You are a home health nurse completing the initial care plan for a patient with stage 3 Alzheimer's disease. Which data are essential to consider in creating the initial care plan? Select all that apply
a. Concerns, experiences and preferences of the caregiver(s)
b. Patient's usual behavioral patterns, such as sleep and intake
c. Patient's scores on standardized dementia assessment tools
d. What expectations are realistic for this patient at this time?
e. When the family/caregivers last had an opportunity for respite
f. Knowledge and skill level of the patient's caregiver(s)
A, B, D, F
The initial care plan should incorporate the experiences and preferences of the caregivers and the patient (to gain their support and avoid repeating approaches that have been unsuccessful or unimportant in the past). It should also build on and be consistent with the patient's usual patterns of behavior (where feasible). Another important element to include in planning care is what expectations might be realistic for a particular patient's circumstances, including the knowledge and skill levels of his caregiver(s). Although structured assessment rating scales can be useful, they are not necessarily critical for the initial care plan and may not provide as much practical guidance as the experiences of the patient's caregivers. Caregiver burnout is always a concern, so information about their coping status and access to respite is important but not usually essential for the initial care plan.
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A 17-year-old client suffers from anorexia nervosa. The client's treatment team calls for a family meeting
The client's mother inquires of the nurse, "What is it that you want to ask us? This is our daughter's problem that has now become this family's problem. We are tired of dealing with her issues." Which is the most appropriate response by the nurse? A) "Don't be so defensive. Every client is required to participate in two family sessions." B) "Eating disorders have been shown to have their roots in certain familial patterns; without addressing these, your daughter's disorder is likely to continue." C) "Family dynamics are not at all linked to eating disorders. The meeting is to show your daughter that she is loved and supported." D) "Individuals with anorexia cause disruptions in the family system that need to be addressed."
The exchange of gases between blood and air is called ________.
Fill in the blank(s) with the appropriate word(s).