— 基本照護與舒適 · EASY · MCQ —
護理師協助早期帕金森氏症病人進行衛生清潔。下列哪項措施最能促進安全與自主能力？
A nurse is assisting a client with early-stage Parkinson's disease with hygiene. Which intervention most effectively promotes safety and independence?
- AAllow the client to complete all tasks alone to maintain morale讓病人獨自完成所有任務以維持士氣
- BPerform all bathing and grooming tasks for the client為病人執行所有沐浴與整理工作
- CInstruct the client to avoid all physical activity to prevent falls指示病人避免所有體力活動以防跌倒
- DProvide adaptive devices like a long-handled brush for hair brushing✓ 正解提供長柄刷等適應性輔具供病人梳理頭髮
— Explanation · 中文詳解 —
帕金森氏症常見震顫與僵硬，使用輔助工具可補償動作協調性不足。透過輔具協助病人完成日常活動，既能維持病人的成就感（自主性），又能在受限的活動範圍下確保衛生照護的達成。完全代勞會使肌肉廢用性萎縮，完全放任則可能導致危險。
In early Parkinson's disease, tremor and rigidity impair fine coordination. Adaptive devices such as long-handled brushes compensate for limited range of motion, allowing the client to complete ADLs and preserve independence. Complete self-care without supervision can lead to fatigue or falls; total assistance fosters dependence and muscle atrophy; restricting all activity accelerates deconditioning.
✦ 台美臨床差異
美國護理重視 OT (職能治療) 的輔具介入評估，台灣臨床護理師常需自行運用現有物品進行簡易改造。