護理師照顧一位獨居的老年病人,其表現出營養不良且儀容不整。評估時最重要的一句話是什麼?
A nurse is caring for an elderly client who lives alone and appears malnourished and poorly groomed. Which question is most important to ask during the assessment?
- AAre you taking your medications as prescribed by your doctor?您是否按照醫師指示服藥?
- BHave you been feeling sad or hopeless lately?您最近是否感到悲傷或絕望?
- CWho helps you with your grocery shopping and daily chores?✓ 正解誰協助您購買 groceries 和處理日常家務?
- DCan you describe a typical day's worth of meals for you?您可以描述一下您典型一天的飲食嗎?
對於可能存在「自我忽視」(Self-neglect)或缺乏支持系統的老人,評估「社會支持系統」與「日常生活能力」(ADLs)的支持至關重要。選項 C 能直接探查其生活資源與支持網。D、B、A 雖也重要,但了解其生存基礎的支持(Who helps you)在跨專業轉介(如社工)中最具優先性。
For an older adult who may exhibit self-neglect or lack a support system, assessing the social support system and assistance with activities of daily living (ADLs) is critical. Option C directly explores the patient's living resources and support network. Although D, B, and A are also important, understanding the foundational support that enables the patient's daily living ("Who helps you") has the highest priority for interdisciplinary referral (for example, to social work).
美國有完善的 Adult Protective Services (APS);台灣則由長照 2.0 介入,但通報標準與機制略有不同。