A+) 호스피스 케이스스터디 / 위암 케이스 스터디/ 성인간호학 실습 / 간호학과 3학년&4학년

소개

호스피스 병동 실습 위암환자 사례보고서입니다. 감을 전혀 못잡겠는, 첫 케이스 스터디를 하시는 분들이 참고하시면 좋을 것 같아요.
(간호진단 총 4개)

목차

I. 서론
1. 대상 질환 및 사례 선정 이유 ··············································································································· 3p
2. 위암(gastric cancer) 문헌고찰 ············································································································· 11p
2-1. 위암이란?
2-2. 진단방법
2-3 발병 원인
2-4. 증상
2-5 치료요법의 종류
2-6 합병증 및 항암 부작용
3. 호스피스완화간호(hospice palliative care) ················································································· 14p

II. 본론
1. 대상자 사정 ············································································································································· 16p
2. 임상검사 결과 ········································································································································· 21p
3. 처방 약물 ·················································································································································· 34p
4. 간호과정 ···················································································································································· 45p

III. 결론
1. 느낀 점 ························································································································································ 45p

IV. 참고문헌 ······················································································································································ 46p

본문내용

1. 대상 질환 및 사례 선정 이유
내가 배정된 병동인 호스피스완화병동에 입원 중인 환자의 대부분이, 보호자가 없어 입원 중인 한 분을 제외하고는 전부 말기 암 환자이다. 직장암, 유방암, 간암, 위암, 비강암, 혈액종양암 등의 다양한 케이스를 가지고 있는 대상자들 중 위암을 선택했다. 사실 처음 케이스 스터디를 한다고 했을 때, 근무하고 계시는 간호사 선생님의 추천을 받아 직장암을 진단받은 환자분을 선정하고자 하였으나, 나의 관심사와는 동떨어진 사례였고 중간에 환자 분이 임종을 하시게 되어 아예 사례를 바꾸기로 결정하였다. 진부하게 보일 수도 있지만 사실 정말 솔직하게는 외가 가족 중 두 분이 위암으로 돌아가셨기에 본인 역시 위암에 대한 가족력이 있고 어릴 적 내가 예상치 못하게 가족의 죽음을 받아들여야 했던 원인이 되는 질병을 겪고 계시는 환자분이 처음부터 관심이 갔다. 더불어 위암은 2011년 이후 -4.4%로 발병 감소율을 보이고 있긴 하지만, 아래의 표를 살펴보면 2020년 기준 국가암등록통계에 따른 우리나라 주요 암 발생 현황에서 위암은 상위권에 속하는 4순위에 해당한다. 따라서 절대 중요하지 아니하다고 볼 수 없으며 경각심이 요구되어야 할 것이다. 우리 병동에 위암을 진단받은 환자분들은 몇
몇 계시지만 실습 첫 날이었던 지난달 29일, 마침 딱 입원을 하셨기에 처음부터 경과를 지켜보기에 적절하다고 생각했다. 위암을 진단받은 환자의 말기는 어떻게 진행되는지, 어떠한 과정으로 임종을 맞이하며 그에 따른 증상 및 제공되는 간호의 종류에는 무엇이 있는지를 자세히 알아보고자 케이스를 선정하게 되었다.

참고자료

· 국가암정보센터.”국가암정보센터”, 홈 >내가 알고 싶은 암>암의 종류>위암> 위암 (cancer.go.kr).(2024.00.00)
· 송데이미.”감염위험성 간호진단”, (2) 감염 위험성 간호진단 : 간호중재 및 이론적 근거 [간호진단] - 송데이미 (songday.me).(2024.00.00)
· 은평연세소식.”낙상위험성 예방교육”, [낙상예방수칙] 은평연세병원에서 알려주는 낙상.. : 네이버블로그 (naver.com).(2024.00.00)
· The freely.”유치도뇨관 이론적근거”,[핵심기본간호술] 10. 유치도뇨(선행지식, .. : 네이버블로그 (naver.com).(2024.00.00)
· 국가건강정보포털.”항암화학요법”, 항암화학요법(항암제치료) | 국가건강정보포털 | 질병관리청 (kdca.go.kr).(2024.00.00)
· 완화의료센터.”자문형 호스피스”, 완화의료센터 (kosinmed.or.kr).(2024.00.00)