護理師正在評估哪些病人適合在入院時就開始出院準備計畫?(選所有適合的)
A nurse is identifying clients who are appropriate for discharge planning. Which clients should be included in the discharge planning process at the time of admission? (Select all that apply.)
- AA client living alone who has a new diagnosis of diabetes mellitus✓ 正解獨居且新診斷患有糖尿病的病人
- BA client who is scheduled for a routine outpatient diagnostic procedure預約常規門診診斷處置的病人
- CA client who is elderly and has multiple chronic comorbidities✓ 正解年長且有多重慢性共病的病人
- DA client who will require home oxygen therapy upon discharge✓ 正解出院後需要居家氧氣治療的病人
- EA client undergoing a simple appendectomy with no complications接受無併發症單純闌尾切除術的病人
出院準備服務(Discharge Planning)應在入院時開始。高風險個案包括:獨居且有新診斷(教育需求高)、多重慢性病(複雜需求)、需後續醫療器材銜接(如氧氣)。B 和 E 屬於相對簡單或短期處置,不具備需要提前跨專業整合的高度出院風險。
Discharge planning should begin at admission. High-risk clients include those living alone with a new diagnosis (high educational needs), those with multiple chronic comorbidities (complex needs), and those requiring continuity with medical equipment (such as oxygen). Options B and E describe relatively simple or short-term procedures and do not constitute high discharge risk requiring early interdisciplinary coordination.
美國 CMS 強調入院時即啟動出院準備;台灣以個案管理師制度落實,但在執行廣度上受限於人力配置。