title: [Nursing care for a lung cancer patient with brain metastasis using the family resiliency model].
abstract: This article describes the experience of the author in providing nursing care to a lung cancer patient with brain metastasis who was unable to care for herself. The period of care ran from July 26th to August 7th, 2012. The focus of the article is on the problems of disease adaptation and the coping strategies of the patient and her primary caregivers. The author used the Family Resiliency Model to collect information via physical examination, observation, and interviews. Five major nursing problems were identified in this case: risk of aspiration, self-care deficits, adjustment disorder, caregiver role strain, and family coping ineffectiveness. Based on these problems, the author constructed an individualized care plan to: 1) improve the self-care ability of the patient, 2) enhance the skills of the primary caregiver, 3) recruit the timely assistance of other family members, 4) and reduce the burden of the primary caregiver. The primary goal of this care plan was to promote the quality of life of the patient and her family.
authors.affiliation: Oncology Ward, National Taiwan University Hospital, Taiwan, ROC.
authors.forename: Chia-Yu
authors.initials: CY
authors.lastname: Tsai
authors.affiliation: Department of Nursing, National Taiwan University Hospital, Taiwan, ROC.
authors.forename: Shu-Chuan
authors.initials: SC
authors.lastname: Chen
authors.affiliation: Oncology Ward, National Taiwan University Hospital, Taiwan, ROC.
authors.forename: Sin-Yuan
authors.initials: SY
authors.lastname: Jhang
authors.affiliation: Department of Nursing, National Taiwan University Hospital, Taiwan, ROC. mihorng@ntuh.gov.tw.
authors.forename: Ming-Ying
authors.initials: MY
authors.lastname: Hong
mesh_terms: D001932:Brain Neoplasms / Q000556:secondary*; D017028:Caregivers; D005190:Family; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000451:nursing* / Q000473:pathology / Q000523:psychology; D008875:Middle Aged; D055500:Resilience, Psychological
keywords: brain metastasis; caregivers; family resiliency model; lung cancer