對於早期失智症病人,下列哪些介入措施有助於促進安全與獨立?(選所有適合的)
Which of the following interventions are appropriate for a client with early-stage dementia to promote safety and independence? (Select all that apply.)
- AEstablish a consistent daily routine✓ 正解建立固定的日常作息
- BRemove throw rugs to prevent tripping✓ 正解移除拋棄式地毯以防止絆倒
- CUse large-print labels on household items✓ 正解在家居用品上使用大字體標籤
- DLock all cabinets and doors at all times隨時鎖上所有櫃子和門
- EPlace an identification bracelet on the client✓ 正解為病患配戴識別手環
早期失智症處置核心在於維持病人的功能與安全。固定作息可減少焦慮;移除地毯可防跌;標示物品有助於認知;識別手環是預防走失的最後防線。D 錯誤:過度限制(全鎖死)會損害自主權與生活品質,應採取適度調整而非全面禁錮。
The core of managing early-stage dementia is to maintain the patient's function and safety. A fixed routine reduces anxiety; removing rugs prevents falls; labeling objects supports cognition; and an identification bracelet is the last line of defense against wandering. D is incorrect: excessive restriction (locking everything down) impairs autonomy and quality of life, and appropriate adjustments rather than complete confinement should be used.
美國長期照護強調以人為本的照護(Person-Centered Care),台灣在長期照護 2.0 推動下也逐漸增加這類環境評估與訓練。