Question

A case manager is developing a discharge plan for a client who has spinal cord injury and is in a rehab facility. Which of the following actions should the nurse take first?

A. There are two rocking chairs in the living room
B. Observe the client's technique for drawing up insulin
C. Determine the client's ability to perform self-care
D. Point and flex your toes periodically

Answer 1

The nurse should first determine the client's ability to perform self-care when developing a discharge plan for a patient with a spinal cord injury to ensure the plan addresses the patient's specific needs and provides the right support upon discharge.

Step-by-step explanation:

The first action a nurse should take when developing a discharge plan for a client with a spinal cord injury is to determine the client's ability to perform self-care. Assessing the individual's self-care capabilities is essential for planning any necessary home modifications, support systems, and equipment that may be needed upon discharge. This assessment includes considering the client's mobility, daily activities, and any medical tasks they must perform, such as drawing up insulin. Only after establishing the client's self-care competencies can successful discharge planning commence, including goal setting for mobility, recognizing potential barriers such as untreated trauma, and ensuring the safety and wellbeing of the client in their home environment.