Y.W. spent 2 months in acute care and is now on the rehabilitation unit. He follows commands but tends
to get agitated with too much stimulation. He is receiving supplemental tube feedings and has periodic
incontinence of his bowel and bladder.
Y.W. has a supportive group of fellow university friends, several of
them are also from Thailand.
Outline a general rehabilitation plan for Y.W.
Set realistic goals and maintain a consistent approach. Prevent further complications (skin
breakdown, infections, deep vein thrombosis [DVT], injuries, nutrition deficits); maximize cognitive
function; maximize communication; help Y.W. relearn activities of daily living; provide bowel
and bladder retraining; have physical therapy plan an exercise program to regain balance and
muscle strength; and provide psychological support through family, friends, and others. Provide
education and support for Y.W.'s family and any caregivers. Be cognizant of the impact of any cultural
differences. Identify which services Y.W. will need, then determine which care setting will be most
appropriate. Discharge cannot occur until it is reasonably certain that Y.W. will be in an environment
in which his health care needs will be met.
You might also like to view...
When taking the blood pressure on an adult, the best indication of diastolic pressure is
a. when two distinctive tapping sounds are heard b. when there is a swishing sound c. when the sounds become muffled d. when the sound disappears
The female client who receives hospice care tells the nurse she plans to dance at her daughter's wedding in 1 year. Which stage of grieving is the client demonstrating?
1. Anger 2. Denial 3. Bargaining 4. Acceptance
A client is in the postoperative phase of an abdominal resection and colostomy. When educating the client on ostomy care by providing educational materials to read, it is important to assess the client's:
A) hearing. B) vision. C) social support. D) gait.
Which statement best describes the planning phase of the nursing process?
a. Administer insulin subcutaneously (subcut) in the abdominal area. b. Patient is at high risk for falls related to hypotension. c. The patient will state the expected adverse effects of medication by the end of the teaching session. d. Itching has resolved; medication given is effective.