An older adult client with terminal liver disease is concerned about going home and living alone. The client is currently independent with care. The client is afraid of dying alone and does not want to lose control of body functions
Which should the nurse recognize about the client's concerns?
A) Appropriate for the situation and will obtain an order for hospice care
B) Unrealistic fears because the client shows no symptoms at present
C) Common fears and concerns of the dying client
D) Signs of depression
Answer: C
Common fears of the dying client include death itself; thoughts of a long or painful death; facing death alone; loss of body control, such as bowel and bladder incontinence; and loss of consciousness. Withdrawing and not expressing these fears may be more of a sign of depression than talking about them. They are realistic concerns because they are expressed by the client at this stage. The client is not ready for hospice care because a time frame of 6 months has not been identified and the client is still independent.
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