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基本照護與舒適 · MEDIUM · SATA

針對安寧照顧的病人,哪些護理措施有助於提升舒適度?(選所有適合的)

Which nursing interventions help promote comfort for a client in hospice care? (Select all that apply.)

  • ARegular repositioning for pressure relief✓ 正解
    定期翻身以減輕壓力
  • BMouth care to prevent dryness✓ 正解
    口腔照護以預防乾燥
  • CLimiting visits to prevent fatigue
    限制探視以預防疲勞
  • DUsing pharmacological and non-pharmacological pain management✓ 正解
    使用藥物及非藥物疼痛管理
  • EForcing fluid intake to ensure hydration
    強制補充水分以確保水合狀態
Explanation · 中文詳解

安寧療護(Hospice care)的核心目標為「舒適護理」(Comfort care),而非治癒疾病。護理重點在於減輕生理症狀(如疼痛、乾燥、壓瘡)並維護病人的尊嚴。定期翻身可預防壓瘡引起的疼痛,口腔護理能緩解黏膜乾燥,多元化疼痛管理則能提升生活品質。針對水分攝取,應尊重病人的舒適度與意願,強制給水可能導致末期病人液體過多,引發水腫或呼吸困難。

The core goal of hospice care is "comfort care" rather than curing disease. Nursing care focuses on relieving physiological symptoms (such as pain, dryness, and pressure injuries) and maintaining the client's dignity. Regular repositioning prevents pain from pressure injuries, mouth care relieves mucosal dryness, and multimodal pain management improves quality of life. With respect to fluid intake, the client's comfort and preferences should be respected; forcing fluids may cause fluid overload in the terminal client, leading to edema or respiratory distress.

✦ 台美臨床差異

美國安寧療護非常強調「以病人為中心的個別化護理」,對於水分攝取的觀念已轉向「舒適優先」,不像台灣部分臨床環境仍傾向常規給予點滴補水。

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