The daughter of a female patient tells the home health nurse that using the bathroom is embarrassing for the patient and she refuses to use a call light when she needs to get up. Which is the best response by the nurse?
a. Ask the patient why she does not use the call light.
b. Instruct the daughter to remain at the pa-tient's side.
c. Tell the patient that home visits require patient cooperation.
d. Discuss call light alternatives with patient and daughter.
D
Discussing call light alternatives with the patient and daughter is the best method of engaging the patient in planning nursing care. This recognizes the patient as the source of control and full partner in providing compassionate and coordinated care based on respect for the patient's pre-ferences, values, and needs. Including the patient in planning alternatives also gives her owner-ship of the plan and increases the likelihood of cooperation. Asking a "why" question is not an ideal response because it is confrontational and requires the patient to justify feelings. Remaining with the patient is an impractical solution for home care.
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