A client is being discharged home after having a tracheostomy placed. What suggestions does the nurse offer to help the client maintain self-esteem? (Select all that apply.)
a. Create a communication system.
b. Don't go out in public alone.
c. Find hobbies to enjoy at home.
d. Try loose-fitting shirts with collars.
e. Wear fashionable scarves.
ANS: A, D, E
The client with a tracheostomy may be shy and hesitant to go out in public. The client should have a sound communication method to ease frustration. The nurse can also suggest ways of enhancing appearance so the client is willing to leave the house. These can include wearing scarves and loose-fitting shirts to hide the stoma. Keeping the client homebound is not good advice.
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