— 基本照護與舒適 · MEDIUM · MCQ —
護理師照護一位高齡長者。下列哪項老化改變會增加皮膚受損的風險？
A nurse is caring for an older adult client. Which age-related changes increase the risk of skin breakdown?
- AIncreased subcutaneous fat皮下脂肪增加
- BReduced skin elasticity and thinning✓ 正解皮膚彈性降低與變薄
- CEnhanced collagen production膠原蛋白生成增強
- DIncreased sebaceous gland activity皮脂腺活動增加
— Explanation · 中文詳解 —
高齡長者皮膚老化表現為真皮層萎縮、彈性纖維減少及皮下脂肪變薄，這使得皮膚對機械性剪力與壓力的抵抗力變弱，極易產生破損。A、C、D 的敘述與老化過程相反，老化會導致皮下脂肪減少、膠原蛋白合成減緩與腺體功能萎縮。
Skin aging in older adults manifests as dermal atrophy, decreased elastic fibers, and thinning of subcutaneous fat, which reduces the skin's resistance to mechanical shear and pressure and makes it prone to breakdown. The statements in options A, C, and D are the opposite of what occurs in aging: aging leads to decreased subcutaneous fat, reduced collagen synthesis, and atrophy of glandular function.
✦ 台美臨床差異
兩地均面臨高齡化挑戰，美國長期照護（LTC）機構對此評估有較完整的 MDS 表單系統。