The nurse is preparing to discuss discharge planning with a patient who is hemiplegic as a result of a diving accident, and with his wife, who will be his primary caregiver

Question

Knowledge of the psychosocial needs of the caregiver prompts the nurse to include information specifically related to: Select all that apply. 1. Role changes.
2. Stress management techniques.
3. Respite resources.
4. Bowel and bladder management techniques.
5. Local rehabilitation services.

Answer 1

1. Role changes.
2. Stress management techniques.
3. Respite resources.

Rationale: Role changes. Patients who have experienced a spinal cord injury are not only faced with the physical challenges associated with this injury, but the patient's family members also will need support and ongoing education to help them deal with the stress of having a critically ill loved one and the role changes associated with becoming a primary caregiver. Stress management techniques. In addition to the patient's needs, the patient's family members also will need support and ongoing education to help them deal with the stress of having a critically ill loved one. Stress management is important to the physical and mental health of the caregiver. Respite resources. Respite options are important to the physical and mental health of the caregiver. Bowel and bladder management techniques. Information about care techniques addresses physiological issues. Exploring the spouse's concerns about providing this care would be directed at psychosocial issues. Local rehabilitation services. Rehabilitation services are by definition interdisciplinary, addressing physiological and psychosocial needs. Services are provided to the patient and all family members, not just the primary caregiver.