原發位不明癌合併多處轉移年輕病人之臨終護理經驗

Hospice Care Experience of Malignant Unknown Origin With Multiple Metastasis for a Young Patient

本篇是照護一位原發位不明癌，合併肺、淋巴與骨轉移的年輕女性病人，因腫瘤快速擴散及治療副作用，而瀕臨死亡的臨終護理經驗。住院期間個案因生理症狀出現哭泣情緒反應，甚至拒絕醫師執行身體評估與醫療處置，此時案母更因面對個案即將死亡的過程，開始出現哭泣、自責與焦慮之心理反應。護理期間筆者利用整體性評估及提供護理措施，增進個案生理上之舒適，以建立與個案、案母的良好護病關係，進而運用懷舊療法，達到生死兩相安。

This article is describes a care experience in a terminal young female with unknown origin associated With multiple organs metastases.During the treatment course,we first improved the life quality of this patient by best supportive care.We encouraged the patient psychologically to face the end of life through our teamwork with her family.We also provided effective care procedures which covered both the physical and psychological aspects of the patient. Finally, we helped this patient to have a peaceful ending to her life.