A nurse is discussing discharge plans with an older adult client who lives alone and has left-sided weakness following a stroke.
Which of the following information is the priority for the nurse to discuss?
A.
Choosing an agency to provide home physical therapy.
B.
Obtaining an alert system to get help in case of a fall.
C.
Providing information about available transportation resources.
D.
Reviewing information about support groups for individuals who have had a stroke.
The correct answer and Explanation is :
The priority information for the nurse to discuss with the older adult client who has left-sided weakness following a stroke is:
B. Obtaining an alert system to get help in case of a fall.
Explanation:
After a stroke, particularly one that results in significant left-sided weakness, the risk of falls and accidents in the home is notably increased. This makes ensuring the client’s safety a top priority. The potential for falls is significant because of impaired motor function, balance issues, and possibly decreased mobility. A fall could lead to serious injuries, such as fractures or head trauma, which could further complicate the client’s recovery and overall health.
An alert system, such as a medical alert pendant or wearable device, provides immediate access to emergency services if the client falls or requires urgent assistance. This system ensures that help can be summoned quickly, which is crucial for someone living alone and with physical limitations. The quick response capability of an alert system can significantly reduce the risks associated with falls, enhance the client’s sense of security, and potentially prevent severe complications from falls or other emergencies.
While other options are also important for the client’s overall care and well-being:
- A. Choosing an agency to provide home physical therapy is essential for the client’s rehabilitation but comes after ensuring their immediate safety.
- C. Providing information about available transportation resources is helpful for facilitating access to appointments and activities but does not directly address immediate safety concerns.
- D. Reviewing information about support groups can be beneficial for emotional support and connecting with others who have similar experiences but is not as critical as immediate safety measures.
Thus, while all these aspects are important for comprehensive post-stroke care, prioritizing an alert system addresses the most urgent need for safety in the client’s daily living environment.