一位有癲癇病史的病人,為維護安全,護理師應優先執行哪項環境調整?
A nurse is caring for a client with a history of seizures. Which environmental modifications are priority for safety?
- AKeep the bed in the lowest position✓ 正解將病床保持在最低位置
- BPlace the client in a private room將病人安置於單人房
- CRemove all furniture from the room移除房間內的所有傢俱
- DKeep padded side rails up保持加墊側欄升起
癲癇病人首重預防跌倒與碰撞傷害。將床維持在最低位置是所有病人的安全通用原則,對於癲癇病人尤其能降低發作時墜床受傷的風險。側欄加墊雖具防碰撞功能,但需視醫院現行規範(部分機構認為這可能構成限制人身自由);移除所有家具不切實際,維持床邊無障礙空間即可。
For patients with seizures, the primary concern is preventing falls and impact injury. Keeping the bed in the lowest position is a universal safety principle for all patients and is especially important in seizure patients, as it reduces the risk of injury from falling out of bed during a seizure. Padded side rails offer some protection against impact, but their use depends on the facility's current policy (some institutions consider them a potential restraint); removing all furniture is impractical, and maintaining a clear path around the bed is sufficient.
美、台兩地均嚴格管控約束使用;台灣醫療法規對約束定義較嚴,加墊側欄在某些單位可能被認定為約束。