針對厭食症個案,下列哪些護理措施是適當的?(選所有適合的)
Which of the following interventions are appropriate for a client diagnosed with anorexia nervosa? (Select all that apply.)
- AMonitor vital signs specifically for bradycardia and hypotension✓ 正解特別監測心搏過緩與低血壓的生命徵象
- BAllow the client to choose their own meal times to build autonomy允許病人自行選擇用餐時間以建立自主性
- CSet a specific, contracted weight gain goal each week✓ 正解每週設定具體的體重增加目標合約
- DObserve the client for at least 1 hour after meals to prevent purging✓ 正解餐後觀察病人至少 1 小時以防止催吐
- EProvide high-calorie, high-protein supplements as prescribed✓ 正解依醫囑提供高熱量、高蛋白的營養補充品
厭食症照護涉及嚴密的生理監測與行為合約。心搏過緩與低血壓提示生理功能失調,必須嚴密監控。進食後監測防止催吐,以防電解質失衡。設定明確的體重增加合約,能提供病人可預測的目標,減少對進食的焦慮。進食時間應固定,因為個案常有儀式化行為,不可自主進食時間。高熱量補充是營養修復的必要步驟,需嚴格遵照醫囑執行。
Care for anorexia nervosa involves close physiological monitoring and a behavioral contract. Bradycardia and hypotension indicate physiologic dysfunction and must be closely monitored. Monitoring after meals helps prevent purging, which can lead to electrolyte imbalance. Establishing a clear weight-gain contract gives the patient a predictable goal and reduces anxiety about eating. Meal times should be fixed, because patients often have ritualized behaviors and cannot be allowed to determine eating times themselves. High-calorie supplementation is a necessary step in nutritional rehabilitation and must be carried out strictly according to medical orders.