Nursing Process and Implications for discharge plan of Cholangiocarcinoma’s Patients after Percutaneous Transhepatic Biliary Drainage: PTBD

Abstract

Cholangiocarcinoma is a major public health problem in Thailand.  Found the incidence of disease in males more than females The main cause is liver fluke infection, which causes chronic inflammation in the bile ducts and ultimately leads to bile duct cancer. Current treatment for this disease is determined by the stage of the disease. The main treatment is surgery. in patients with cancer once metastases, supportive treatment is given according to the symptoms such as Percutaneous Transhepatic Biliary Drainage. Percutaneous Transhepatic Biliary Drainage is insertion of a bile duct into the liver through the skin percutaneous, safe and effective palliative major treatment to help drain the bile. But there may be complications after treatment, such as sepsis, Infection of PTBD catheter, catheter slippage of PTBD, the PTBD clot and this affects to both the physical, mental, economic and social aspects of the patients, resulting in increased mortality rates. Nurses are very important personnel in caring cholangiocarcinoma’s patient both during hospital admission and for discharge from the hospital. Therefore, if there is an effective discharge plan by educating patients to cover all dimensions by applying the 5 steps of nursing process according to the principles of discharge planning in the D-M-E-T-H-O-D model continuously. this will result in efficiency and clinical nursing practice guideline. It also improves the quality of life of patients and prevents various complications after discharged from the hospital.