下列哪些護理措施適合用於預防病人跌倒?(選所有適合的)
Which of the following nursing actions are appropriate to prevent a client from falling? (Select all that apply.)
- AKeep the hospital bed in the lowest position✓ 正解將病床保持在最低位置
- BEnsure non-slip footwear is worn✓ 正解確保穿著止滑鞋
- CPlace the call light within reach✓ 正解將呼叫鈴置於可及範圍內
- DRestrict all ambulation during the night夜間限制所有活動
- EOrient the client to the environment✓ 正解對案主進行環境定位
預防跌倒(Fall prevention)是住院照護的品質指標。護理措施應包含環境調整、病人教育及輔助工具的使用。將床位調至最低、確保呼叫鈴在觸手可及處,能讓病人在需要協助時即時獲得回應。環境熟悉度(Orientation)能減少病人因慌亂而下床導致的意外。限制活動並非預防跌倒的長期策略,應評估輔助需求。
Fall prevention is a quality indicator of inpatient care. Nursing measures should include environmental modifications, patient education, and the use of assistive devices. Keeping the bed in the lowest position and ensuring that the call light is within reach allow the client to obtain help when needed. Orientation to the environment reduces the likelihood that a confused client will get out of bed and have an accident. Restricting activity is not a long-term fall prevention strategy; the need for assistance should be assessed instead.