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題名:協助食道癌末期病人出國圓夢:一個案報告
書刊名:安寧療護
作者:陳姿樺王靜瑜劉子沄黃洽鑽吳維純
作者(外文):Chen, Tzu-huaWang, Ching-yuLiu, Zi-yunHuang, Chia-tsuanWu, Wei-chun
出版日期:2013
卷期:18:3
頁次:頁330-340
主題關鍵詞:末期病人病患自控式止痛嗎啡圓夢全人照護Terminal ill patientPatient-controlled analgesiaPCAMorphineDream realizationHolistic care
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:10
  • 點閱點閱:38
個案是一位正值事業巔峰卻被診斷為食道癌末期的中年男性病人。面對此衝擊,個案選擇坦然接受,珍惜當下,積極把握所剩生命達成心願,並妥善規劃自己的身後事及財產分配。個案認為生命的質重於量,不選擇化學及放射線治療,以安寧緩和醫療減輕其不適症狀,維持良好生活品質。個案的最大心願為往生前能再次回到菲律賓長灘島重溫回憶,面對個案身體狀況不穩定以及使用病患自控式止痛機需要高劑量靜脈注射式嗎啡出境問題,團隊人員各有不同想法,但基於尊重自主、行善、正義之原則,團隊溝通後達成共識,協助個案圓夢。個案赴長灘島五天後返台,相當感謝團隊幫忙,表示能再度看到長灘島的蔚藍大海,此生再無遺憾。希望藉由本經驗分享,有助於各安寧團隊未來提供更整體性之全人照護。
The case was a middle-aged man who was diagnosed as the terminal stage of esophageal cancer at the summit of his career. He decided to accept the mishaps with an open mind and treasure every moment of life. He seized the remaining life to make his dreams come true and make plans for his funeral ceremony and distribution of his estate. He thought that the quality of life is more important than quantity, so he did not choose chemotherapy and radiotherapy, and he decided to receive hospice care in order to relieve his discomfort and maintain good life quality. His greatest wish was to go back Boracay island in Philippines to recall the past. Our team members had different opinions because his physical condition was not stable, and there might be problems in going abroad with high-dose parenteral morphine in a patient-controlled analgesia pump. Based on the principles of respect for autonomy, beneficence, and justice, we reached consensus after communication, and we assisted him in realizing his dream. He went to Boracay island for five days, and he deeply appreciated our assistance after coming back to Taiwan. He said that he would have no regrets in his life because he had seen the blue ocean of Boracay island again. According to the experience, we wish that it could help more hospice teams to provide better holistic care in the future.
期刊論文
1.Siegel, R.、Naishadham, D.、Jemal, A.(2012)。Cancer statistics。CA Cancer J Clin,62(1),10-29。  new window
2.Lu, C. L.、Lang, H. C.、Luo, J. C. et al.(2010)。Increasing trend of the incidence of esophageal squamous cell carcinoma, but not adenocarcinoma, in Taiwan。Cancer Causes Control,21(2),269-274。  new window
3.Morita, M.、Kumashiro, R.、Kubo, N. et al.(2010)。Alcohol drinking, cigarette smoking, and the development of squamous cell carcinoma of the esophagus: epidemiology, clinical findings, and prevention。Int J Clin Oncol,15(2),126-134。  new window
4.Freeman, R. K.、Ascioti, A.J.、Mahidhara, R. J.(2012)。Palliative therapy for patients with unresectable esophageal carcinoma。Surg Clin North Am,92(5),1337-1351。  new window
5.Dev, R.、Del Fabbro, E.、Bruera, E.(2011)。Patient-controlled analgesia in patients with advanced cancer. Should patients be in control。J Pain Symptom Manage,42(2),296-300。  new window
6.Lehmann, K.A.(2005)。Recent developments inpatient-controlled analgesia。J Pain Symptom Manage,29(5),72-89。  new window
7.Hudcova, J.、McNicol, E.、Quah, C.、Lau, J.、Carr, D. B.(2006)。Patient controlled opioid analgesia versus conventional opioid analgesia for postoperative pain。Cochrane Database Syst Rev,2006(4),2。  new window
8.蔡麗雲、田聖芳、賴允亮、賴裕和、張澤芸、劉景萍、李英芬(20020200)。某安寧療護單位皮下自控式止痛系統之使用。安寧療護,7(1),10-19。new window  延伸查詢new window
9.Schiessl, C.、Sittl, R.、Griessinger, N.、Lutter, N.、Schuettler, J.(2008)。Intravenous morphine consumption in outpatients with cancer during their last week of life-an analysis based on patient-controlled analgesia data。Support Care Cancer,16(8),917-923。  new window
10.Macintyre, P. E.(2001)。Safety and efficacy of patient-controlled analgesia。Br J Anaesth,87(1),36-46。  new window
11.Leung, L.(2011)。Cannabis and its derivatives: review of medical use。J Am Board Fam Med,24(4),452-462。  new window
12.Abrams, D. I.、Couey, P.、Shade, S. B.、Kelly, M. E.、Benowitz, N. L.(2011)。Cannabinoid-opioid interaction in chronic pain。Clin Pharmacol Ther,90(6),844-851。  new window
13.Aggarwal, S. K.(2013)。Cannabinergic pain medicine: a concise clinical primer and survey of randomized-controlled trial results。Clin J Pain,29(2),162-171。  new window
14.Wang, T.、Collet, J. P.、Shapiro, S.、Ware, M. A.(2008)。Adverse effects of medical cannabinoids: a systematic review。CMAJ,178(13),1669-1678。  new window
15.洪福建、鄭逸如、邱泰源、胡文郁、陳慶餘、吳英璋(19990900)。癌末患者的心理社會問題、因應策略與負向情緒。應用心理研究,3,79-104。new window  延伸查詢new window
16.陳怡如(20060800)。末期病人的靈性需求與靈性照顧。慈濟醫學,18(4)增刊,61-66。  延伸查詢new window
圖書
1.行政院衛生署(2012)。中華民國101年版公共衛生年報。台北:衛生署。  延伸查詢new window
其他
1.衛生福利部食品藥物管理署(20120620)。管制藥品管理條例施行細則,http://www.fda.gov.tw/upload/46/管制藥品管理條例施行細則1010620.pdf。  延伸查詢new window
2.衛生福利部食品藥物管理署(19951016)。病患自控式止痛法(PCA) 使用麻醉藥品注意事項,http://www.fda.gov.tw/upload/46/PCA.doc。  延伸查詢new window
 
 
 
 
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