What would the student practical nurse do in regard to a patient with severe depression and psychomotor challenges who has not showered for several days?
The correct answer and explanation is:
In caring for a patient with severe depression and psychomotor challenges who has not showered for several days, a student practical nurse would follow a compassionate and systematic approach to support the patient’s physical and emotional needs.
First, the nurse would assess the patient’s current physical and mental state, paying attention to any signs of neglect, poor hygiene, or additional indicators of depression, such as fatigue, withdrawal, or anxiety. The nurse would use a non-judgmental and empathetic approach to communicate with the patient, ensuring that they feel safe and supported.
Next, the nurse would collaborate with the patient to develop a plan for hygiene that is both manageable and non-threatening. In cases of severe depression, the patient might feel overwhelmed by the task of showering. Offering encouragement, breaking the task into smaller, more achievable steps, and providing verbal reassurances can help motivate the patient. The nurse may suggest a warm bath instead of a shower if this seems less daunting.
Additionally, the nurse should ensure that the environment is comfortable and welcoming. This includes ensuring privacy, warmth, and necessary personal care items are within reach. Depending on the severity of the psychomotor challenges, the nurse may assist with the physical aspects of bathing or showering, providing help with tasks like washing or drying, but always with respect for the patient’s autonomy.
The nurse would also monitor for any physical or emotional distress during the process, ensuring that the patient’s dignity is upheld at all times. If the patient is resistant or unable to perform self-care, the nurse might involve other healthcare professionals, such as a psychologist or social worker, to address the underlying mental health issues contributing to the neglect of personal hygiene.
Regular follow-up and continuous support are essential to help the patient maintain hygiene and address the broader issues of depression. The nurse would document all interactions and interventions as part of the care plan for ongoing evaluation.