— 基本照護與舒適 · HARD · SATA —
護理師照護一位接受安寧療護的病人。下列哪些介入措施是適當的?(選所有適合的)
Which of the following interventions are appropriate for a client undergoing hospice care? (Select all that apply.)
- AAdminister pain medication around the clock✓ 正解按時規律給予止痛藥物
- BFocus solely on physical symptoms, ignoring psychological needs僅著重於身體症狀,忽略心理需求
- CEncourage family involvement in bedside care✓ 正解鼓勵家屬參與床邊照護
- DMaintain a comfortable environment with frequent turning✓ 正解維持舒適環境並定時翻身
- ELimit family visitors to minimize noise限制家屬探視以減少噪音
— Explanation · 中文詳解 —
安寧療護目標在於症狀控制與舒適。規律給藥預防疼痛復發;家庭參與符合安寧全人照護(Holistic care)精神;維持舒適環境減緩不適。心理需求同樣重要,不可忽略;限制訪客剝奪了病人與家屬告別與支持的機會。
The goal of hospice care is symptom control and comfort. Scheduled medication administration prevents recurrence of pain; family involvement reflects the holistic nature of hospice care; and maintaining a comfortable environment relieves distress. Psychological needs are equally important and cannot be ignored; restricting visitors deprives the client and family of the opportunity to say goodbye and provide support.
✦ 台美臨床差異
美國安寧療護(Hospice)發展極為成熟,台灣雖已進步,但對安寧照護的社會文化接受度仍在發展中。