文/余宜叡
![](https://1.bp.blogspot.com/-xSZwKSoyv38/YLx24hrRdcI/AAAAAAAEAvc/GLOZM4zRB7YJTVE7B2sT8cYWpehKUbpnQCNcBGAsYHQ/s16000/%25E8%2588%2587%25E7%25B3%2596%25E5%2585%25B1%25E8%2588%259E_%25E7%25B3%2596%25E5%25B0%25BF%25E7%2597%2585_%25E6%25B8%259B%25E9%2587%258D_%25E4%25BD%2599%25E5%25AE%259C%25E5%258F%25A1_%25E5%25B7%25A5%25E4%25BD%259C%25E5%259D%258A_%25E7%259B%25A4%25E5%258F%25A4%25E9%258A%2580%25E9%25AB%25AE_%25E5%25B1%2585%25E5%25AE%25B6_%25E7%2585%25A7%25E8%25AD%25B7_%25E7%25B7%259A%25E4%25B8%258A_%25E8%258B%25A5%25E6%2599%25A8_%25E5%25AF%25A6%25E5%258B%259901.PNG)
「在現場給予合適的建議,有時就幫到居家患者與家屬,減少跌倒失能的風險」
「居家環境的改善,請交給專業的來」
「補助不會是全額補助,要看申請者的社會福利身份別」
![](https://1.bp.blogspot.com/-_ptYiyjj0DI/YLx21zpcWrI/AAAAAAAEAvU/IO8yYMWQGrk7BU7gELygh6-0ZT2-tbo_QCNcBGAsYHQ/s16000/%25E8%2588%2587%25E7%25B3%2596%25E5%2585%25B1%25E8%2588%259E_%25E7%25B3%2596%25E5%25B0%25BF%25E7%2597%2585_%25E6%25B8%259B%25E9%2587%258D_%25E4%25BD%2599%25E5%25AE%259C%25E5%258F%25A1_%25E5%25B7%25A5%25E4%25BD%259C%25E5%259D%258A_%25E7%259B%25A4%25E5%258F%25A4%25E9%258A%2580%25E9%25AB%25AE_%25E5%25B1%2585%25E5%25AE%25B6_%25E7%2585%25A7%25E8%25AD%25B7_%25E7%25B7%259A%25E4%25B8%258A_%25E8%258B%25A5%25E6%2599%25A8_%25E5%25AF%25A6%25E5%258B%259902.PNG)
居家環境
浴室防滑→光線→扶手。這可以優先幫忙評估,因為居服員、護理師與家訪醫師都是第一線的實務人員,若能在現場給予合適的建議,有時就幫到居家患者與家屬,減少跌倒失能的風險。最後提醒居家環境的改善,請交給專業的來,避免花了錢,不是沒有預防到位,或者補助申請不到…
![](https://1.bp.blogspot.com/-vsGthR7aVQU/YLx24SAE3HI/AAAAAAAEAvY/C1MfcDLpPCk3ot7YvjG3zyY494ik-spyACNcBGAsYHQ/s16000/%25E8%2588%2587%25E7%25B3%2596%25E5%2585%25B1%25E8%2588%259E_%25E7%25B3%2596%25E5%25B0%25BF%25E7%2597%2585_%25E6%25B8%259B%25E9%2587%258D_%25E4%25BD%2599%25E5%25AE%259C%25E5%258F%25A1_%25E5%25B7%25A5%25E4%25BD%259C%25E5%259D%258A_%25E7%259B%25A4%25E5%258F%25A4%25E9%258A%2580%25E9%25AB%25AE_%25E5%25B1%2585%25E5%25AE%25B6_%25E7%2585%25A7%25E8%25AD%25B7_%25E7%25B7%259A%25E4%25B8%258A_%25E8%258B%25A5%25E6%2599%25A8_%25E5%25AF%25A6%25E5%258B%259903.PNG)
實例分享
課程舉很多重要實例加深印象。施工前後的差異,讓學員知道,原來可以這樣有巧思地設計,減少行動不便、肌力不夠長輩們的風險:拉門與一般前後進出門、階梯與軌道、拆掉浴缸後…等,只有真正照護過的人,才能深深體會好在那裡。
![](https://1.bp.blogspot.com/-oEGDBQ1xbNc/YLx248UQNXI/AAAAAAAEAvg/e4OmHq0MNzURbKYzRVSxmbHrq7A_p1gYwCNcBGAsYHQ/s16000/%25E8%2588%2587%25E7%25B3%2596%25E5%2585%25B1%25E8%2588%259E_%25E7%25B3%2596%25E5%25B0%25BF%25E7%2597%2585_%25E6%25B8%259B%25E9%2587%258D_%25E4%25BD%2599%25E5%25AE%259C%25E5%258F%25A1_%25E5%25B7%25A5%25E4%25BD%259C%25E5%259D%258A_%25E7%259B%25A4%25E5%258F%25A4%25E9%258A%2580%25E9%25AB%25AE_%25E5%25B1%2585%25E5%25AE%25B6_%25E7%2585%25A7%25E8%25AD%25B7_%25E7%25B7%259A%25E4%25B8%258A_%25E8%258B%25A5%25E6%2599%25A8_%25E5%25AF%25A6%25E5%258B%259904.PNG)
