
Concept explainers
To discuss:
How might the student have interacted with the charge nurse and the social worker and other pertinent hospital personnel to promote a safe, structured home environment for Mrs. P while respecting her preferences?
Case summary:
Mrs. P is a single, 88-year-old woman, was hospitalized for cardiac problems. She has been in her beginning of dementia. She lives alone in a small home along with her cats. When she was ordered for the discharge, the nursing student worried about Mrs. P’s ability to live safely on her own. The nursing student suggested her about moving to a retirement community or long-term care facility. But Mrs. P refused those options. The nursing student was worried about her safety and reported to the charge nurse. The charge nurse replied that we can do nothing if the patient is not willing to explore the other options.
To discuss:
What alternatives are available to allow this patient to remain in her home while ensuring her safety?
Case summary:
Mrs. P is a single, 88-year-old woman, was hospitalized for cardiac problems. She has been in her beginning of dementia. She lives alone in a small home along with her cats. When she was ordered for the discharge, the nursing student worried about Mrs. P’s ability to live safely on her own. The nursing student suggested her about moving to a retirement community or long-term care facility. But Mrs. P refused those options. The nursing student was worried about her safety and reported to the charge nurse. The charge nurse replied that we can do nothing if the patient is not willing to explore the other options.
To discuss:
If available options to assist Mrs. P had been explored during her hospitalization, what nursing action might be helpful as this information is shared with the patient?
Case summary:
Mrs. P is a single, 88-year-old woman, was hospitalized for cardiac problems. She has been in her beginning of dementia. She lives alone in a small home along with her cats. When she was ordered for the discharge, the nursing student worried about Mrs. P’s ability to live safely on her own. The nursing student suggested her about moving to a retirement community or long-term care facility. But Mrs. P refused those options. The nursing student was worried about her safety and reported to the charge nurse. The charge nurse replied that we can do nothing if the patient is not willing to explore the other options.

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