護理師照護一位 BMI 為 32 的病人。哪些護理措施能促進舒適度與皮膚完整性？（選所有適合的）
A nurse is caring for a client with a BMI of 32. Which nursing interventions are appropriate for promoting comfort and skin integrity? (Select all that apply.)
- AUse a specialized bariatric bed to distribute weight✓ 正解使用專科減壓床墊以分散體重
- BKeep skin folds clean and dry✓ 正解保持皮膚皺摺清潔乾燥
- CAvoid using a lift device to prevent skin shearing避免使用移位裝置以防皮膚剪切力損傷
- DAssess skin folds daily for signs of fungal infection✓ 正解每日評估皮膚皺摺是否有黴菌感染跡象
- EApply talcum powder inside skin folds to absorb moisture在皮膚皺摺內塗抹滑石粉以吸收水分
對於肥胖病人，減壓床墊能均勻分散壓力，預防壓瘡。皮膚皺摺處容易潮濕累積，引發念珠菌等黴菌感染，保持乾燥與清潔為照護核心。升降機（lift device）是保護病人和員工安全的必要設備（不應避免）。爽身粉（talcum powder）容易結塊並引起肺部吸入風險，現已不建議使用。
Use a specialized bariatric bed to evenly distribute weight and reduce pressure, which helps prevent skin breakdown. Keep skin folds clean and dry to prevent excoriation and fungal infections, and assess these areas daily for early signs of intertrigo. Avoid using talcum powder as it can cake and cause irritation, and always use mechanical lift devices to protect both the client and staff from injury.
美國醫院有完善的肥胖照護標準程序 (Bariatric protocol)，台灣醫院設備多為一般規格，照護難度較高。