The Experience of Interprofessional Collaborative Practice for End-stage Renal Disease Patient with Spiritual Wellness.

This article describes the care experience of a case of end stage renal disease in which the patient was unable to cope with the progression of the disease and caused spiritual distress. The nursing care period is from January 24 to February 23, 2021. Patient data was collected using physical, psych...

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Published in:Tzu Chi Nursing Journal Vol. 23; no. 1; pp. 106 - 118
Main Authors: Yi-Yin Chen, Ti-Fen Lin, I-Chen Chu
Format: case study Journal Article
Published: Buddhist Tzu Chi General Hospital Feb2024
Online Access:View this record in EBSCOhost
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      dt: Feb2024
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      pub: Buddhist Tzu Chi General Hospital
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        atl: The Experience of Interprofessional Collaborative Practice for End-stage Renal Disease Patient with Spiritual Wellness.
      aug:
        au:
          Yi-Yin Chen
          Ti-Fen Lin
          I-Chen Chu
        affil: Nurse, Taipei City hospital Zhongxing Branch
      sug:
        subj:
          Interprofessional Relations
          Collaboration
          Kidney Failure, Chronic
          Spirituality
          Wellness
          Disease Progression
          Goal Attainment
          Airway Management
          Skin Care
          Psychological Distress
          Dental Care
          Chest Physical Therapy
          Wound Care
          Support, Psychosocial
          Comfort
          Decision Making, Patient
          Terminal Care
          Hospice Care
          Advance Care Planning
          Coping
          Nursing Care
      ab: This article describes the care experience of a case of end stage renal disease in which the patient was unable to cope with the progression of the disease and caused spiritual distress. The nursing care period is from January 24 to February 23, 2021. Patient data was collected using physical, psychological, spiritual and social assessments, through direct care, medical records and interviews. The identified health issues were ineffective airway clearance, compromised skin integrity, and spiritual distress. Physiological problems were treated with nursing measures such as oral care, chest physiotherapy care, keeping the skin dry, and choosing an appropriate wound dressing method. The case effectively eliminated sputum, and there was no new sign of infection in the pressure injury wound. In terms of psychological problems, interprofessional collaborative practice provided psychological support and spiritual comfort, and guided the patient to participate in medical decisions and end-of-life discussions, conduct life reviews, build self-worth, and achieve the goal of spiritual wellness. Caregivers are encouraged to participate in courses on hospice care and advance care planning to enhance the sensitivity and communication skills of clinical care in this kind of case.
      pubtype: Academic Journal
      doctype:
        case study
        Journal Article
      ougenre: Article
    language: Chinese
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