You are caring for a patient with late-stage Alzheimer's disease. The patient's wife tells you that the patient has now become completely dependent and that she feels guilty if she takes any time for herself
What outcomes would be appropriate for the nurse to develop to assist the patient's wife?
A) The caregiver learns to explain to the patient why she needs time for herself.
B) The caregiver distinguishes essential obligations from those that can be controlled or limited.
C) The caregiver leaves the patient at home alone for short periods of time to encourage independence.
D) The caregiver prioritizes her own health over that of the patient.
Ans: B
Feedback:
For prolonged periods, it is not uncommon for caregivers to neglect their own emotional and health needs. The caregiver must learn to distinguish obligations that she must fulfill and limit those that are not completely necessary. The caregiver can tell the patient when she leaves, but she should not expect that the patient will remember or will not become angry with her for leaving. The caregiver should not leave the patient home alone for any length of time because it may compromise the patient's safety. Being thoughtful and selective with her time and energy is not synonymous with prioritizing her own health over than of the patient; it is more indicative of balance and sustainability.
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