NCLEX-PN® ExaminationCoordinated CareMedium
An LPN is reviewing the plan of care for a client requiring skilled nursing services at home after discharge. The client lives alone and has limited family support. Which of the following is the most important element for the LPN to ensure is in place for effective continuity of care?
- AA detailed list of all prescribed medications and dosages.
- BA schedule for follow-up appointments with all specialists.
- CContact information for emergency services and family members.
- DClear arrangements for home health nursing visits and services.
Show answer & explanationAnswer & explanation
Correct answer: D. Clear arrangements for home health nursing visits and services.
For a client living alone with limited support and requiring skilled nursing services, clear arrangements for home health nursing visits are crucial for continuity of care. This ensures that the client receives necessary skilled care, monitoring, and support in their home environment, preventing complications and re-hospitalization.
Why the other options are wrong
- A. This is important but is only one component of the overall care plan; it does not ensure the actual delivery of skilled services.
- B. Follow-up appointments are important, but the immediate need for skilled care at home is paramount for continuity.
- C. Emergency contacts are vital for safety, but they do not ensure the provision of ongoing skilled nursing care.
Continuity of Care: Home Health
For clients requiring skilled services at home, effective continuity of care relies on establishing clear and reliable arrangements for home health nursing to ensure ongoing medical support and prevent adverse outcomes.
- Home health bridges hospital care to home self-management.
- Skilled nursing needs dictate the necessity of home health services.
- Coordination ensures seamless transition and continued recovery.
Memory trick: Home care needs a clear plan, especially for skilled hands.