Mr. P, a 70-year-old retired engineer, has diabetes and is on dialysis. He is a gourmet who takes pride in cooking delicious meals. His physical condition is quite good, but he is unhappy and bored with the restricted life he must lead
An old friend has invited him to travel across the country to San Francisco and spend a week there. Dialysis treatments can be arranged through a network of dialysis providers. How should Mr. P's charge nurse respond to this situation? A) Discourage the idea, as he is likely to eat and drink too much on vacation
B) Discourage the idea, but provide as much helpful information as possible
C) Encourage him to go, and provide as much helpful information as possible
D) Encourage him to go, and advise him to relax regarding his condition for a week
C
Feedback:
A visit to San Francisco, a city known for its many fine restaurants, certainly poses risks for a patient who must follow a restricted diet, and could even shorten Mr. P's life. His unhappiness with his current situation, however, probably makes it desirable for him to take that risk. Even in San Francisco, it may be possible for him to eat sensibly, and in any case he is likely to be much happier than he is now. He needs to decide whether his quality of life will improve enough to risk any dangers. A nurse or social worker should help with setting up the dialysis arrangements ahead of time and with giving him any available information about restaurants, medical centers, and other places he may need to know about.
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