A 50-year-old client is exhibiting progressive signs of Huntington's disease. The client verbalizes a wish to die and has become withdrawn. Poor appetite is noted, sleep pattern is disturbed, and the choreiform movements are worsening
Which nursing diagnosis best reflects the needs of this client? A) Impaired Home Maintenance
B) Altered Nutrition
C) Hopelessness
D) Disturbed Sleep Pattern
C
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Huntington's disease is an inherited disease that has progressive physical, emotional, and mental involvement. There is no cure or course of treatment to preserve or prevent disease progression. Death is eminent. This client feels hopeless and helpless and sees no alternatives or choices available and is unable or unwilling to move forward with living.
Impaired Home Maintenance is not significant. Altered Nutrition and Disturbed Sleep Patterns are apparent, but unless the client is able to mobilize energy to move forward, these problems cannot be resolved.
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