照顧一位愛滋病合併肺囊蟲肺炎感染二次插管病人之加護護理經驗

Wan-Chen Chung, Chun-Jung Chiu, Li-Fang Chang

Research output: Contribution to journalArticlepeer-review

Abstract

This paper explored the successful ventilator weaning off of an AIDS patient who presented respiratory failure secondary to PJP infection. During 16 days intensive care, the assessment was conducted through written communication, interview, clinical observation of family interaction and physical examination guided by Gordon 11-item functional health pattern. Health problems identified were 1), potential risk for infection, 2), dysfunctional ventilator weaning response, and 3), body image disturbance. The empathetic approach help establish therapeutical relationship. Interventions controlling infection and underlying disease, that included monitoring of body temperature, white blood cell count, virus load, CD4, and adjustment of anti-AIDS agent. Timely communication to the physician in charge, maintaining strict aseptic and infection control technique, and patient/family teaching on future self-care management were employed. By control of respiratory tract infection, patient education on early tracheostomy and individual rehabilitation, patient was weaned from the ventilator successfully and the tracheostomy tube was removed. The patient also developed positive coping skills and reintegrated the body image during the tracheal reconstruction. Ultimately patient was able to resume normal social integration, perform self-care and health maintenance activities. The author suggests that this case report be used for future references.
Original languageChinese (Traditional)
Pages (from-to)59-66
Journal源遠護理
Volume12
Issue number1
Publication statusPublished - Mar 2018

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