慢性阻塞性肺疾病患適應非侵襲性正壓呼吸器之護理經驗

This article describes the nursing experience of caring for a patient with dementia and chronic obstructive pulmonary disease while adapting to bi-positive airway pressure (Bi-PAP). Watson's caring theory was used as the basis for nursing care. Patient's information was collected through the direct observations of the author, interviews, medical records, and discussions with the clinical care team.
During the acute phase, the clinical care team assisted the patient with adaptation to the Bi-PAP by reducing respiratory difficulties and maintaining a smooth airway and proper oxygen saturation. Moreover, the caregivers received health education to enhance their knowledge and skills about Bi-PAP that will reduce relevant complications. The patient received massage therapy and listened to religious music were used to reduce his/her anxiety, along with increasing the patient's confidence to adapt to disease process and Bi-PAP use. These interventions will reduce the readmission rate and help the patient to maintain a good quality of life. This report can serve as an example using Watson's caring theory to assist assisting elderly COPD patients with dementia who need to adapt to Bi-PAP.