Nursing Experience in Caring for A Patient with Terminal Gastric Cancer and Abdominal Aortic Aneurysm

Authors: Pei-Shan Liang

Abstract:

Objective: This article explores the nursing experience of caring for a terminal gastric cancer patient with an abdominal aortic aneurysm. The patient initially struggled to accept the physical discomfort caused by the disease, experiencing anxiety before eventually accepting the need for surgery. Methods: The nursing period was from June 6 to June 10. Through observation, direct care, conversations, and physical assessments, I conducted a one-on-one comprehensive evaluation using Gordon's eleven functional health patterns. After holding an interdisciplinary team meeting with the critical care team, three key nursing health issues were identified: "pain," "anxiety," and "decreased cardiac tissue perfusion." Results: Open communication techniques and empathetic care were employed to build a trusting nurse-patient relationship and develop patient-centered care measures. Pain was assessed using a numeric pain scale, and the pharmacist adjusted the pain medication. Lavender aromatherapy and crystal music were used to distract and alleviate pain. The patient was encouraged to express their feelings and fears using LINE messages or drawing, with a psychologist providing answers and family members offering companionship to reduce psychological distress and uncertainty about the disease's prognosis. Intensive nursing care was provided, with close monitoring of vital signs and measures to maintain adequate myocardial perfusion. The patient was encouraged to engage in postoperative mobilization and cardiopulmonary rehabilitation. Conclusion: During this care experience, it became clear that when the patient's condition changes, beyond sustaining life, psychological care is crucial. Family support often serves as the patient's greatest source of comfort, helping to alleviate anxiety and pain. Nurses must play multiple roles, including advocate, coordinator, educator, and counselor, using various communication techniques to build hope, listen empathetically, and accept the patient's emotional responses. It is hoped that this report will provide clinical nursing staff with valuable insights, ultimately enhancing the quality of care.

Keywords: intensive care, gastric cancer, aortic aneurysm, quality of care