Which of the following patients would most likely need to have adjustments made to the education plan for discharge because of role function?
a. A 67-year-old married female who lives with her retired husband
b. A 32-year-old single mother of a toddler following hysterectomy.
c. A 13-year-old who lives at home with his parents after appendectomy
d. A 50-year-old married mother with 2 child in college and teenager at home
ANS: B
Exploration of the patient's roles is an important task that must be done before development of a patient education plan. For example, a 32-year-old, single mother of five young children who has just undergone a hysterectomy may require a different perspective in her discharge instructions than that in the instructions of a 67-year-old female living with her husband who recently retired after 35 years as a family practice physician. The first patient may have less support and less flexibility regarding rest, lifting limitations, and cost of prescriptions than the second. It is important not to stereotype and assign roles but rather to develop a plan in collaboration with the individual. The patient's support system should be taken into consideration when the nurse plans patient education.
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