A case manager is planning an interprofessional conference for a client who is 3 days postoperative following an open reduction and internal fixation of the right hip. Which of the following concerns is the priority for discussion at the conference?
A.
The client does not have transportation for discharge home.
B.
The client refuses to attend physical therapy sessions.
C.
The client’s home health nurse has not completed the home assessment.
D.
The client describes feelings of depression after family visits.
The correct answer is:
B. The client refuses to attend physical therapy sessions.
Explanation:
After an open reduction and internal fixation of the right hip, physical therapy is crucial for the client’s recovery and to ensure proper rehabilitation. Refusal to attend physical therapy sessions can significantly impact the client’s recovery and long-term outcomes, such as mobility and functionality. Addressing this concern is a priority because it directly affects the client’s postoperative recovery and rehabilitation process.
Here’s why the other options are less immediate concerns:
- A. The client does not have transportation for discharge home: While transportation is important for the client’s discharge, it is not as urgent as addressing issues that directly impact the client’s recovery and rehabilitation.
- C. The client’s home health nurse has not completed the home assessment: This is a relevant concern but is secondary to addressing immediate issues that affect the client’s recovery, such as refusal of therapy.
- D. The client describes feelings of depression after family visits: Although addressing emotional and psychological well-being is important, it is secondary to ensuring that physical rehabilitation needs are met for optimal recovery.
Correct answer: B