How does the need to assess resident/patient changes and potential problems differ between the long-term care facility and an acute care facility?
1. They are the same.
2. There is a need for greater assessment skills in acute care because patients are so sick.
3. There is a need for greater assessment skills in long-term care because of the lack of direct physician contact with residents.
4. There is a lesser need for good assessment in long-term care because the residents are old and just waiting to die.
3
Rationale: While it is true that acute care patients are sicker, there is also availability of consults both with other nurses and with physicians. The long-term care nurse does not have ready consult available and the physician may not have as good a working knowledge of the resident. Nursing home residents are not "just waiting to die."
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