— 心理社會完整性 · EASY · SATA —
護理師評估病人是否有身體疏忽(Physical neglect)的跡象。哪些發現暗示可能存在疏忽?(選所有適合的)
A nurse is assessing a client for signs of physical neglect. Which findings are suggestive of neglect? (Select all that apply.)
- APressure ulcers that have not been treated✓ 正解未經治療的壓力性潰瘍
- BBody odor and matted hair✓ 正解體臭與頭髮糾結
- CInappropriate clothing for the weather✓ 正解與天氣不符的不當穿著
- DA history of frequent falls頻繁跌倒的病史
- EMissed medical appointments for chronic conditions✓ 正解錯過慢性病醫療門診
— Explanation · 中文詳解 —
身體疏忽表現為基本需求未獲滿足。包含:未處理的褥瘡(A)、個人衛生極差(B)、穿著不合季節(C)以及未獲得必要的醫療照顧(E)。頻繁跌倒(D)可能是生理退化或疾病導致,不一定直接等同於疏忽,除非伴隨缺乏照護證據。
Signs of physical neglect include untreated pressure ulcers, poor hygiene such as body odor and matted hair, inappropriate clothing for the weather, and missed medical appointments for chronic conditions. These findings indicate that basic physical and medical care needs are not being met. Frequent falls alone are not definitive evidence of neglect, as they may result from physiological decline rather than lack of care.
✦ 台美臨床差異
無顯著差異。護理師在兩地均為法定通報人,需辨識此類徵象。