A nurse is caring for a client who requires partial assistance with ADLs. Which of the following actions should the nurse take?
A. Postpone ADLS until an occupational therapist determines the client’s abilities.
B. Eliminate daily care that is not essential for the client’s recovery.
C. Inform the client of the time the ADLS will be performed.
D. Determine the client’s preferences.
The Correct Answer and Explanation is:
The correct answer is D. Determine the client’s preferences.
Explanation:
When caring for a client who requires partial assistance with activities of daily living (ADLs), it is crucial for the nurse to consider the client’s preferences and involve them in their care plan. ADLs refer to basic tasks necessary for daily self-care, such as bathing, dressing, eating, and toileting. While clients may need assistance with these activities, maintaining their autonomy and dignity is vital.
Why Option D is Correct: Determining the client’s preferences is essential because it ensures that the care provided is client-centered and respects their individual needs and desires. Client-centered care is a fundamental principle in nursing, focusing on the client’s physical, emotional, and social needs. By involving the client in decision-making, the nurse empowers them and promotes a sense of control over their care, which can positively impact their recovery and overall well-being.
Why Other Options are Incorrect:
- Option A: Postpone ADLs until an occupational therapist determines the client’s abilities. This approach could lead to unnecessary delays in the client’s care. While an occupational therapist’s assessment can be valuable, the nurse should not postpone all ADLs until then. Instead, the nurse can begin assisting the client with ADLs based on their current abilities and preferences, using clinical judgment to provide appropriate care while waiting for the therapist’s input.
- Option B: Eliminate daily care that is not essential for the client’s recovery. Eliminating non-essential care might seem practical, but it can overlook the importance of holistic care. ADLs are not just about physical recovery; they also contribute to the client’s mental and emotional well-being. Providing comprehensive care, even in small ways, can improve the client’s quality of life and promote recovery.
- Option C: Inform the client of the time the ADLs will be performed. While informing the client of the schedule is important, it does not address the client’s preferences. The nurse should collaborate with the client to determine the best time for ADLs, considering their routine, comfort, and desires. Simply informing them of a set time may not accommodate their needs and could lead to dissatisfaction or non-compliance.
Conclusion: Nurses should prioritize client preferences when assisting with ADLs. This approach not only respects the client’s autonomy but also enhances their engagement in their care, leading to better outcomes. By choosing option D, the nurse demonstrates a commitment to providing holistic, client-centered care that acknowledges the client’s unique preferences and needs.