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照護管理 · MEDIUM · MCQ

一位中風老人即將出院,針對居家安全,護理師應優先會診哪位跨專業團隊成員?

An elderly client is being discharged after a stroke. Which interdisciplinary team member should the nurse consult first for home safety?

  • ASpeech Therapist
    語言治療師
  • BRegistered Dietitian
    註冊營養師
  • CSocial Worker
    社會工作者
  • DPhysical Therapist✓ 正解
    物理治療師
Explanation · 中文詳解

中風病人出院後的首要任務是恢復日常活動能力(ADLs)與預防再次跌倒,這直接影響病人的居家安全與自理能力。物理治療師(Physical Therapist, PT)專精於評估病人的步態、平衡、肌力及輔具需求(如助行器、拐杖),並能針對家中環境提出無障礙改裝建議。這是確保病人出院後能安全返家的關鍵,因此優先會診 PT 是跨專業照護中的首要步驟。

The primary task after discharge for a stroke client is to restore ADL function and prevent recurrent falls, which directly affect home safety and self-care ability. The physical therapist (PT) specializes in assessing gait, balance, muscle strength, and assistive device needs (such as walkers and canes), and can recommend accessibility modifications to the home environment. This is essential for ensuring the client can safely return home, making the PT the first interdisciplinary consult in this case.

✦ 台美臨床差異

在美國,PT 的出院建議具有法律效力且為保險給付的必要依據,對於居家環境評估(Home Safety Evaluation)的權限與責任比台灣更明確,且常直接參與出院前的環境評估。

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