— 基本照護與舒適 · EASY · MCQ —
針對末期病人，下列哪項護理措施適合用於促進舒適感？
Which of the following nursing interventions is appropriate to promote comfort for a client with terminal illness?
- ADiscouraging the presence of family to maintain peacediscouraging家屬探視以維持安靜
- BAdministering pain medication only when severe僅在疼痛嚴重時給予止痛藥
- CAssessing and addressing pain on a regular schedule✓ 正解定期評估並處理疼痛
- DLimiting visits to prevent fatigue限制探視以預防疲勞
— Explanation · 中文詳解 —
末期照護的核心在於緩解症狀。規律評估與給藥（scheduled pain control）能維持血中藥物濃度，避免疼痛爆發，比「痛了才給藥」更能提升病人生活品質。家庭支持與適度探視對心理舒適極為重要，不應過度限制。
Effective pain management in terminal illness requires regular assessment and scheduled administration of analgesics to maintain consistent blood levels and prevent breakthrough pain. Relying solely on PRN dosing often leads to unnecessary suffering, while limiting family visits or discouraging their presence can negatively impact the client's psychological comfort and emotional well-being.
✦ 台美臨床差異
美國安寧療護（Hospice）體系非常成熟，護理師在控制爆發性疼痛上有較大裁量權；台灣安寧照護進步迅速，但在口服藥物與居家安寧整合上持續發展中。