A hospice nurse is making the initial home visit to a patient who just returned home after a lengthy hospitalization. What action by the nurse is most appropriate to help the family continue to function?
A.
Assess the degree of comfort in family caregiving.
B.
Ensure the family understands the hospice concept.
C.
Provide information about available hospice services.
D.
Refer the family to a community counseling center.
ANS: A
In the at-home hospice setting, family members must find a balance between direct caregiving activities and their own needs for personal time. The nurse must assess this to help the family avoid caregiver strain and resentment and to maintain roles necessary for family functioning. Ensuring the family understands the hospice concept and providing information are also important, but are not directly related to family functioning. The family may or may not need counseling.
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