The nurse is assisting an older adult patient, diagnosed with type 2 diabetes, with self-injection of insulin. What is the most appropriate intervention for this patient at discharge?
a. Arrange daily home visits for injections
b. Request an insulin pen prescription
c. Recommend upper arm injection sites
d. Supply patient with 100 unit insulin syringes
ANS: B
An insulin pen will be the most effective method for injection for an older adult secondary to reduced eyesight and dexterity compared to using syringes. A 100 unit syringe has very small calibration marks and numbers, making it more difficult for older adults to see the appropriate doses. Daily home visits are not usually paid for by insurance. Most patients must learn to administer medications themselves. The upper arm subcutaneous site is too difficult for self-administration and may not be feasible for an older adult.
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