— 基本照護與舒適 · EASY · MCQ —
護理師協助一位早期阿茲海默症病人，該病人進食時有困難。護理師應採取哪項措施以支持營養需求？
A nurse is assisting a client with early-stage Alzheimer’s disease who is having difficulty eating independently. Which intervention should the nurse implement to support the client's nutrition?
- AProvide finger foods that are easy to handle✓ 正解提供容易拿取的手指食物
- BPlace the client in a high-Fowler’s position after the meal飯後將病人置於高福勒氏體位
- CRestrict the client to eating in their bedroom限制病人在臥室進食
- DFeed the client to ensure adequate intake餵食病人以確保攝取足夠營養
— Explanation · 中文詳解 —
針對早期失智症患者，維持病人的自尊與獨立性至關重要。手指食物（Finger foods）減少了使用餐具的認知與運動障礙，讓病人能自主進食，減少挫折感。過早餵食（D）會導致功能退化；餐後維持坐姿（B）是標準護理但與解決進食困難無關；在房間進食（C）隔離社交，不利於認知刺激。
Providing finger foods supports nutritional intake for clients with early-stage Alzheimer’s disease by accommodating cognitive and fine motor deficits. This intervention promotes independence and dignity, whereas forced feeding or social isolation may accelerate functional decline or reduce cognitive stimulation.
✦ 台美臨床差異
美國護理師常利用職能治療建議來調整飲食環境；台灣則多由家屬協助，較少從環境工程角度改善。