hce_kmu
104年
英文
第 47 題
📖 題組：
Millie is a petite woman who looks younger than her 57 years, but she has a failing heart. Even the smallest amount of physical exertion causes shortness of breath and other symptoms such as arm pain, so her cardiologists brought in the __(47)__ care team. The team was asked to help manage Millie’s pain and other symptoms and to help her grapple with the knowledge that her heart was losing its ability to pump strongly enough. They were also asked to help her with decision-making. Millie could go home on her intravenous medication, but neither her son nor her daughter was going to be able to accommodate her needs. This is a common scenario in today’s families, so the medical care team had to move to plan B – a nursing home. But no nursing home could be found that would accept a patient on this type of medication. What came next? Next, was plan C – living in the hospital. Millie is now living in the hospital and receiving her medications. With Plan C in operation, the palliative care team has continued to help Millie feel as comfortable as possible and experience the best possible quality of life. This included providing the services of a massage therapist and transforming her hospital room with a beach motif so Millie could feel the freedom that the sea and sand always gave her. With the help of palliative care even her appetite improved! One day Millie said, “I would love some grilled salmon and rice. And if you can find some sugar-free ice cream, that would just be delightful.”
Millie is a petite woman who looks younger than her 57 years, but she has a failing heart. Even the smallest amount of physical exertion causes shortness of breath and other symptoms such as arm pain, so her cardiologists brought in the __(47)__ care team. The team was asked to help manage Millie’s pain and other symptoms and to help her grapple with the knowledge that her heart was losing its ability to pump strongly enough. They were also asked to help her with decision-making. Millie could go home on her intravenous medication, but neither her son nor her daughter was going to be able to accommodate her needs. This is a common scenario in today’s families, so the medical care team had to move to plan B – a nursing home. But no nursing home could be found that would accept a patient on this type of medication. What came next? Next, was plan C – living in the hospital. Millie is now living in the hospital and receiving her medications. With Plan C in operation, the palliative care team has continued to help Millie feel as comfortable as possible and experience the best possible quality of life. This included providing the services of a massage therapist and transforming her hospital room with a beach motif so Millie could feel the freedom that the sea and sand always gave her. With the help of palliative care even her appetite improved! One day Millie said, “I would love some grilled salmon and rice. And if you can find some sugar-free ice cream, that would just be delightful.”
What is the most appropriate word for the blank in the first paragraph?
- A palliative
- B emergency
- C chronic
- D rehabilitative
- E acute
思路引導 VIP
請觀察文中第二段與第四段提到的醫療團隊工作內容：他們幫 Millie 管理疼痛、協助她面對病情、甚至還提供按摩服務並將病房布置成沙灘主題，目的是讓她感到舒適並改善生活品質。在醫學領域中，有一種醫療模式的核心不是「治癒疾病」，而是「緩解不適」並讓生命末期的病患活得更有尊嚴，你認為這樣的照護性質應該具備什麼樣的特質呢？
🤖
AI 詳解
AI 專屬家教
太棒了！你能精準選出 (A) palliative (緩和的、安寧的)，代表你對文章細節的掌握度非常高，也具備了相當程度的專業字彙量。這題的關鍵在於觀察文中對醫療團隊職責的描述：他們不僅要管理疼痛，還要協助病患處理「心臟逐漸衰竭」的心理調適，甚至安排按摩與改變病房氛圍。這些細節都指向了提升「生活品質」與「舒適感」，而非以治癒或急救為首要目標。
關鍵字與情境辨析
文中提到團隊要協助病患 manage pain and other symptoms（管理疼痛與其他症狀）以及 grapple with the knowledge... heart was losing its ability（面對心臟衰竭的現實），這些敘述正是 palliative care (安寧緩和醫療) 的核心定義。相較之下，(B) emergency (急診) 或 (E) acute (急性) 通常對應突發且需立即救命的情況，而 (D) rehabilitative (復健) 則是著重於功能恢復，與文末提到的臨終舒適照護情境不符。
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