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<p>The patient's wife, who has chronic obstructive pulmonary disease, plans to care for the patient at home. The wife says that their grown children who live nearby will help. The best approach for discharge planning is:</p> <p> </p> <p>A:<span style="float:none;display:inline;"><span> </span></span><span><span>arranging nursing home placement for the couple.</span></span>B:<span style="float:none;display:inline;"><span> </span></span><span><span>consulting the wife's health care provider about her ability to care for the patient.</span></span>C:<span style="float:none;display:inline;"><span> </span></span><span><span>contacting the children to ascertain their commitment to help.</span></span>D:<span style="float:none;display:inline;"><span> </span></span><span>discussing community resources with the wife, and offering to make referrals.</span></p> <p> </p>
B will the a fair answer , because we need to know if she needs a nursing home for her and if her health condition is stable so she can do the job .
Regards
Type of heart disease is not provided in the given question , however, i will still advise the patient to follow religiously his/her prescribed maintainance take home medications and follow up to his AP for a prescribed period of time.
DO NOT drink any alcohol for at least 2 weeks. Ask your doctor when you may start. Limit how much you drink. Women should have only 1 drink a day, and men should have no more than 2 a day. Try to drink alcohol only when you are eating.
If you smoke, stop. Ask your doctor for help quitting if you need it. DO NOT let anybody smoke in your home, since second-hand smoke can harm you. Try to stay away from things that are stressful for you. If you are feeling stressed all the time, or if you are feeling very sad, talk with your provider. They can refer you to a counselor.
Avoid salty foods
Stay away from fast food restaurants.
Have your drug prescriptions filled before you go home. It is very important that you take your drugs the way your provider told you to. DO NOT take any other drugs or herbal supplements without asking your doctor first if they are safe for you..
Take your drugs with water. DO NOT take them with grapefruit juice, since it may change how your body absorbs certain medicines.
Home health care for both of them
d.discussing community resources with the wife, and offering to make referrals.
Discuss with wife in length the disease to determine her understanding of disease.
Offer wife and patients other options like for husband to be in nursing home till able to resume usual duties.
Give them an option of home care and give referral if deciding upon that.
Contact children to ascertain their availability if they are needed and to follow up on their parent,s progress.
Give lengthy information of the do,s and Don,ts of the disease to all family members that would be involved with payiwnt,s recovery at home.
A.
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