預防優先
預防勝於治療。強調要在危險發生前,就要好規劃與防範,不要總是等到跌倒失能,再亡羊補牢地做居家環境改善。如實分享患者與家屬拒絕施工的理由,有時不是你想像的那樣,試著多瞭解與溝通,解釋清楚,患者家屬就願意接受。相同的情境,也發生在糖尿病針劑藥物,找出患者的擔心害怕點,給予合適的衛教與溝通,其實患者是願意嘗試使用針劑藥治療糖尿病。
![](https://1.bp.blogspot.com/-RM6MfOV2mno/YLx28dQn7iI/AAAAAAAEAvo/DvP3F5RwjL8EUKsNB5rd1nEzzfytcH7fwCNcBGAsYHQ/s16000/%25E8%2588%2587%25E7%25B3%2596%25E5%2585%25B1%25E8%2588%259E_%25E7%25B3%2596%25E5%25B0%25BF%25E7%2597%2585_%25E6%25B8%259B%25E9%2587%258D_%25E4%25BD%2599%25E5%25AE%259C%25E5%258F%25A1_%25E5%25B7%25A5%25E4%25BD%259C%25E5%259D%258A_%25E7%259B%25A4%25E5%258F%25A4%25E9%258A%2580%25E9%25AB%25AE_%25E5%25B1%2585%25E5%25AE%25B6_%25E7%2585%25A7%25E8%25AD%25B7_%25E7%25B7%259A%25E4%25B8%258A_%25E8%258B%25A5%25E6%2599%25A8_%25E5%25AF%25A6%25E5%258B%259905.PNG)
部分負擔
補助不會是全額補助,要看申請者的社會福利身份別,分別有七成、九成與全額補助。一旦額度用完,就需自費,或者是等下一個時段才能申請。醫師就在想,為什麼健保不能像長照這樣的使用部分負擔制?真的是低收入或弱勢族群,再全額補助。
![](https://1.bp.blogspot.com/-f6lE3ud_MxI/YLx27jnsOmI/AAAAAAAEAvk/B3jAI959M-0B18B-lF9QoXglPQptcA8WACNcBGAsYHQ/s16000/%25E8%2588%2587%25E7%25B3%2596%25E5%2585%25B1%25E8%2588%259E_%25E7%25B3%2596%25E5%25B0%25BF%25E7%2597%2585_%25E6%25B8%259B%25E9%2587%258D_%25E4%25BD%2599%25E5%25AE%259C%25E5%258F%25A1_%25E5%25B7%25A5%25E4%25BD%259C%25E5%259D%258A_%25E7%259B%25A4%25E5%258F%25A4%25E9%258A%2580%25E9%25AB%25AE_%25E5%25B1%2585%25E5%25AE%25B6_%25E7%2585%25A7%25E8%25AD%25B7_%25E7%25B7%259A%25E4%25B8%258A_%25E8%258B%25A5%25E6%2599%25A8_%25E5%25AF%25A6%25E5%258B%259906.PNG)
全面建議
感謝盤古銀髮,邀請若晨居家舉辦如此有意義的線上分享。身為醫療人員的我們,可以學習多一個關心居家患者家屬的管道,更早給予居家照護更全面的照護,提升居家環境的安全。
![](https://1.bp.blogspot.com/-ioETMGOkRrE/YLx28s94NqI/AAAAAAAEAvs/jD1dvWRzwFgmPH0RqWI0KwFQjo-kTz98ACNcBGAsYHQ/s16000/%25E8%2588%2587%25E7%25B3%2596%25E5%2585%25B1%25E8%2588%259E_%25E7%25B3%2596%25E5%25B0%25BF%25E7%2597%2585_%25E6%25B8%259B%25E9%2587%258D_%25E4%25BD%2599%25E5%25AE%259C%25E5%258F%25A1_%25E5%25B7%25A5%25E4%25BD%259C%25E5%259D%258A_%25E7%259B%25A4%25E5%258F%25A4%25E9%258A%2580%25E9%25AB%25AE_%25E5%25B1%2585%25E5%25AE%25B6_%25E7%2585%25A7%25E8%25AD%25B7_%25E7%25B7%259A%25E4%25B8%258A_%25E8%258B%25A5%25E6%2599%25A8_%25E5%25AF%25A6%25E5%258B%259907.PNG)
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