A rehabilitation nurse is caring for an older adult client who states, "I tire easily." How should the nurse respond? (Select all that apply.)
a. "Schedule all of your tasks for the morning when you have the most energy."
b. "Use a cart to push your belongings instead of carrying them."
c. "Your family should hire someone who can assist you with daily chores."
d. "Plan to gather all of the supplies needed for a chore prior to starting the activity."
e. "Try to break large activities into smaller parts to allow rest periods between activities."
ANS: B, D, E
A cart is useful because it takes less energy to push items than to carry them. Gathering equipment before performing a chore decreases unneeded steps. Breaking larger chores into smaller ones allows rest periods between activities and still gives the client a sense of completion even if the client is unable to complete the whole task. Major tasks should be performed in the morning, when energy levels are high, while lesser tasks should be done throughout the day after frequent rest periods. Someone should be hired to do the chores only if the client cannot do them. The outcome should be achieving independence as close to the pre-disability level as possible.
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