Lila Jacobs is 80 years old and lives at home with her husband. She has Alzheimer's disease with increasing confusion and urinary incontinence. Mr. Jacobs has had a cerebrovascular accident and can no longer care for her in their home
What referral would you make for Mrs. Jacobs?
a. Retirement center
b. Intermediate nursing facility
c. Skilled nursing facility
d. Hospitalization
C
Because of Mrs. Jacobs' increasing confusion and incontinence, a skilled nursing facility would be the most appropriate placement. Hospitalization (response D) is inappropriate because Mrs. Jacobs is not experiencing a life-threatening process that needs intensive medical evaluation and treatment. A retirement center (response A) and an intermediate care facility (response B) would not provide enough supervision for Mrs. Jacobs.
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