一位高齡病人準備出院,且有多種新藥需服用。護理師出院衛教時的優先事項為何?
An elderly client is being discharged home with several new medications. What is the nurse's priority action during discharge teaching?
- AAsk the family member to handle all medication administration請家屬成員處理所有藥物給藥
- BSchedule a follow-up appointment with the pharmacist安排與藥師的回診諮詢
- CProvide the client with a typed list of medication side effects提供病人一份列印的藥物副作用清單
- DAssess the client's ability to read and manage the medication schedule✓ 正解評估病人閱讀及管理用藥排程的能力
出院衛教(Discharge teaching)的成功與否,關鍵在於評估病人的「健康識能(Health literacy)」與自我照護能力。高齡病人常面臨視力、記憶力或認知功能的挑戰,若護理師未先評估病人是否能自行管理藥物,單純給予衛教單張是無效的。優先評估能力後,才能針對其需求提供輔助工具(如藥盒)。
The success of discharge teaching depends on the nurse's evaluation of the patient's health literacy and self-care ability. Older adult patients often face challenges with vision, memory, or cognitive function. If the nurse fails to first assess whether the patient is able to manage medications independently, simply handing out an instructional pamphlet will be ineffective. Only after the patient's ability has been evaluated can appropriate adaptive aids (such as a pill organizer) be provided to meet their needs.