The nurse is completing discharge teaching to the family of a hospitalized older adult client. Which is the priority to include in the teaching plan for this family?
1. Reducing the amount of odor in the client's immediate environment.
2. Protecting the client from injury due to increased pain threshold.
3. Speaking in an increasingly loud voice as client's hearing decreases.
4. Avoiding range of motion exercises due to loss of bone density and increased risk for fracture.
Correct Answer: 2
Protecting the client from injury is the most important teaching point. In the older adult there is an increased threshold for the sensation of pain and touch, as well as a decrease in reaction time. The sense of smell decreases with age; reducing the amount of odor in the client's immediate environment is not a priority. Older adults experience a gradual loss of hearing; speaking at a level that the client can hear is important, but not above protection from injury. Range of motion should be encouraged to facilitate mobility and is not a risk factor for fractures.
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