An older man dislikes the daily meal he receives from his family because it is always cold. He is underweight and has a hemoglobin of 11.2 g/100 ml. Which recommendation should the nurse implement?
a. Assess the man for a potential transfer to an assisted living facility.
b. Meet with the man and his family to solve the problem.
c. Collaborate with a social worker for food stamps.
d. Ask the family about providing hot meals for him.
B
This man is underweight and has low hemoglobin and potential signs of malnutrition. The nurse uses education and a problem-solving approach for adults who have nutritional deficiencies and live in the community; thus meeting with the family and the older adult will manage the malnu-trition and improve this man's nutritional status. Although assessing the man for transfer to an assisted living facility can be an option, implementing a transfer would be premature before other attempts are made to resolve the problem. Sources for food are not this man's problem unless the family-supplied meal is his only source of food, which is unknown. This can be a part of education and problem solving.
The best chance of improving this man's malnutrition is to engage him in the plan; thus the nurse avoids contacting the family except to engage them in problem solving along with the older adult.
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