| 英文摘要 |
This report focuses on nursing experience of caring for an 83-year old patient with endstage renal failure who was noncompliant with hemodialysis treatment. The period of care ran from February 4 through to March 31, 2015. By applying Watson’s theory of human caring and functional health pattern assessment, data was collected through listening, conducting interviews, on-site observation, practical caring of the patient, etc., to discover, analyze, as well as compile the issues encountered. The patient was found to have nursing problems such as excess fluid retention, noncompliance, and hopelessness. The patient believed in traditional Chinese medicine for treating renal failure and did not have faith in hemodialysis, resulting in noncompliance behaviors such as non-attendance of regular hemodialysis sessions and inadequate control of fluid intake. The writing of this report was motivated by the patient’s depressive mood and hopelessness due to powerlessness in disease treatment. By adopting the care factors in Watson’s theory of human caring, as well as techniques of active caring, empathy, and acceptance to build a good nursing relationship with the patient, an individually-tailored nursing plan was formulated to help the patient express feelings, assist in food intake and fluid control, as well as to support the patient in attending hemodialysis sessions so that the patient can cope with the disease progression and regain self-esteem. The author would like to recommend the production of “health promotion brochures with larger texts and diagrams designed for the elderly” by the department. Through this nursing experience, the author also hopes to provide a reference to other nursing staff in caring for patients with end-stage renal failure. The sharing of professional experience will also hopefully lead to the development of more effective nursing strategies. |
