A nurse is reviewing a colleague's discharge instructions for a client with Parkinson's. Which of the following will the nurse make sure are included in the instructions? (Select all that apply.)
a. Arrange for a bathroom/bedroom on the first floor.
b. Instruct client NOT to wear crepe or rubber soled shoes as they may cause client to trip.
c. Place throw rugs throughout the home for easier ambulation.
d. Install handrails at steps, in hallways, and in the bathroom.
e. Inform client that waxed floors are safe to walk on due to smoothness of surface.
f. Encourage the client to use adaptive devices for independence in ADLs.
g. Fluids should be mildly restricted to prevent incontinence.
h. Take medications at scheduled times to maintain therapeutic dosing levels.
A, B, D, F, H
Discharge instructions for the client with Parkinson's include: arrange for bathroom facilities and bedroom on first floor, remove crepe- or rubber-soled shoes from the client because they may drag on the floor, especially on carpeting, remove throw rugs or other obstacles over which the client may trip, install handrails at steps, hallways, and bathroom, have no highly waxed floors, provide assistance to client as needed. Also, the client should use adaptive devices (e.g., cane, walker, feeding utensils), take medications at scheduled times to maintain level in the body, avoid taking multivitamins, foods high in vitamin B6, and high-protein foods when taking levodopa and prevent constipation by drinking plenty of water and, possibly, using a stool softener.
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