A patient with Parkinson's disease has difficulty tying shoes. What nursing intervention would be the most helpful?
a. Tie the shoes for the patient.
b. Reteach the patient to tie shoes.
c. Have a family member purchase shoes with Velcro fasteners.
d. Explain to the patient that as the disease progresses, there will be many things that will require assistance.
ANS: C
Providing Velcro fasteners allows the patient to remain independent as long as possible. B. Re-teaching is not appropriate: The patient has not forgotten how to tie his shoes; he is unable because of motor difficulties. A. Typing the patient's shoes takes away his independence. D. Explaining that the patient will need more assistance as the disease progresses does not address the current issue of not being able to tie the shoes.
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