A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. Which of the following statements should the nurse make first?

A. Hospice programs are designed for clients who have 9 months or fewer to live.Hospice care is typically designed for clients who are expected to have 6 months or fewer to live, according to eligibility criteria set by Medicare and most hospice programs. This time frame is based on a prognosis of the terminal illness, though care can continue longer if needed and re-evaluated.

B. Hospice care allows families to participate in the client's care.A key component of hospice care is the involvement of family members in the client’s care. Hospice programs are designed to provide support for both the client and their family, encouraging participation in caregiving while offering education and respite care to relieve caregiver burden.

C. Hospice care will provide life-extending interventions.Hospice care focuses on palliative, comfort-focused care rather than life-extending or curative treatments. The goal of hospice is to improve quality of life in the final stages of a terminal illness by managing symptoms, rather than extending life through aggressive interventions.

D. Hospice services end when the client dies.Hospice services often continue for the family after the client dies through bereavement support. Hospice programs typically offer grief counseling and other services to the family for a period of time after the client's death, usually for up to a year.

A. "I apologize for the dishes piling up in the kitchen sink":

Apologizing for the dishes piling up may indicate a sense of stress or feeling overwhelmed, rather than adapting positively to the caregiving role.

B. "I am still trying to rearrange the furniture so they can use their walker":

While rearranging furniture to accommodate the client's needs is helpful, it doesn't necessarily reflect adaptation to the caregiver role in terms of self-care or seeking external support.

C. "I have a neighbor coming over so I can go get my hair cut and styled."

This statement suggests that the caregiver is seeking support from a neighbor, allowing them to take a break and prioritize self-care by getting their hair cut and styled. Seeking assistance and taking time for personal well-being indicate an adaptive approach to the caregiving role.

D. "I will need financial assistance if I don't get back to my job soon":

Expressing a need for financial assistance due to the inability to return to work may suggest financial concerns but doesn't directly indicate adaptation to the caregiving role. Adaptation involves finding effective ways to manage the caregiving responsibilities while addressing personal needs.