— 照護管理 · EASY · MCQ —
長照機構中，哪位病人應列入疑似受虐評估對象？
A nurse is working in a long-term care facility. Which client should be evaluated for potential abuse?
- AAn older adult who is reluctant to take daily vitamins一位不願每日服用維生素的長者
- BAn older adult with bruising in various stages of healing✓ 正解一位有多個階段癒合瘀傷的長者
- CAn older adult who frequently requests visits from their spouse一位經常要求配偶探視的長者
- DAn older adult who reports being lonely and bored一位表示感到孤單和無聊的長者
— Explanation · 中文詳解 —
高齡受虐（Elder Abuse）的臨床評估需高度警覺身體與行為徵象。出現不同癒合階段的瘀傷是典型的身體虐待指標，顯示個案遭受反覆性、非意外的傷害。護理師在長照環境中，需具備辨識潛在受虐跡象的能力，並遵守強制通報責任（Mandatory Reporting）。除了身體檢查，亦應評估個案的情緒狀態、與照顧者的互動以及是否有被孤立的情況。
Bruises in various stages of healing are a classic indicator of physical elder abuse, suggesting recurring and non-accidental trauma. Nurses in long-term care settings must remain vigilant for these signs and adhere to mandatory reporting requirements while also assessing psychosocial factors.
✦ 台美臨床差異
美國各州皆有嚴格的強制通報法規（Mandatory Reporting Laws），護理師若懷疑虐待，無需取得確鑿證據即可通報，通報對象通常為成人保護服務機構（APS）。