Oliver Jones, 71 years old, has been admitted to the long-term care facility with end-stage emphysema. He refuses to have physical therapy. He continues to smoke
He asks other residents to push his wheelchair down to the smoking room, leaves his oxygen tank in the hall, and goes into the room to smoke two to three cigarettes. When this behavior has been confronted, he responds that he enjoys smoking and that he knows that he will eventually die from emphysema. Which of the following rehabilitation principles should guide his rehabilitation?
a. Convalescence is a gradual process that can take a long time
b. The duration of rehabilitation depends on the psychological acceptance of the older adult of his or her condition
c. Loss and its meaning vary with every person
d. Values are examined and limitations are put into perspective over time
D
Mr. Jones' continued smoking is distressing, but he has verbalized an acceptance of his disability and has expressed a desire to continue smoking. This is an expression of his values and beliefs about his health and quality-of-life choices. Responses A, B, and C do not address Mr. Jones' conscious choice to continue to smoke as an expression of his values and beliefs.
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