— 基本照護與舒適 · EASY · MCQ —
一位患有早期帕金森氏症的個案在執行衛生清潔時，護理師應採取何種行動以增進其獨立性？
A nurse is assisting a client with early-stage Parkinson's disease with hygiene. Which nursing action best promotes independence?
- AProvide adaptive equipment like a long-handled brush✓ 正解提供長柄刷等適應性輔具
- BPerform all hygiene tasks for the client為個案執行所有衛生清潔任務
- CAssign a nursing assistant to monitor the client constantly指派護理助理持續監控個案
- DSchedule hygiene during the period of peak medication effect將衛生清潔安排在藥物療效高峰期
— Explanation · 中文詳解 —
針對帕金森氏症病人，鼓勵執行活動日常生活（ADLs）是維護自我效能與肌力的關鍵。提供適當輔具（如長柄刷）可協助克服顫抖或動作遲緩的障礙，使其無需他人完全協助即可完成清潔，這是最能促進獨立自主的護理介入。
Providing adaptive equipment, such as a long-handled brush, allows clients with early-stage Parkinson's disease to compensate for tremors and limited range of motion, thereby promoting independence in activities of daily living. This approach supports self-efficacy and functional maintenance without creating unnecessary dependency or requiring constant supervision.
✦ 台美臨床差異
美方職能治療師會主導輔具評估；台灣護理師常需兼任衛教與資源連結，但介入流程相似。