A hospice patient with ALS lives at home with their partner. The nurse was notified that the partner was just admitted to the hospital with signs of a stroke. The patient is unable to be at home unassisted. The nurse arranges for aides to stay with the patient until arrangements can be made for admission into a nursing home. This is an example of:
Escalating the level of care.
In this scenario, the nurse recognizes that the hospice patient cannot remain at home alone due to the partner's hospitalization, which necessitates a change in the level of care provided. By arranging for aides to stay with the patient, the nurse is ensuring that the patient receives the necessary support until a suitable long-term solution can be implemented.
Identifying goals involves setting specific objectives for patient care, focusing on desired health outcomes and quality of life. While the nurse may have goals for the patient's care in hospice, this scenario emphasizes immediate action rather than goal setting. Therefore, this choice does not accurately reflect the nurse's response to the situation.
Modifying the plan of care refers to adjusting existing care strategies to meet changing patient needs. Although the nurse is ensuring care through aides, the primary action taken is not merely a modification but an escalation of care due to the unforeseen circumstances involving the partner’s health. Thus, while related, this choice does not capture the urgency and nature of the response.
Ethical advocacy involves supporting a patient's rights and addressing ethical dilemmas in their care. While the nurse may be advocating for the patient's needs by arranging for aides, the key action here is about escalating care due to an immediate change in the patient's living situation. Therefore, this choice does not encompass the primary decision made in this context.
In this situation, the nurse's actions exemplify the escalation of care, as immediate assistance is required for the patient due to the partner's sudden hospitalization. Ensuring that aides are present not only addresses the patient's safety and needs but also reflects the necessity for a higher level of support during this crisis. This proactive approach is essential in maintaining the patient’s well-being in a challenging situation.
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