A client is seen in the clinic for the third time for a nonhealing, infected diabetic foot ulcer. The client is able to verbalize the correct procedure for wound care but reports not adhering to the ordered routine at home. What intervention does the nurse prioritize to promote proper self care? A)Assess the client's feelings about placement at a skilled nursing facility for care B)Educate the client on the risks of tissue death if not properly cared for at home C)Explore the client's abilities and motivation to perform care at home D)Provide the client with the supplies needed to change dressings as recommended

Question

Quizplus · Accepted Answer

Self care is a critical component of health. However, barriers to self care are multifactorial, and include: Knowledge (lack of experience, cognitive abilities) Skills/supplies (lack of dexterity, experience, financial barriers) Motivation (lack of assumed threat to health, denial, hopelessness) The nurse must assess for adequate knowledge and ability to perform self-care activities and the desire to complete such activities (Option C). Once the barriers have been identified, the nurse can work with the client to create an individualized plan to meet health care needs. (Option A) Without understanding the barriers to self care, the nurse cannot identify proper resources to assist the client in meeting needs. Placement for skilled nursing may be excessive for a client who lives independently. (Option B) Education on tissue death may be perceived as threatening and not therapeutic. (Option D) Financial resources or supplies may not be the barrier; therefore, this intervention may not effectively assist the client in performing self care successfully. Educational objective: The nurse must assess a client's knowledge, skills, and motivation to identify barriers to self care. Through this identification, the nurse can help develop an individualized plan to meet health care needs.

A Client Is Seen in the Clinic for the Third