Which home modification interventions are designed to enhance the ...

[Mollykgkg]

Which home modification interventions are designed to enhance the ability of older adults to remain in their homes? (Select all that apply.)
 
  a. A 36-inch-wide doorway
  b. Entryways with less than two steps
  c. Electrical outlets at chest level
  d. A bathroom on the first floor

Question 2

An older man with diabetes mellitus complains to the nurse that his feet feel like they are burning. Which of the following interventions should the nurse recommend to this older adult to reduce his discomfort?
 
  a. Wear well-fitting, leather shoes
  b. Wear knee-high nylon stockings
  c. Soak the feet in warm water
  d. Apply antifungal powder on the feet

[tofugiraffe]

Answer to Question 1

A, D
Many state and local governments are assessing the community and designing interventions to enhance the ability of older people to remain in their homes and familiar environments. Home design features such as 36-inch-wide doorways and hallways, a bathroom on the first floor, an entry with no steps, outlets at wheelchair level, and reinforced walls in bathrooms to support grab bars.

Answer to Question 2

A
The older adult is potentially experiencing a peripheral neuropathy from peripheral nerve damage from hyperglycemia. To prevent trauma to the feet, the nurse instructs him to wear comfortable, well-fitting, tie-on shoes with a broad toe space and low heels for protection. Nylon stockings for men tend to have restrictive ends that can inhibit tissue perfusion; because this patient is at risk for peripheral tissue damage, the constricted area can break down. The nurse also instructs him to avoid sitting with one leg crossed over the other or with both legs crossed at the knee; these positions restrict blood flow to the feet. Foot soaks can potentially cause excessive dryness. To maintain skin integrity, feet should be washed daily but not soaked. Irritating chemicals such as antifungal powder and corn or wart preparations should not be used on the feet of individuals with diabetes.