Rosenthal Y, Haneiwich S
National Institutes of Health, Bethesda, Maryland.
Nurs Clin North Am. 1988 Dec;23(4):707-18.
This chapter has provided an overview of the nursing process from the initial assessment to discharge planning in the care of the adult AIDS patient. The psychosocial aspects have not been addressed since they are discussed in the article by Govoni. The emotional support required by the patient may be as great as the physical nursing care needed. The AIDS patient may be experiencing social isolation related to discrimination, rejection or isolation by employers, society, family, friends, and even health care workers. It is important not to isolate the patient but to establish a therapeutic relationship. This may be accomplished by being professional, knowledgeable about the issues, nonjudgmental, understanding, and, lastly, sensitive to the patient's needs, fears, and concerns. Patients may be going through the stages of grieving as they try to come to terms with their prognosis. Caring for the adult AIDS patient is both complex and challenging for the nurse as the primary care provider. The nurse can help the patient to cope through the very difficult periods of the disease, even if it means to help the patient have a peaceful and dignified death.
本章概述了在成年艾滋病患者护理中从初始评估到出院计划的护理流程。心理社会方面未作讨论，因为Govoni的文章中已对其进行了探讨。患者所需的情感支持可能与所需的身体护理一样多。艾滋病患者可能因雇主、社会、家人、朋友甚至医护人员的歧视、排斥或孤立而经历社会隔离。重要的是不要孤立患者，而是要建立治疗性的关系。这可以通过保持专业、了解相关问题、不评判、理解，最后对患者的需求、恐惧和担忧保持敏感来实现。患者在试图接受自身预后时可能会经历悲伤的各个阶段。作为主要护理提供者，护士对成年艾滋病患者的护理既复杂又具有挑战性。护士可以帮助患者度过疾病非常艰难的时期，即使这意味着帮助患者平静而有尊严地离世。
