The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment of a fractured femur
The family expresses concern about the patient's pending transfer to a subacute care facility. What response by the nurse is best?
a. "Acute care facilities lack the long-term physical therapy support your dad re-quires."
b. "Your dad will be much happier in a more serene, private environment."
c. "The subacute facility will focus on help-ing your dad maintain his independence."
d. "Insurance, including Medicare, will cover only a limited amount of time here."
C
The transfer of the patient to a subacute facility is based on the need to maintain the patient's level of function and independence, a task the acute care facility is not prepared to address once the patient is physiologically stable. The patient may or may not be happier in the new setting; the nurse should not make this judgment. It is true that insurance only pays for a limited amount of time in an acute care facility, but this is not the best reason for the patient to transfer.
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