An older adult is diagnosed with Parkinson’s disease.
What problems should the nurse expect to address in this client’s home health care plan? Select all that apply.

Answer and explanation

The correct answer is Choice A.

Choice A rationale

Respite care is a service that provides temporary relief to primary caregivers, allowing them time to rest and take care of their own needs. It can be provided in the client’s home, a healthcare facility, or an adult day care center. This service is especially beneficial for caregivers who are feeling exhausted, as it offers them a break while ensuring that their loved ones continue to receive care. Therefore, suggesting that social services be contacted to find a respite care facility for the client would be the best information for the nurse to provide.

Choice B rationale

Hiring a private nurse, also known as concierge nursing, is another option for providing relief to caregivers. However, this option might not be feasible for all families due to the potential cost. Moreover, it might not provide the caregiver with the same level of relief as respite care, as the caregiver might still feel obligated to be involved in the client’s care.

Choice C rationale

A case management evaluation of the client’s home environment could be helpful in assessing the client’s needs and identifying potential resources or modifications that could make caregiving easier. However, this does not directly address the caregiver’s need for rest and relief from their duties.

Choice D rationale

Recommending that the client’s family return to the area to help provide assistance could potentially provide some relief to the caregiver. However, this might not be a feasible or immediate solution, as it depends on the family’s availability and willingness to relocate or travel.

Answer and explanation The correct answer is C. Choice A rationale

While the dissemination of all educational pamphlets among the served counties indicates successful distribution of information, it does not necessarily reflect a change in health outcomes or behaviors.

Choice B rationale

Although a high rating from workshop attendees indicates that the program was well-received, it does not provide measurable health outcomes.

Choice C rationale

A decrease in cardiac-related fatalities by 109% six months after the program’s presentation is a direct and measurable outcome that indicates the program was successful in its goal to prevent strokes and acute coronary syndrome.

Choice D rationale

While a commitment to adopting a healthier lifestyle from 65% of the program’s participants is a positive outcome, it is based on self-report and does not provide direct evidence of a decrease in strokes or acute coronary syndrome.