— 照護管理 · MEDIUM · SATA —
護理師準備協助病人出院，下列哪些是出院規劃過程中必須執行的項目？（選所有適合的）
A nurse is preparing to discharge a client. Which actions are required as part of the discharge planning process? (Select all that apply.)
- AVerify the client's transportation arrangements✓ 正解確認病人的交通安排
- BEnsure the client understands all medications✓ 正解確保病人了解所有藥物
- CSchedule follow-up appointments with primary care providers✓ 正解安排與主治醫師的回診
- DPerform a physical assessment to determine fitness for discharge進行身體評估以確定是否適合出院
- EProvide written instructions in the client's primary language✓ 正解以病人的主要語言提供書面指示
— Explanation · 中文詳解 —
出院規劃應包含確認返家後續照護網絡，包含交通、藥物衛教、回診安排以及提供合適語言的書面指導。身體評估應在入院及照護期間進行，出院時重點在於確認病人狀況是否達到安全返家的標準，而非進行全面性的基礎身體檢查。
Discharge planning requires ensuring continuity of care by verifying transportation, confirming medication understanding, scheduling follow-up appointments, and providing written instructions in the client's primary language. Physical assessments are primarily conducted during admission and ongoing care to monitor progress, rather than as a criterion for discharge readiness itself.
✦ 台美臨床差異
美國有專職個案管理師處理出院規劃；台灣護理師通常在病人出院當天匆忙進行衛教，個案管理師角色尚未完全普及。