The patient post–total knee replacement is preparing to be discharged. The patient tells the case manager, "I feel pretty good, but I am having a hard time getting in and out of the bathroom
" What is the case manager's most appropriate response?
a. "I'll be sure to teach your family how to help you with this."
b. "Once you are home for a while, it will get easier."
c. "I can have a recreational therapist help you take your mind off your concerns."
d. "An occupational therapist can be ordered to assist you in this area."
D
The patient is expressing a concern for managing toileting at home. Upon discharge, the therapy focusing most closely on activities of daily living is occupational therapy. Teaching the family how to assist with toileting is not typically the role of the case manager. Additionally, this does not assist the patient with the immediate concern of toileting. Reassurance is important and positive, but the patient first needs assistance with toileting. Recreational therapists promote patient physical, social, and emotional well-being through the use of leisure activities. There is no indication that this patient is in need of a recreational therapist.
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