A hospice nurse is providing teaching to a client who has a new diagnosis of a terminal illness and their family. Which of the following statements should the nurse include in the teaching?

A. Hospice care: Hospice care is intended for clients with terminal illnesses who require end-of-life support, pain management, and comfort care. It is not appropriate for this client, who is experiencing challenges related to transportation and meal preparation but does not have a terminal diagnosis.

B. Meals on Wheels: Meals on Wheels is a community resource that provides home-delivered meals to older adults who are unable to cook for themselves. This service ensures that the client receives nutritious meals while addressing their fear of cooking on the stove.

C. Home health services: Home health services provide skilled nursing care, therapy, and medical assistance for clients recovering from illness, injury, or surgery. Since this client’s needs are primarily related to meal preparation and transportation rather than medical care, home health services may not be the most appropriate recommendation.

D. American Association of Retired Persons (AARP): AARP offers various resources for older adults, including financial planning, social engagement, and advocacy. However, it does not directly address immediate concerns such as meal preparation and transportation.

A. Recommend use of a safety alert device when home alone: Implementing a safety alert device is crucial for the client living alone, as it provides a means to call for help in case of a fall or other emergencies. This enhances the client's safety and ensures timely assistance if needed.

B. Collaborate with physical therapy to assess client needs: Involving physical therapy is essential for evaluating the client's mobility and determining appropriate interventions for safe transition to home. Physical therapists can provide guidance on using a walker and suggest exercises to improve strength and balance.

C. Facilitate obtaining assistive devices for home setting: Ensuring that the client has the necessary assistive devices, such as a walker or grab bars, is important for promoting safety and independence in the home environment. This helps reduce the risk of future falls.

D. Collaborate with client and family to implement fall prevention plan: Working with the client and their adult child to develop a comprehensive fall prevention plan addresses the client's history of falls. This plan can include education on safe movement, environmental modifications, and strategies to prevent future falls.

E. Perform a home hazard assessment: Conducting a home hazard assessment is critical for identifying potential risks that could lead to falls or injuries. This assessment allows for targeted interventions to modify the home environment, enhancing safety for the client.

F. Educate client about the effect their medications have on their balance: Understanding the potential side effects of medications, such as metoprolol, on balance and coordination is important for the client. This knowledge can empower them to take precautions and report any concerning symptoms to their healthcare provider.

G. Place no smoking signs in client's home: While promoting a smoke-free environment is beneficial, it is not directly related to the client’s current health concerns regarding falls and recovery from a hip fracture. Therefore, this intervention is less relevant to the discharge planning process in this context.