A nurse is preparing an older adult client with severe rheumatoid arthritis for discharge to home. The client has significant joint deformities in both hands and expresses frustration, stating, "I cannot even hold a fork or button my own shirt anymore." Which of the following is the most appropriate action for the nurse to take?
- Initiate a referral to an occupational therapist to evaluate the client for adaptive devices for activities of daily living.Cevap
- BRequest a physical therapy consultation as the highest priority to help the client regain fine motor skills and hand strength.
- CDelegate the task of teaching the client how to use specialized feeding utensils to the unlicensed assistive personnel (UAP).
- DDocument the client's functional decline as a normal physiological consequence of the aging process.
Cevap
The most appropriate action is to initiate a referral to an occupational therapist to assist the client with adaptive devices for activities of daily living.
An occupational therapist specializes in helping clients achieve independence in activities of daily living (ADLs), such as feeding and dressing, often by recommending and teaching the use of adaptive equipment. This directly addresses the client's impaired fine motor skills.
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Occupational Therapy Role in Activities of Daily Living