癌症终末期患者的个性化芳香照护实践一例

doi:10.24920/003522

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This article reports how aromatherapy was applied to a 32-year-old termial cancer patient, whose physical symptoms were greatly relieved and spiritual relaxation was achieved at the end stage of life.

Abstract

As one of the methods of palliative care, aromatherapy has been applied gradually in clinical nursing work in China in recent years. Through aromatherapy, terminal cancer patients can get not only relieves of physical symptoms, but also spiritual relaxation and peace, thus have improved quality of life at the end stage. In this paper, we report in detail about how aromatherapy was applied for symptom control in a cancer patient with unknown primary malignancy and multiple metastasis and its effects on the terminal life of this patient.

Key words: aromatherapy, essential oil, palliative care, end-of-life, cancer

Article information: 本文详细介绍了一位32岁终末期癌症患者如何应用芳香治疗显著改善躯体痛苦并带来精神放松的疗护过程。

Funding: Supported by the Educational Reform Project of Peking Union Medical College(2015zlgc0120)

Liu Qian, Ning Xiaohong, Wang Lei, Liu Wei. Individualized Aromatherapy in End-of-Life Cancer Patients Care: A Case Report[J].Chinese Medical Sciences Journal, 2018, 33(4): 234-239.

Figures/Tables 2

Figure 1.

Symptom	Aromatherapy formula	Working mechanism	Method of application
Pain	1. Saint John’s Wort 20 ml 2. Lavender 3 drops 3. Gaultheria 2 drops 4. Lemon eucalyptus 1 drop	?Saint John’s Wort can relieve musculoskeletal pain, and has the mood-stabilizing and anti-depression effect;³ ?the linalyl acetate and linalool in true lavender have the effects of local anesthesia, anti-muscle spasm, and can also soothe anxiety and uneasiness;^4,5 ?the main composition of gaultheria is methyl salicylate, which has good analgesic and anti-spasm effects;⁵ ?citronellal in lemon eucalyptus has the pain-relieving effect.^6,7	?Take 5 ml and smear it on the lumbosacral region of the patient and gently massage for 10 minutes. ?Massage every 2 hours, ?or give massage when the patient felt necessary.
Edema of lower extremity	1. Sweet almond 30 ml 2. Grapefruit 4 drops 3. Cypress 3 drops 4. Vetiver 2 drops	?Sweet almond oil can lubricate, and it is suitable for massage; ?grapefruit and cypress have the effect of improving fluid retardation, excessive body fluid, and eliminating edema;⁸ ?the furocoumarin in grapefruit also has an anti-de- pressant effect; ?vetiver has the effect of promoting blood circulation and deep relaxation; ?grapefruit and herb can be used together to soothe patients’ mood and improve their sleep.	?Gently massage the lower extrem- ities from distal end to proximal end for purpose of good absorp- tion of the essential oil, instead of helping drainage.* ?Changing gesture if patient felt tired or intolerable during perfor- mance. ?massage for about 10 minutes, or till the patient fell asleep.^# ?Perform massage 2-4 times a day.
Nausea and vomiting	1. 75% ethyl alcohol 50 ml 2. Bergamot 15 drops 3. Sweet orange 10 drops 4. Peppermint 5 drops	?Bergamot, sweet orange and peppermint essential oil can alleviate nausea and anxiety. ?The combined use of three essential oils can prevent the maladaptation of a single essential oil due to its high concentration and single smell.⁹	?Spray in patient’s room 4 times a day. ?Put 10 drops of compound oil (Bergamot and Sweet orange) on the sniff stick for patient to smell when the symptoms were severe.

References 12

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