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KMID : 1032220210160020060
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Journal of Korean Academy of Rural Health Nursing
2021 Volume.16 No. 2 p.60 ~ p.67
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End of life Nursing Care Through a Visiting Nurse in Long-Term Care Insurance: A Case Report using the OMAHA System
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Song Yeon-Yi
Park Eun-Jin
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Abstract
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Purpose: This case report was attempted to present the process of the end of life nursing care provided by the visiting nurse.
Methods: The subject was a person who was decided the long-term care Grade 1 and received a visiting nursing service, and the service was terminated on the death, and then was selected as a case with the consent of his family. The data were collected through long-term care benefit provision records and interviews with the visiting nurse. The nursing process was presented by applying the Omaha System.
Results: The subject had digestion-hydration problems and respiration problems in the physiological domain, and the problems of role change, caretaking/parenting, spirituality, and grief in the psychosocial domain were identified. Depending on the problem, the end of life nursing care was provided to the subject and family members through activities on physical symptoms/signs, dietary management, end-life care, and coping skills.
Conclusion: We expect that if the visiting nurse provides anticipatory guidance on the death process, the subject will be able to prepare for death comfortably with the family at home instead of vague fear of death.
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KEYWORD
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Hospice care, Family nursing, Long-term care, Visiting nurse
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