A patient diagnosed with Parkinson's disease (PD) 11 years ago is being cared for at home by the spouse. The nurse asks whether the family has considered arranging for in-home assistive care, based primarily on which knowledge?
1. The patient may live for many more years.
2. This type of assistive care is warranted because PD is both progressive and degenerative.
3. It is becoming more difficult for the spouse to adequately meet the patient's physical needs.
4. This type of assistance can help preserve the physical and emotional well-being of the patient's spouse.
4
Rationale 1: It is true that the patient with PD may live for many years, but that is not the primary reason for suggesting assistive home care.
Rationale 2: The decision to enlist assistive home care is not based solely on the progressive, degenerative nature of a disease.
Rationale 3: There is no indication that the patient's needs are not being met.
Rationale 4: People can live with PD for many years. The chronic and progressive nature of PD can significantly impact older, spousal caregivers. Caregiver stress and burden have been shown to increase as the disease progresses, and this has a significant impact on the physical and emotional health of the caregiver.
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