英文摘要 |
This study discusses the outpatient care of a 69-year-old female patient on long-term kidney dialysis who also underwent targeted therapy for lung cancer. She experienced skin itching, rashes, and suppuration, which led to poor appetite, malnutrition, depression, and a sense of hopelessness. Gordon’s Eleven Functional Health Patterns were used as an assessment tool during her care period from January 24 to April 18, 2022. Multiple health issues were identified via outpatient care, observation, interviews, and phone calls. Owing to the length limitations and the need to prioritize care needs, this study focuses on three specific health problems:“Impaired skin integrity,”“Altered nutritional status: below body requirements,”and“Sense of hopelessness.”The care process included providing information about targeted therapy and its side effects, along with skin care measures to mitigate skin issues. An interdisciplinary team including case managers and dietitians used food cards and models to educate and encourage the patient to eat small, frequent meals. To improve her dietary awareness and increase nutritional intake, the patient was taught methods of stimulating her appetite to ensure that she received adequate nutrition. Information on targeted therapy care and coping skills was also provided to overcome the discomfort caused by drug side effects. Additionally, sharing experiences among patients promoted a positive attitude toward treatment, which increased her confidence in therapy and alleviated her sense of hopelessness. Various health educational approaches such as digital videos, group education, and educational leaflets should be used during outpatient care to provide disease information, enhance patients’understanding of disease care and management regimens, and improve the quality of care. |