A home health nurse is providing care to a middle-aged couple with children at home. The patient has a debilitating chronic illness. Which areas will the nurse need to assess? (Select all that apply.)
a. Adherence to treatment and rehabilitation regimens
b. Coping mechanisms of patient and family
c. Need for community services or referrals
d. Knowledge base of patient only
e. Use of a doula for care
ANS: A, B, C
Along with the current health status of the chronically ill middle-aged adult, you need to assess the knowledge base of both the patient and family. In addition, you must determine the coping mechanisms of the patient and family; adherence to treatment and rehabilitation regimens; and the need for community and social services, along with appropriate referrals. A doula is a support person to be present during labor to assist women who have no other source of support.
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