While children voice concern about their father living alone after having a mild stroke that resulted in only minimal disability, the patient angrily disagrees, stating that he's always managed on his own and can do so now
The nurse can be most helpful to this family by:
a. assuring them that their father's physical limitations should not cause a safety issue.
b. assisting them in identifying how they can help their father to live independently.
c. offering to arrange a social service consult to arbitrate the conflict.
d. suggesting that the patient accept the ser-vices of a home care aide on a short-term trial basis.
B
Preserving a patient's autonomy through independent living is vital to a patient's sense of well-being and can often be preserved through cooperation between family members to provide the required support. If the nurse can help the family find internal or external resources to support the patient's desire to live independently, that is a win-win for all involved. Assuring the family that safety is not an issue does not help resolve their anxiety. The nurse can arrange a referral but can do more to help with this situation. A short-term trial of home health services is often accepted, but it does not address the entirety of the situation.
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