護理師照顧一位有跌倒病史的病人,哪些措施是跌倒防護的關鍵?(選所有適合的)
A nurse is managing the care of a client with a history of falls. Which measures are essential for fall prevention? (Select all that apply.)
- AKeep the bed in the lowest position✓ 正解保持病床處於最低位置
- BEnsure the call light is within reach✓ 正解確保呼叫鈴在觸手可及之處
- CPlace the client in a room far from the nurses' station將病人安置在遠離護理站的房間
- DEncourage the client to use non-slip footwear✓ 正解鼓勵病人穿著防滑鞋
- EKeep the environment free of clutter✓ 正解保持環境無雜物
防跌倒(fall prevention)是住院照護的核心安全目標。護理重點包括:環境整理(無雜物)、設備管理(床保持最低位、輪子鎖定)、輔具使用(止滑鞋)、以及病人教育(呼叫鈴在手邊)。將高風險病人安置於離護理站較近的位置,是為了能即時觀察與回應,而非遠離。所有介入措施皆旨在降低環境風險並提升病人對於求助輔助的依賴性。
Fall prevention is a core safety goal in inpatient care. Nursing priorities include environmental management (decluttering), equipment management (bed in the lowest position, wheels locked), use of assistive devices (non-slip footwear), and client education (call light within reach). High-risk clients should be assigned to rooms closer to the nurses' station to allow for prompt observation and response—not farther away. All interventions aim to reduce environmental risks and reinforce the client's reliance on requesting assistance.