胃肠肿瘤护理查房.ppt

*Referraltochaplaincyservicesandprovidingaccesstospiritualresourcesarekeyrolesofthenurseinspiritualcarepractice.(McSherryandJamieson2011)Addressingpatients’spiritualneedsneccessitatesamultidisciplinaryapproach.Nursesareknowntolackknowledgeandconfidencewiththeirrole.Atthesametimeliteraturerevealsthechaplaintobeanimportantandevolvingroleinhealthcarethatisoftenresourcedbypublicfundsandpopulationneedsbased.Theneedforchaplaincyservicesisbeingquestionedandreviewedatnationallevel,andlittleisknownaboutspiritualcareresourcesandapproachesintheROI.Onelocalisedstudy(HSE2011)(Timmins2014,McSherryandJamieson2011)Referraltochaplaincyservicesandprovidingaccesstospiritualresourcesarekeyrolesofthenurseinspiritualcarepractice.(McSherryandJamieson2011)Addressingpatients’spiritualneedsneccessitatesamultidisciplinaryapproach.Nursesareknowntolackknowledgeandconfidencewiththeirrole.Atthesametimeliteraturerevealsthechaplaintobeanimportantandevolvingroleinhealthcarethatisoftenresourcedbypublicfundsandpopulationneedsbased.Theneedforchaplaincyservicesisbeingquestionedandreviewedatnationallevel,andlittleisknownaboutspiritualcareresourcesandapproachesintheROI.Onelocalisedstudy(HSE2011)(Timmins2014,McSherryandJamieson2011)一例直肠癌患者护理查房记录武汉协和医院实习生病案介绍疾病介绍护理基本信息腹部肿瘤科病区：腹部肿瘤科床号姓名：性别：出生日期年龄岁出生地省市籍贯省市民族族入院日期病案介绍疾病介绍护理主诉：直肠癌综合治疗半年余现病史：患者于2016年2月因反复血便就诊，行肠镜考虑直肠癌，遂于同济医院完善分期检查，腹部CT示直肠占位，胰头低密度灶，于日行腹腔镜下直肠超低位前切除+回肠双腔造口术，术中示肿瘤距肛门4CM，术后病理示，直肠中分化腺癌侵及肠壁肌层，肠周淋巴结12枚未见转移，术后行替吉奥治疗2周期，治疗期间肿瘤标志物CEA进行性上升，2016年5月入我院复查CT提示盆腔淋巴结肿大，后完善全身PET-CT考虑盆腔淋巴结转移可能性大，向患者交代病情，并于6月6日、6月24日及7月8日起行folfox4方案化疗三周期，患者耐受可，复查瘤标志物较前升高，查胸腹盆CT提示盆腔淋巴结较前略缩小，联系外科并向患者交代病情后，于2016年8月4日行剖腹探查术+左侧盆腔淋巴结清扫术+盆腔种植灶切除+腹腔肿瘤切除术+双侧附件切除+阑尾切除术+回肠造瘘还纳术，现患者恢复可，于