護理師規劃新造口（colostomy）病人的出院計畫，目標為何？
A nurse is planning discharge for a client with a newly placed colostomy. What is the priority goal?
- ARefer the client to a support group for fashion advice轉介客戶至時尚諮詢的支持團體
- BEnsure the client has a follow-up appointment in one month確保客戶有一個月後的門診追蹤
- CTeach the client how to order supplies online教導客戶如何線上訂購耗材
- DEnsure the client can demonstrate self-care of the stoma✓ 正解確保客戶能示範造口的自我照護
針對新造口（Colostomy）病人，出院計畫的核心目標在於確保個案具備自我照護能力（Self-care competency）。造口位置的皮膚完整性與袋具更換技巧直接影響病人的生活品質及預防併發症（如皮膚浸潤、感染）。護理師應在出院前確認病人能獨立操作造口清潔與更換程序。此為「病人教育」與「預防風險」的優先考量，確保病人返家後不會因照護不當而產生造口周圍皮膚損壞或造口阻塞。
For a patient with a new colostomy, the core goal of discharge planning is to ensure self-care competency. The integrity of the skin around the stoma and the technique of pouch changes directly affect the patient's quality of life and prevention of complications (such as skin maceration and infection). Before discharge, the nurse should verify that the patient can independently perform stoma cleansing and pouch-change procedures. This is the priority for both 'patient education' and 'risk prevention,' ensuring that the patient does not develop peristomal skin breakdown or stomal obstruction at home from inadequate self-care.
美國醫療體系中，造口治療師（Wound, Ostomy, and Continence Nurse, WOCN）通常會深度參與出院教育，護理師需確保病人完成 WOCN 評估的技能清單（Competency checklist）方可出院。