A patient has been discharged home after a total mastectomy without reconstruction. The patient lives alone and has a home health referral. When the home care nurse visits this patient, what does the nurse know to assess?
(Mark all that apply.)
A) Adherence to the exercise plan
B) Overall psychological functioning
C) Surgical drains
D) Overall physical disability
E) Institution of pain management
Ans: A, B, C
Feedback: Patients who have difficulty managing their postoperative care at home may benefit from a home health care referral. The home care nurse assesses the patient's incision and surgical drain(s), adequacy of pain management, adherence to the exercise plan, and overall physical and psychological functioning. There should be no physical disability for the home health nurse to assess. The institution of pain management for this patient should have been done in the hospital, not waiting until she is at home alone.
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