The nurse visiting a patient living in the daughter's home finds ...

[nautica902]

The nurse visiting a patient living in the daughter's home finds the patient in an old hospital bed that has bilateral full-length side rails. What should the nurse do?
 
  A) Present alternatives to the family
  B) Recommend frequent repositioning
  C) Discuss additional preventive measures
  D) Commend the family on the use of this type of bed

Question 2

A daughter complains that her mother, who has Alzheimer's disease, thinks and acts so slowly that everything must be done for her. What can a nurse advise the daughter that might be helpful for both the patient and herself?
 
  A) Encourage your mother's self-care, but under supervision..
  B) Continue doing things for your mother to save time..
  C) Investigate respite care for yourself..
  D) Allow your mother to self-care, and let her do it independently..

[tashiedavis420]

Answer to Question 1

A
Feedback:
Bilateral full-length side rails can be considered a type of physical restraint and should be avoided. The nurse should also discuss alternative, not additional, methods of protecting the patient. Frequent positioning may or may not be needed. The nurse should not commend the family on the use of this type of bed.

Answer to Question 2

A
Feedback:
This is a frustrating situation for both the mother and the daughter. Allowing self-care to continue will help the mother's own feelings of independence, but it should be supervised in case she needs some help or is in danger. It may be possible to have an outsider help to give the daughter a break. Longer respites can be helpful for caregivers (and indirectly for patients), but that is a broader issue.

[nautica902]

TYSM

[amit]

Thanks for the timely response, appreciate it