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Setting: Home Visit

Patient: you are a 90-year-old client, who has lived alone fairly independently for many years in a unit on your daughter's property. Your daughter's family are going overseas for two weeks and you are going to a lovely retirement home. You are having an assessment by a community nurse.
Option 1: Agree to go to the retirement home for your family's sake.
Option 2: Refuse to leave your current living situation.
Option 3: Demand complete privacy and flexibility in the retirement home.
Option 4: Suggest staying at home with occasional nurse visits.

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Final answer:

Remain at home with nurse visits offers a balance of medical care and comfort of familiar surroundings, often leading to a higher satisfaction and cost-effectiveness in health care.

Step-by-step explanation:

The decision of whether to remain in one's own home or opt for a nursing facility involves several considerations, including personal preferences, health requirements, and financial implications. The option to refuse to leave one's current living situation and instead have nurse visits at home offers a compromise that provides medical oversight without the need to uproot from a familiar environment. Research, such as the studies conducted by Olds et al., suggests that in-home support can have a positive impact on both maternal outcomes and child development, highlighting the benefits of such an approach.

Studies by Brumley et al. reinforce the value of in-home care, demonstrating that patients reported increased satisfaction and experienced lower healthcare costs when receiving palliative care at home versus traditional hospital settings. These findings resonate with the historical context where individuals frequently toiled at home, albeit under challenging conditions with pests like lice and rats being common.
In contemporary times, however, the significance of remaining in one's home, especially for the elderly facing chronic illnesses or the ending stages of life, as noted in literature on challenges facing the elderly, tends to emphasize the comfort and control that familiar surroundings afford.

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