A client is unable to independently perform colostomy care due to arthritis. What should the nurse do first?
a. Offer to assist the client to learn to manage the care.
b. Arrange for home care services to care for the colostomy.
c. Inquire as to family members who may be able to assist with the care.
d. Suggest that the client attend a colostomy self-help support group.
C
The nurse should first find out if there is anyone in the family or neighbourhood who would or could assist with the colostomy care. It is important to focus on the family first and then make referrals when appropriate.
Offering to assist the client to learn to manage care does not change the fact that the client has arthritis and cannot manage the colostomy care.
The nurse should first determine if there are family members or friends to perform the client's colostomy care, and if not, then refer to home care.
Attending a support group will help with emotional support, but it will not meet the client's need for assistance with colostomy care.
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