護理師協助一位初期帕金森氏症病人執行個人衛生照護。哪項介入措施最能促進其獨立性?
A nurse is assisting a client with early-stage Parkinson's disease with hygiene. Which nursing intervention is most appropriate to promote independence?
- AProvide adaptive devices like long-handled sponges and soap pumps✓ 正解提供長柄海綿和肥皂按壓瓶等輔具
- BInstruct the family to take over daily hygiene tasks指示家屬接管每日清潔任務
- CEncourage the client to complete all tasks rapidly鼓勵病人快速完成所有任務
- DPerform all bathing activities for the client to save time為節省時間為病人執行所有沐浴活動
帕金森氏症(Parkinson's disease)病人的照護原則是「支持自主性(Promote independence)」,而非完全替代。透過使用輔助設備(Adaptive devices),可以補償病人因震顫、動作遲緩或僵硬所造成的日常功能障礙。護理師應設計能讓病人保留最大自主能力的照護計畫,這不僅能增進病人的自尊心,也能減緩因長期依賴導致的功能退化。
The guiding principle for caring for clients with Parkinson's disease is to promote independence rather than to fully substitute care. Adaptive devices compensate for functional limitations caused by tremor, bradykinesia, and rigidity in activities of daily living. The nurse should design a care plan that preserves the client's maximal independent function, which enhances self-esteem and slows the decline associated with prolonged dependence.