Nursing care for patients with end-stage liver cancer: A case study.

Abstract

     This study was case study. The objective is to study the nursing care of patients with end-stage liver cancer. Tools used for data collection. These include records of information from medical records, symptoms and signs, current medical history, past medical history, medication history, surgery, lifestyle patterns and health behaviors, laboratory test results, and results of other special tests. The data is then analyzed to determine nursing diagnoses according to Orem's model. And using Gordon's health model, develop a nursing intervention plan using the nursing process, and conduct follow-up evaluations of the nursing intervention plan. It improves the quality of life for patients and their families according to their illness, ultimately achieving the goal of palliative care for terminally ill patients "A good death".

     The study results showed that the patient had a self-care plan prepared in advance. It consists of advance decisions—the desire to accept or reject. End-of-life care/caring for those suffering from an illness and unable to make their own decisions. This means not intubating or performing cardiopulmonary resuscitation. The attending physician will inform the patient and their family about the change from the treatment plan to palliative care. The patient wrote a living will stating, "No intubation, no cardiopulmonary resuscitation." Plan ongoing care in collaboration with a multidisciplinary team to facilitate the transfer of care into the community. Plan for patient discharge to prepare the patient and their family. Telephone consultations are provided, and necessary medical equipment is loaned out. For example, providing oxygen kits and sending information to the home visit team and community health team for follow-up after discharge. The care provided is then periodically evaluated from the time the patient is alive, at the time of death, and even after death, including follow-up visits to the patient's relatives after the patient's passing.