While Mr Thomas is in Rehabilitation accompanied by his wife It is decided that home support is needed. The Enrolled Nurse is working as part of the interdisciplinary team as the community Nurse; the Rehabilitation centre has commenced an assessment of Mr Thomas and the environment he is living in, while he is still in rehabilitation.

A time and date is agreed upon for the EN to visit Mrs Thomas at home to continue the assessment and commence care planning.

Considering Mr Thomas and the environment in which he lives, list two (2) changes in:

a.    Mr Thomas OR

b.    His family OR

c.    His environment,

you believe should be reported and what should be discussed with the care team.

(NOT physical changes related to COPD)

 2 mark for two (2) answers listed and briefly explained       

 

?Considering Mr Thomas and the environment in which he lives, list two (2) changes in Mr. Thomas or his family or his environment you believe should be reported and what should be discussed with the care team.:

a.    Mr Thomas

• Change in lifestyle such as avoidance of alcohol and smoking that would help his rehabilitation speed up.
• Increase motivation for mobility and exercise with proper nutrition so as to aid in the treatment process.

b.    His family

• Moral and emotional support for Mr. Thomas as this can be an important factor in the rehabilitation of the patient.
• Assistance in mobility and in self-care, as needed, in case the nurse is not yet around, so as Mr. Thomas does not feel neglected.

c.    His environment,

• Change in the housing environment that focuses on patient safety such as decluttering, fixing wires and broken stairs, so as to ensure that Mr. Thomas is safe during and after his rehabilitation.
• Accessibility of patient needs such as telephone for consults, light switches, hand rails, among others that would help the patient be independent as much as he can on his maximum tolerance.