NCLEX-PN® ExaminationCoordinated CareMedium
A client with a history of heart failure is being discharged home. The LPN is reinforcing discharge teaching regarding medication management, diet, and activity restrictions. The client lives alone and expresses concern about managing their care independently. Which referral is MOST appropriate for the LPN to suggest to the RN for this client?
- AHome health services for skilled nursing and aide visits.
- BOccupational therapy for assistance with activities of daily living (ADLs).
- CPalliative care services for symptom management.
- DPhysical therapy for gait training.
Show answer & explanationAnswer & explanation
Correct answer: A. Home health services for skilled nursing and aide visits.
Given the client's complex medical condition (heart failure), the need for ongoing medication management, diet adherence, activity restrictions, and the expressed concern about independent care, home health services are most appropriate. This referral provides skilled nursing care for monitoring and teaching, and aide services for ADL assistance, ensuring a safe transition and continuity of care at home.
Why the other options are wrong
- B. Occupational therapy can help with ADLs, but it doesn't cover the skilled nursing needs for heart failure management, such as medication oversight and ongoing assessment.
- C. Palliative care focuses on symptom management and quality of life for serious illnesses. While beneficial for heart failure, it doesn't directly address the immediate need for assistance with daily care, medication management, and overall support for independent living after discharge.
- D. Gait training might be beneficial, but it does not address the comprehensive needs for medication management, diet, and overall independent living concerns for a heart failure client.
Referrals: Home Health Services
Healthcare services provided in a client's home by licensed professionals, designed to help individuals recover from illness or injury, manage chronic conditions, or live independently.
- Includes skilled nursing, physical therapy, occupational therapy, and home health aide services.
- Requires a physician's order and client's home-bound status (for Medicare).
- Focuses on continuity of care and preventing rehospitalization.
Memory trick: Home care holds the whole picture for heart care.