A client diagnosed with Parkinson's disease (PD) 11 years ago is being cared for at home by his wife. The nurse asks whether the family has considered arranging for in-home assistive care based primarily on the knowledge that:
1. This type of assistance can help preserve the physical and emotional well-being of the client's wife.
2. It is becoming more difficult for his wife to adequately meet his physical needs.
3. This type of assistive care is warranted, since PD is both progressive and degenerative.
4. The client may live for many more years, requiring more intensive care as the disease progresses.
This type of assistance can help preserve the physical and emotional well-being of the client's wife.
Rationale: People can live with PD for many years. The chronic and progressive nature of PD can significantly impact older, spousal caregivers. Caregiver stress and burden have been shown to increase as the disease progresses, and this has significant impact on the physical and emotional health of the caregiver. There is no indication that the client's needs are not being met. The decision to enlist assistive home care is not based solely on the progressive, degenerative nature of a disease. It is true that the client with PD may live for many years, but that is not the primary reason for suggesting assistive home care.
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