海洛因成癮患者手術的麻醉照護: 案例報告

Translated title of the contribution: Anesthetic Care of Patient With Heroin Addiction: A Case Report

李文怡, 郭淑瑜

Research output: Contribution to journalArticle

Abstract

The use of illegal drugs in Taiwan is on the rise. Drug addicts often have complex physical, psychological, and social problems. In addition, they often avoid disclosing their illicit drug use by deceit, concealment, or under-reporting. Building and maintaining relationships of trust with drug-Addict patients has become a critical issue in achieving better care quality. In this case report, we report on an anesthesia care process for a heroin addict who was admitted for open reduction and internal fixation surgery for the femur and patella fractures after a car accident. During the six-hour perioperative care period, starting from 11pm on November 30th to 5am on December 1st, 2015, the patient was not willing to disclose his illicit drug use before the surgery. However, the nurse anesthetist noticed signs and symptoms of drug use. The nurse empathized with the patient's worries, provided him with a safe communication environment, and gained trust from the patient in a timely manner, which then enabled the patient to fully disclose his illicit drug use with the nurse anesthetist. The anesthesia-care strategy was then modified according to client's condition. The nurse anesthetist played an important role of bridging communications between the patient and medical care staffs and of modifying the care strategies in a timely manner. During the care period, the blood-borne disease contamination was successfully prevented, the client received uneventful pain management, there was a lack of withdrawal symptoms, and the staffs and patient safety was maintained. The literature on the anesthetic care of heroin patients undergoing surgery is relatively limited in Taiwan. The findings in the current case report add information on providing anesthetic care to patients with drug addiction. Publishing additional case reports, research, and clinical recommendations is essential for improving care quality for this vulnerable population.

Original languageTraditional Chinese
Pages (from-to)100-108
Number of pages9
JournalJournal of Nursing
Volume65
Issue number2
DOIs
Publication statusPublished - Apr 1 2018

Fingerprint

Heroin Dependence
Anesthetics
Nurse Anesthetists
Patient Care
Street Drugs
Quality of Health Care
Heroin
Drug Users
Taiwan
Anesthesia
Communication
Perioperative Care
Substance Withdrawal Syndrome
Perioperative Period
Patella
Hematologic Diseases
Medical Staff
Social Problems
Vulnerable Populations
Pain Management

Keywords

  • Anesthetic care
  • Case report
  • Drug addiction
  • Heroin

ASJC Scopus subject areas

  • Nursing(all)

Cite this

海洛因成癮患者手術的麻醉照護 : 案例報告. / 李文怡; 郭淑瑜.

In: Journal of Nursing, Vol. 65, No. 2, 01.04.2018, p. 100-108.

Research output: Contribution to journalArticle

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