Question

An older client who has had multiple hospital admissions for recurring heart failure is returned to the hospital by an adult child. the client is admitted for observation to the coronary care unit and calmly states, "i know i'm sick, but i can really take care of myself at home." what should the nurse conclude that the client most likely is attempting to do?

Answer 1

The nurse can conclude that the patient knowing that his illness is chronic prefers to die at home and not extend his suffering in the hospital. He was also able to make this decision since he thinks he is an elderly patient who can no longer improve his quality of life and wants to spend his last days resting at home with his family

Answer 2

The patient who had multiple hospital admissions for recurrent heart failure would like to maintain independence as to reduce the amount of supervision he/she requires. It brings control, dignity, fulfilment and self-esteem that they will have better quality life for themselves. Moreover, independence is important for them because it gives them hope and the will to live despite their medical condition.