— 安全與感染控制 · MEDIUM · SATA —
對於老年病人的跌倒預防，下列哪些行為顯示護理師具有正確的理解？（選所有適合的）
Which of the following actions demonstrates correct understanding of fall prevention for an elderly client? (Select all that apply.)
- AKeep the bed in the lowest position✓ 正解將床置於最低位置
- BUse bed rails for all clients to prevent movement為所有病人使用床欄以防止移動
- CEnsure the call light is within reach✓ 正解確保呼叫鈴在可觸及範圍內
- DPlace non-skid socks on the client✓ 正解為病人穿上防滑襪
- ELimit fluid intake to prevent night awakenings限制液體攝取以減少夜間醒來次數
— Explanation · 中文詳解 —
跌倒預防核心：保持低床位、呼叫鈴在手邊、使用防滑襪。過度使用床欄（B）常導致病人翻過欄杆摔落，僅在必要時使用。限制水分（E）無助於預防跌倒，反而可能造成脫水或電解質不平衡，且夜尿需透過生活調整，非限制水分。
Core fall prevention measures: keep the bed in the lowest position, place the call light within reach, and use non-skid socks. Excessive use of side rails (B) often leads clients to climb over them and fall, so they should be used only when necessary. Restricting fluid intake (E) does not prevent falls and can cause dehydration or electrolyte imbalance; nocturia should be managed through lifestyle adjustments rather than fluid restriction.
✦ 台美臨床差異
台灣醫院評鑑對於防跌宣導非常嚴格，美國則更強調個別化評估工具如 Morse Fall Scale 的應用。