Experience of Using the Concept of Companionship to Care for Patients With Terminal Lung Cancer

Friday, 26 July 2019

Jia-Min Chen, BSN
Department of Nursing, Chi Mei Medical Center, Tainan, Taiwan
Chi-Hui Chuang, MS, RN
Chi Mei Medical Center, Tainan City, Taiwan

This paper explores the nursing care experience with a patient found with late stage lung cancer in first diagnosis who suffered physical and psychological torment in the face of imminent death. The author’s nursing care period with the patient was between May 1 and 26, 2016. Throughout the process, the author used intervention measures including direct care, presence, listening and a suffering assessment scale; and established that the patient had health issues including chronic pains, ineffective breathing pattern and death anxiety with Gordon’s 11 functional health patterns as the assessment framework.Accompany (presence) comes from the concept of caring, is one of the eight abilities of professional nursing staff, through the understanding of the whole disease, in-depth understanding of the feelings and significance of the sick, exchange of the subject experience, and realize its significance, to achieve mutual body (intersubjectivity) and the company ( Being with), thus producing a state of natural communication and through the "Life Review and Remembrance" to help the case to understand the meaning and value of life, encourage the face of fear, gradually guide the case to say the view of death, so that patients and families face the problem of death.Based on the patient’s specific needs, a consultation was held with a hospice team and involved a spiritual care worker and a psychologist to guide the patient to voice his fear. Life review interventions were also given to help the patient understand his past experiences and reassemble the meaning of life while encouraging him to voice his inner feelings. Through the medical treatment team and family with care, to reduce the disease caused by body, heart, spiritual suffering, timely provision of care and care and psychological support, guiding the case to express pain, to achieve the life and death two no regrets, look forward to parallel promotion of this care experience for the peer reference.