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澳洲莫納什護理代寫 EOL護理

Keywords:澳洲莫納什護理代寫 EOL護理

EOL護理需要對如何處理死亡過程進行重復的教學,并將他們的注意力從生命的數量轉移到生命的質量上。護士應處理社會心理方面的問題,如焦慮和抑郁、憤怒、無望和無力感、恐懼和溝通。大多數絕癥患者和他們的家人都有預期的悲傷,這可能會使他們的生活癱瘓。一些護士可以減輕照顧者倦怠的方式是通過提供實際支持和暫息護理,提高防范通過干預措施,促進溝通的家庭關于死亡,并確保預后信息是適應家庭的需要(尼爾森,Neergaard Jensen Vedsted,兄弟&古爾丁(2017)。使用非藥物治療,如放松呼吸、音樂和想象可能有助于緩解焦慮和抑郁癥狀。如果病人處于憤怒或否認階段,幫助他們表達他們的感受并承認變化。讓他們覺得自己很重要,讓他們參與決策和護理計劃,讓他們在對自尊重要的時候有一些控制權。絕癥患者害怕很多事情,如疼痛、孤獨、呼吸急促等,這些都可以通過藥物、治療觸摸、陪伴、尊重和接受他們的生活價值觀和積極的品質而不被評判(Lewis et al., 2017)。護士還應注重EOL的物理護理,包括處理疼痛、譫妄、吞咽困難、虛弱和疲勞、脫水、呼吸困難、肌陣攣、皮膚破裂、腸道模式、尿失禁、厭食癥、惡心和嘔吐、念珠菌病。一些物理保健護理管理——管理止痛藥在及時,提供安靜、明亮的房間,調整患者的人,地點和時間,提供修改后的飲食和吸在必要的時候,集群保健與頻繁的休息時間,提供口腔護理和水化治療如果容忍,讓床頭升高和經常檢查呼吸狀態,提供皮膚護理,避免剪切力,評估糞便壓緊和泌尿功能,使用吸附劑墊防止皮膚破損,提供患者喜歡的食物,小份和頻繁間隔,清潔假牙,促進口腔衛生(Lewis et al., 2017)。同樣重要的是要有文化能力,尊重病人的宗教價值觀,并在可能的情況下提供精神上的幫助。
澳洲莫納什護理代寫 EOL護理
EOL care requires repetitive teaching on ways to cope with dying process and shift their focus from quantity of life to quality of life. Nurse should address psychosocial aspect like feelings of anxiety and depression, anger, hopelessness and powerlessness, fear and communication. Most patients with terminal illness and their family have anticipatory grief that may disable their lives. Some of the ways a nurse can alleviate caregiver burnout is by providing practical support and respite care, increasing the preparedness through interventions, facilitating communication in the family about dying, and ensuring that prognostic information is adapted to the needs of the family (Nielsen, Neergaard, Jensen, Vedsted, Bro & Guldin (2017). Using non-pharmacological management like relaxation breathing, music and imagery may help alleviate symptoms of anxiety and depression. If a patient is in the anger or denial stage, help them with expression of their feelings and acknowledging the change. Making them feel important by involving them in decision making and plan of care gives them some control when is important for their self-esteem. Terminally ill patients are afraid of so many things like pain, being alone, shortness of breath which can be managed by medication, therapeutic touch, providing company, respecting and accepting their life values and positive qualities without being judgmental (Lewis et al., 2017). Nurses should also focus on physical care towards EOL which includes managing pain, delirium, dysphagia, weakness and fatigue, dehydration, dyspnea, myoclonus, skin breakdown, bowel patterns, urinary incontinence, anorexia, nausea and vomiting, candidiasis. Some of the nursing management for physical care are – administering pain meds in timely manner, providing quiet, well-lit room and reorienting patient to person, place and time, providing modified diet and suctioning when necessary, cluster care with frequent rest periods, provide oral care and hydration therapy if tolerated, keep head of the bed elevated and check respiratory status frequently, provide skin care and avoid shearing forces, assess for fecal impaction and urinary function, prevent skin breakdown by using absorbent pads, provide patient’s favorite foods in small portions and frequent intervals, clean dentures and promote oral hygiene (Lewis et al., 2017). It is equally important to be culturally competent and respect patient’s religious values and provide spiritual assistance when possible.

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