Nursing Experience of Terminal Care for a Patient with End-Stage Cancer
Abstract: This article described a nursing experience for a prime singleton in hospitalization due to end-stage colon cancer. The methods of data collection included observation, physical assessment, and face-to-face interview. The case’s health problem included pain, body image disturbance, and sadness. The patient was hospitalized on February 4, changed into the researcher’s ward on February 8, and died on February 16, 2008. The duration of nursing care by the researcher was be-tween February 8 and February 16, 2008. The nurse-patient relationship was well established between the research and the case and his family due to the case hospitalized in researcher’s ward many times since fist time diagnosis of colon cancer. During the nursing process, the doctor announced that the survival time of the case was about one or two weeks from the check reports and clinical symptom. The researcher was a palliative care specialist and used Watson’s caring theory to re-duce case’s pain and keep life dignity, to help his family face to death, and to accompany the case of final life traveling route. This case report was expected to share the nursing experience to clinical nursing staff for the end-of-life care.
文章引用: 林淑君 , 董道兴 (2012) 照护一位癌末临终病患之护理经验。 临床医学进展， 2， 6-10. doi: 10.12677/acm.2012.21002
行政院卫生署. 台湾地区主要癌症死亡原因分析[URL], 2008.
 林宜昀, 丘周萍. 关怀之概念分析[J]. 护理杂志, 2003, 50(6): 74-78.
 许丽燕, 许静岱. 运用Watson关怀理论协助一位高龄初孕妇安胎之护理经验[J]. 志为护理-慈济护理杂志, 2009, 8(5): 94- 101.
 黄美端, 庄春蜜, 姚静宜, 邱燕甘. 运用Watson关怀理论于一位独居癌末病人之护理经验[J]. 护理杂志, 2007, 54(2): 98-101.
 C. Saunders. Foreword. M. Kearney, Ed., Mortally wounded: Stories of soul pain, death and healing. New York: Scribner, 1996: 13-14
 N. S. Kadan-Lottic, L. C. Vanderwerker and S. D. Block. Psychiatric disorders and mental health service use in patients with advanced cancer: A report from the coping with cancer study. Cancer, 2005, 104(12): 2872-2881.
 杨婉伶, 李存白, 张静安. 运用安宁疗护于肺癌末期病人的护理经验[J]. 新台北护理期刊, 2007, 9(2): 81-89.
 杨克平, 丧恸辅导. 安宁缓和医疗–理论与实务[M]. 台北: 伟华, 2007: 409-415
 J. M. Jones, M. A. Huggins, A. C. Rydall and G. M. Rodin. Symptomatic distress, hopelessness, and the desire for hastened death in hospitalized cancer patients. Journal of Psychosomatic Research, 2003, 55(5): 411-418.
 J. P. Little, B. B. Dionne and J. A. Eaton. Nursing assessment of depression among palliative care cancer patient. Journal of Hospice and Palliative Nursing, 2005, 7(1): 98-106.
 J. Skilbeck, S. Payne. Emotional support and the role of clinical nurse specialists in palliative care. Journal of Advanced Nursing, 2003, 43(5): 521-530.
 杜友兰. 选择性护理理论家及其理论的简介. 于杜友兰总校阅, 护理理论与实务应用(二版)[M]. 台北: 华杏, 2004: 304- 310.