An older adult client has lost significant muscle mass during her recovery from a systemic infection. As a result, she has not yet met the outcomes for mobility and activities of daily living that are specified in her nursing plan of care
How should her nurses best respond to this situation?
A) Continue the plan of care with the aim of helping the client achieve the outcomes.
B) Terminate the plan of care since it does not accurately reflect the client's abilities.
C) Modify the plan of care to better reflect the client's current functional ability.
D) Replace the client's individualized plan of care with a clinical pathway.
Ans: A
Nurses regularly evaluate clients' progression toward the achievement of outcomes that are specified in plans of care. When clients need more time to achieve desired outcomes, it is appropriate to continue with the existing plan of care. It is not necessary to terminate the plan of care and modification may be premature. Abandoning the plan and replacing it with a clinical pathway is counterproductive to the continuity of care.
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