The nurse is discussing the future with a client recently diagnosed with amyotrophic lateral sclerosis (ALS). When the client asks about the possibility of continuing to work at his family's construction business, the nurse responses:
1. "Work as long at your job as you feel capable of keeping up with the demands it makes on you.".
2. "This is a progressively debilitating disease; you need to think of ways to conserve your energy, not expend it.".
3. "Can you do work that is less strenuous?"
4. "Is there a way that you can switch over to the office side of the business?"
"Work as long at your job as you feel capable of keeping up with the demands it makes on you.".
Rationale: People with ALS do maintain careers and interests. They are encouraged to remain active for as long as possible. While it is important to minimize stress and conserve energy, it is not necessary to alter one's life dramatically until the symptoms of the disease demand it.
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