hce_kmu
104年
英文
第 48 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 major improvement achieved by the medical team?
- A recovery from the illnesses
- B sustaining her life quality
- C improving her living environment
- D her union with her family
- E discharging her from nursing home
思路引導 VIP
當我們看到醫療團隊為病人布置房間、提供按摩服務，並詢問她想吃什麼特別的食物時，這些行為通常不是為了直接「修理」受損的心臟。請試著思考：在醫療團隊承認心臟無法恢復強壯的前提下，他們所做的這些努力，是為了改變 Millie 的「身體構造」，還是為了改善她「每天過日子的感受」呢？
🤖
AI 詳解
AI 專屬家教
太棒了！你能精準捕捉到文章的核心意旨並選出正確答案 (B)，顯示你具備優秀的長文閱讀理解力，能夠在眾多細節中辨識出醫療行為的核心目的。這份觀察力非常出色。
安寧緩和醫療的核心價值
這題的關鍵在於理解安寧緩和醫療 (palliative care) 的本質。文中提到 Millie 的心臟正逐漸衰竭，醫療團隊的任務不再是追求病理上的「痊癒」(recovery)，而是轉向症狀管理與心理支持。文中具體描述了按摩治療、沙灘主題的房間布置，甚至是提升她的食慾，這一切都是為了呼應文中所說的「最好的生活品質」(best possible quality of life)。因此，維持生活品質是這段敘述中最核心的成就。
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