A nurse is evaluating how well the family of a dying child understands the concept of hospice care in the home. Which statement by the family indicates the need for further instruction?
A.
"If she gets short of breath, I will call 911 right away."
B.
"It will be great that she can play with her sister at home."
C.
"Pain control will be very important even near death."
D.
"We should look into respite care so we can get a break."
ANS: A
Once hospice care has been chosen, it is important to not make drastic changes in the care plan, especially as the end of life approaches. Hospice care recognizes that death is part of life and is focused on symptom control and quality of life, not cure. The parent who plans to call 911 for shortness of breath does not understand this concept, nor does he or she understand manifestations of approaching death. The other statements are compatible with hospice care in the home.
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