Rogelio, a 32-year-old patient, is about to be discharged from the acute care setting. Which nursing intervention is the most important to include in the plan of care?
A. Stress-reduction techniques
B. Home environment evaluation
C. Skin-care measures
D. Participation in activities of daily living
Correct Answer: B. Home environment evaluation
After discharge, the client is responsible for his own care and health maintenance management. Discharge includes assessing the home environment for determining the client’s ability to maintain his health at home. All instructions for care at home, including medications, diet, therapy, and follow-up appointments, must be explained in detail to all patients and then presented in written form to take home upon discharge.
Option A: The discharge plan begins at the admission time and includes the patients and their families’ needs prediction, and a plan to fulfill their requirements after discharge from the hospital. A practical discharge plan helps to provide continuous care with the least amount of stress for patients.
Option C: Nurses, as key members of the treatment team, play a critical role in training and taking care of the patients. One of the most basic nursing responsibilities is to provide continuous care. In this regard, the inclusion of a discharge plan for all admitted patients could be a symbol of such care.
Option D: Basically, any significant change or poor performance requires physical, social, and psychological adjustment. Patients are concerned about their discharge and are preoccupied with their ability in performing their own duties and the way to handle themselves as well as joining the family. Therefore, self-care training is of utmost importance for the patients and their families.
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