures such as listening, companionship and empathy, provision of inspirational books, and sharing of other patients’ experiences also helped the patient feel more hopeful about the future. This study was able to convince the patient to recognize the value and meaning of life. By sharing this nursing experience, this study hopes to provide fellow colleagues with a reference for taking care of patients with similar symptoms. |
