— 安全與感染控制 · MEDIUM · MCQ —
一位老年病人帶著新的助行器準備出院返家。哪項居家安全評估結果需要立即介入處理？
An elderly client is being discharged home with a new walker. Which home safety assessment finding requires immediate intervention?
- AThe bathroom has a raised toilet seat installed.浴室已安裝加高馬桶座。
- BThe client lives in a single-story home.病人居住在單層住宅。
- CThe home has hardwood floors throughout.家中鋪設硬木地板。
- DThere are multiple scatter rugs in the hallway.✓ 正解走廊有多塊散置地毯。
— Explanation · 中文詳解 —
散落的小地毯（Scatter rugs）是居家環境中導致老年人跌倒的最高風險因素之一，尤其是使用助行器的病人，助行器腳座極易勾到地毯邊緣。硬木地板（C）本身雖滑但只要乾燥即屬安全；加高馬桶座（A）有助於安全；單層房屋（B）減少爬樓梯風險。因此，移除地毯是衛教的首要重點。
Scatter rugs are among the highest fall risk factors in the home, especially for clients using mobility aids whose walker legs can easily catch on them. Hardwood floors (C) are safe when dry; raised toilet seats (A) enhance safety; single-story homes (B) reduce stair risk. Removing scatter rugs is therefore the top teaching priority.
✦ 台美臨床差異
美國護理高度重視出院前的居家安全評估（Home Assessment）；台灣由於多代同堂，居家雜物常較多，地毯問題常被忽略。