照護一位年輕末期卵巢癌個案的護理經驗

This case report describes the nursing process of caring for a young woman with advanced ovarian cancer. We report the experience of helping this young woman and her families in face of impending death. During the hospitalization, this patient experienced anxiety and fear of death, as well as family conflicts such as arguments and tension due to differences in the expectation of the treatment plan. The authors collected data through direct nursing care, physical assessments, observation, and interviews guided by the Gordon 11-functional health assessment between November 8th, 2013 and December 3rd, 2013. The results revealed that the patient experienced three health problems, including 'acute pain', 'compromised family coping' and 'death anxiety' during the final stage of her life. Being the primary nurse, the author provided care according to four core values of hospice palliative care (i.e., holistic care, family care, team care, and continuing care) to comfort the acute pain experienced by the patient, as well as to encourage and support the patient and her family members through employing a multidisciplinary team to reduce death anxiety. These interventions helped family members to reach the acceptable treatment goals, improve the quality of life and promote peaceful death for this advanced cancer patient. This care experience is expected to provide a valuable reference for clinical practice to develop a family-centered approach to palliative care for advanced cancer patients.