59 有關膝下截肢（below knee amputation）病患手術後殘肢照護之敘述，下列何者最正確？

平躺時可在膝下墊枕頭，增加舒適性病患躺在柔軟的墊子上，預防壓瘡

使用枴杖行走時，可將殘肢放在枴杖上病人應常俯臥，以預防髖關節攣縮

D

61 當病患坐在輪椅上髖部有內旋（internal rotation）的問題時，下列敘述何者正確？

須檢查是否有髖部脫位（dislocation）的問題

輪椅椅座（seat）深度太長

可能是因為髖關節過於屈曲（flexion），此時可將髖關節調整在較伸展（extension）的姿勢

將有問題的一肢穿上踝足支架（ankle-foot orthosis）可改善此問題

A

62 一位右側膝下截肢的病人在給予義肢裝配及訓練後，現在病人可以自行走路，則此病人應屬世界衛

生組織定義之下列何種狀況？

 impairment  disability  handicap  normal

A

1.0 Impairment: an injury, illness, or congenital condition that causes or is likely to cause a loss or difference of physiological or psychological function.

2.0. Disability: the loss or limitation of opportunities to take part in society on an equal level with others due to social and environmental barriers.

ICIDH

Impairment

1. Impairment of intellectual ability. Other psychological impairment. Impairment of language and wording.
2. Hearing impairment.
3. Visual impairment.
4. Organs impairment.
5. Bone impairment.
6. Scarring and aesthetic impairments.
7. Generalised impairments, sensory and of other kind.

Disability

1. Behavioural Disability
2. Disability of communication
3. Disability in caring of oneself
4. Disability of movement
5. Disability due to body assets, Disability of dexterity
6. Disability of circumstance
7. Disability within specific activities
8. Other restrictions to ability.

Handicap / PARTICIPATION AND ACTIVITY

1. Handicap of orientation.
2. Handicap of physical independence
3. Handicap of mobility
4. Occupational handicaps
5. Handicap in social integration
6. Handicap in economic self-sufficiency
7. Other handicaps