| Abstrakt: |
This article described a home health nursing experience of assisting two caregivers in providing continuous care for their mother, who went through stroke twice and became bed-ridden after discharged from the hospital. Due to nursing misconceptions, inconsistent caring methods and lacking communication between the care givers, the patient exhibited signs of slow wound healing and potential urinary tract infection. From July 14, 2009 to January 13, 2010, the Gordon's eleven-functional-health patterns were applied, and through direct nursing care, observation, physical examination, interview, listening, interaction and communication with patient, four health related problems were indentified: (1) Inadequate continuous care by the two caregivers; (2) Altered nutrition/underweight; (3) High risk of urinary tract infection and (4) Impaired skin integrity. The home health nurse established a positive interaction and trusts with both caregivers through phone interviews and home visits, clarified and integrated the caregivers' nursing knowledge and techniques, established nursing shift report, and provided tubes, wound care education and returned demonstration.In addition, nursing measures such as written record was implemented to assist the caregivers in communicating with the physician, and a nutritionist was referred. Consequently, the patient's wound healed, body weight achieved ideal status and the patient's quality of life was improved. (Tzu Chi Nursing Journal, 2012; 11:3, 109-118) [ABSTRACT FROM AUTHOR] |
