— 降低風險 · EASY · SATA —
護理師正在評估病人的跌倒風險。下列哪些因素會增加病人的跌倒風險?(選所有適合的)
A nurse is assessing a client's risk for falls. Which factors increase the client's risk? (Select all that apply.)
- AAge of 75 years✓ 正解75 歲
- BUse of a cane for ambulation✓ 正解使用拐杖行走
- CHistory of a fall in the past 3 months✓ 正解過去 3 個月內曾有跌倒史
- DTaking a daily dose of Furosemide✓ 正解每日服用 Furosemide
- EScheduled for a physical therapy session later today今天稍後有物理治療課程
— Explanation · 中文詳解 —
跌倒風險評估(如 Morse Fall Scale)包含:高齡(>65 歲)、使用輔助具、近期跌倒史、使用利尿劑(增加如廁頻率與姿勢性低血壓風險)。安排物理治療(E)是預防跌倒的措施之一,並非增加跌倒風險的危險因子。
Advanced age, use of assistive devices, a recent history of falls, and diuretic use are significant risk factors for falls due to decreased muscle mass, impaired balance, and increased urgency or orthostatic hypotension. Physical therapy is a preventive intervention that improves mobility rather than a risk factor for falling.
✦ 台美臨床差異
美國法律對跌倒(Fall)的通報與後續改善非常嚴格,列入品質指標;台灣醫院也將跌倒列為重大醫安事件,實務流程相似。