Nursing in Home ward care for patient. with spinal cord injury : A case study

Abstract

Background : The Spinal Cord Injuries (SCI) that affected skeletal muscle and bone influence the functions of internal organs such as heart rate, breathing, urination, etc. long-term outcomes also range widely, from full recovery to permanent damages with the high cost of medical treatments. However, Home Ward Caring is the alternative that comes to aid of the patients’ body, mentality, social environment.

Objective : The case study for Home Ward caring in a community level.

Methods : Descriptive individual case study research of a 17-year-old patient with the spinal cord injury, including muscle and bone injuries at left ankle and left leg. Multidisciplinary of healthcare needed .After 32 days in the hospital, Home warding was adopted to help the patient and his family pass through their difficult time by the cooperation of the nurses and other healthcare disciplinary team in term of both a short-term and a long-term care.

Result : The Home Ward Caring patient, evaluated in the 1st month, 3rd month, 6th month and 9th month, can get up and utilize themselves in a wheelchair. In order to meet a person’s health and personal care needs during a long period of time, a Long-Term Care system may benefit in analyzing the continuing-care needed at home environment more clearly in each aspect of patient care. Health Department, Ministry of Public Health provides an evaluation-survey form, including physically, emotionally, psychologically, and others medical & nursing needs for each of the individuals’ well-being such as home environment, personal lifestyle, social economy, healthcare resources availability within their community or nearby.

Conclusion : Adopting Home Ward Caring for the community succors the care plan andempowers in caring and developing of the family to potentially lean on themselves.

Keywords : Spinal Cord Injuries, Home Ward Care.