A client is being discharged with a tracheostomy and voices concern about his appearance. What discharge teaching will assist the client with maintaining a positive body image?

a. "Tell people how sick you were when they ask about the tracheostomy."
b. "Your clothing can help hide the tracheostomy so it is not as noticeable."
c. "You can put a bandage around your tracheostomy so no one will see it."
d. "You have to ignore comments that people make about your appearance."


B
The client may have an alteration in body image because of the tracheostomy stoma. Encourage the client to wear loose-fitting shirts and collars to help hide the appearance of the stoma. Clients should not be encouraged to tell people about their illness, because they should not be made to "justify" their appearance. You should not bandage the tracheostomy, because airflow would be impaired. Ignoring comments will not help the client's self-image.

Nursing

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