— 基本照護與舒適 · HARD · MCQ —
護理師教導一位病人如何管理慢性疼痛。哪句話反映了對計畫的理解？
A nurse is teaching a client how to manage chronic pain. Which statement reflects an understanding of the plan?
- AI will take my medication on a scheduled basis rather than as needed✓ 正解我會按時服藥，而非按需服用
- BI will wait for the pain to become severe before taking medication我會等到疼痛變得嚴重才服藥
- CI will rely solely on medication for pain relief我會完全依賴藥物來緩解疼痛
- DI will avoid all physical activity until the pain disappears completely在疼痛完全消失之前，我會避免所有體力活動
— Explanation · 中文詳解 —
慢性疼痛管理建議採取預防性給藥（Scheduled basis），維持血中藥物濃度，而非等痛才吃（B）。完全依賴藥物（C）忽略了多模式鎮痛的必要性；避免活動（D）會導致關節僵硬與肌肉萎縮，需鼓勵適度活動。
Effective chronic pain management involves taking medication on a scheduled basis to maintain consistent therapeutic blood levels and prevent pain escalation. Waiting for pain to become severe before medicating makes it more difficult to control. Pain management should be multimodal, incorporating activities other than just medication, and patients should remain active to prevent stiffness and muscle atrophy.
✦ 台美臨床差異
美國目前推廣『Opioid-sparing』策略，強調非藥物手段（如物理治療、心理諮商）在慢性疼痛中的角色。