Which foot care instruction is most important for the practical nurse (PN) to reinforce that minimizes a long-term complication for a client who is newly diagnosed with type 2 diabetes mellitus (DM)?

Applicable
Evaluating functional improvement assesses whether the additional physical and occupational therapy is effectively enhancing the client’s ability to perform activities of daily living and participate in community activities. This focuses on tangible outcomes of the therapy, such as improved mobility or independence. Measuring functional improvement helps to determine if the interventions are meeting their goals and positively impacting the client's physical abilities.

Psychological assessment
Not Applicable
While important, psychological assessment is not the primary focus when evaluating the specific outcomes of physical and occupational therapy. Psychological well-being might be a component of overall care but is not the immediate measure for the success of the physical therapies established. The main goal here is to assess the effectiveness of the physical and occupational therapy, which is more directly measured by functional and quality of life improvements.

Quality of life
Applicable
Assessing quality of life evaluates how well the client’s overall well-being is supported by the new care interventions, including their physical comfort, mental health, and ability to engage in daily activities. This broader measure considers whether the care provided enhances the client's satisfaction with their daily life and personal experiences, reflecting the success of the implemented therapies.

Financial security
Not Applicable
Financial security is not directly related to evaluating the outcomes of physical and occupational therapy interventions. It is important for overall care management but does not measure the effectiveness of specific therapies or the impact on the client’s physical functioning or quality of life. This factor is outside the scope of assessing the direct results of therapy and daily living support.

Cognitive status
Not Applicable
Cognitive status is not the main focus for evaluating the success of physical and occupational therapy. While cognitive status is relevant for overall care, the immediate goal of assessing the effectiveness of the physical therapies is to see improvements in functional abilities and quality of life. Cognitive assessments are important but not directly related to the specific goals of physical and occupational therapy outcomes

A. Assisting a client with urinary urgency and incontinence with a bedpan is a basic care task that the UAP can perform under supervision.
B. A client with continuous urinary bladder irrigation via a 3-way catheter requires tasks that involve monitoring and potentially troubleshooting the system, which are within the PN's scope of practice and not appropriate for a UAP.
C. Changing a urinary condom catheter is a routine task that can be performed by a UAP, as it does not require complex decision-making or assessment skills.
D. Managing a full urinary bedside drainage unit after receiving a diuretic is a task that the UAP can handle as long as there are no specific complications or concerns to address.