You have been assigned to visit Lola Gilbert, 69 years old, in her home. The physician is concerned that she is unable to care for herself adequately
She was admitted to the hospital for dehydration last week and refused to be transferred to a long-term care facility. Which of the following would be a concern for Mrs. Gilbert's self-care ability?
a. Ambulates with a cane during the day and a walker at night
b. Walks to the bathroom to void but frequently has incontinent episodes; the bedroom and bathroom smell of urine
c. Eats one meal a day during the week that is delivered by the local community center
d. Wears nightgown and robe all day
C
Mrs. Gilbert has some obvious self-care problems. The greatest concern is her ability to meet her nutritional needs. Eating one meal a day probably contributed to her dehydration. Assisted ambulation and choosing to wear pajamas all day (responses A and D) are normal choices for older adults living in their own homes. The urine smell and the incontinence are concerns (response B); however, they are not life-threatening. Malnutrition is life-threatening.
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