一位害怕跌倒老人居家護理個案之照護經驗

A Nursing Experience of an Elder with Fear of Falling

本文描述一位害怕跌倒老人之居家護理經驗，護理期間為2011年12月1日至2012年3月29日，運用身體評估、觀察及會談等技巧，將個案資料及照顧者照顧情況，利用老人周全性評估，分析結果發現照護問題有害怕跌倒、潛在性泌尿道感染及照顧者負荷過重問題。為了改善個案護理問題及減輕照顧者負荷，居家護理師依個別性提供適當照顧指導，並連結「我國長期照顧十年計畫」資源，強化照顧者照顧能力與社會支持，藉由社會資源的介入，增加個案身體活動能力，並且成功移除尿管，進而降低照顧者照顧負荷，因此而提昇個案及照顧者生活品質及自我肯定，希望以此經驗提供類似個案照顧之參考。

This case study described the nursing care experience of an elder with the fear of falling. The home care was from December 1s, 2011 to March 29th, 2012. Based on comprehensive geriatricassessment (CGA) evaluated the condition of this patient and his caregivers by using skills of physical evaluation, observation, and conversation. The author identified the elder's major health problems including fear of falling, the potential risk of urinary tract infection and increased burden for the caregiver. To improve the home care problem and to decrease caregiver burden, we turned to use the “10-year Plan for Long-term Care in Taiwan” program resources to strengthen the caregiver's caring ability, raise public support and improve home care environmental safety. Increasing the scope of the patient's physical activity and avoiding urinary catheterization decreased the burden of the caregiver. Hence the prognosis was managed with improve the quality of life and increased confidence for both patient and the caregiver. By this nursing experience provide practical example for nursing staffs to reference in the care of these patients.