Final answer:
Discharge planning to address ADLs should begin early for a client undergoing a bilateral mastectomy and breast reconstruction with tissue expanders. The nurse should assess the client's functional abilities and provide instructions and support for performing ADLs during the recovery period.
Step-by-step explanation:
Discharge planning to address activities of daily living (ADLs) should begin for a client undergoing a bilateral mastectomy and breast reconstruction with tissue expanders as early as possible, even before the surgery takes place. It is important to involve the client in the planning process and provide education and resources to help them adapt to the changes in their daily routine.
During the recovery period, the client may experience limitations in arm movement, pain, and fatigue. The nurse should assess the client's functional abilities and provide instructions and support for performing ADLs, such as bathing, dressing, grooming, and feeding. Additionally, the nurse should help the client develop strategies to manage any functional limitations they may encounter.
By initiating discharge planning early and addressing ADLs, the healthcare team can ensure a smooth transition from the hospital to the client's home and provide the necessary support for the client's recovery and adaptation to their new situation.