照顧智能障礙血液透析罹患膀胱癌之護理經驗

Translated title of the contribution: Nursing Experience of Caring a Mentally Retarded Patient with Carcinoma of the Urinary Bladder and Hemodialysis

Heng-Hsin Tung, 邱 麗萍, 白 玉珠, 陳 修聖, 賴 寶純, 林 翠娟, 吳 麗蘭

Research output: Contribution to journalArticlepeer-review

Abstract

We reported our nursing experience while taking care of a mentally retarded patient with transitional cell carcinoma (TCC) of the urinary bladder (UB) who is undergoing hemodialysis (HD) due to end stage renal disease (ESRD). The follow-up was from Aug 24, 2009 to 27 Aug, 2009. We used Gordon's 11-item health assessment to evaluate this patient via interviews, observation, and listening. We collected data and found that the major healthy problems of the patient included anxiety and fear about the operation together with a fear of entering the operation room without company, (2) fear of the pain after the operation and (3) the nervousness of his family. All these problems were related to poor communication with the patient, who was mentally retarded and was suffering from TCC of UB. During the process of nursing care, we built a good nurse-patient relationship, listened to the patient and encouraged the patient to express his feelings. In addition, with support from his family, we did our best to help the patient understand the surgical procedure, and reduce his feelings of fear and anxiety by enjoying music. The music was able to decrease tension/nervousness and he was able to overcome the discomfort after the operation. After operation, we used pain control skills to decrease the pain score from 9 to 1. In addition, we provided surgery-related information and our successful nursing experience with similar cases to help encourage his family to raise any questions they had. These approaches also helped the family to understand the whole procedure, which aided in reducing the nervousness of the patient and his family. We report here our nursing experience while taking care of a mentally retarded patient suffering from TCC of the UB and under HD due to ERSD. He received a transurethral resection of the bladder tumor. From this case, we realized that a team work together providing adequate medical and nursing care are important when treating such a patient.
Translated title of the contributionNursing Experience of Caring a Mentally Retarded Patient with Carcinoma of the Urinary Bladder and Hemodialysis
Original languageChinese (Traditional)
Pages (from-to)148-158
Journal北市醫學雜誌
Volume8
Issue number2
DOIs
StatePublished - Dec 2011

Keywords

  • Mental Retard
  • Hemodialysis
  • Transitional Cell Carcinoma of Urinary Bladder

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