— 照護管理 · MEDIUM · SATA —
針對有跌倒病史的病人，哪些措施是適當的？（選所有適合的）
Which of the following interventions are appropriate for a client with a history of falls? (Select all that apply.)
- AKeep the bed in the lowest position✓ 正解將病床調整至最低位置
- BEncourage the use of nonskid footwear✓ 正解鼓勵穿著防滑鞋
- CPlace the call light within reach✓ 正解將呼叫鈴置於可觸及之處
- DApply physical restraints to keep the client in bed使用身體約束具以防止病人下床
- EEnsure the room is free of clutter✓ 正解確保房間內無雜物
— Explanation · 中文詳解 —
防跌措施包括維持低床位（降低衝擊）、止滑鞋（防滑）、呼叫鈴（隨手可及）、環境整潔（防絆倒）。使用身體約束（Physical Restraints）需在所有替代方案無效且符合法律規範下才考慮，非防跌的首選常規策略，過度使用反而增加掙扎受傷風險。
Fall prevention strategies include keeping the bed in the lowest position, ensuring nonskid footwear is used, and placing the call light within easy reach. The environment should be kept free of clutter to minimize tripping hazards. Physical restraints are not a standard first-line intervention for fall prevention due to safety risks and regulatory constraints.
✦ 台美臨床差異
美對約束使用規範嚴格，需醫囑與定期重新評估；台灣觀念亦然，但臨床實務上仍偏高。