Question

A nurse is performing an initial assessment an 87-year-old female recently recovering from open heart surgery. The patient admits she doesn't want to look in the mirror and isn't hungry for lunch. Based on this assessment, what the most appropriate outcome for the patient?

a) Patient will demonstrate no evidence of additional pressure ulcers.
b) Patient will ingest 50% of each meal during hospitalization.
c) Patient will report that pain management regimen relieves pain to a level of 5 of 10 or less within the shift.
d) Patient will show acceptance of the change in body image by helping with dressing change within 1 week.

Answer 1

The most appropriate outcome for the elderly patient is 'd) Patient will show acceptance of the change in body image by helping with dressing change within 1 week,' as it directly addresses her psychological needs and promotes involvement in her own care.

Step-by-step explanation:

The most appropriate outcome for an 87-year-old female patient recovering from open heart surgery who admits she doesn't want to look in the mirror and isn't hungry for lunch would be (d) Patient will show acceptance of the change in body image by helping with dressing change within 1 week.

Given the patient's reluctance to look in the mirror and lack of appetite, it is important to address her psychosocial needs alongside her physical health. The patient's behavior may indicate issues such as depression or difficulty in coping with her body image post-surgery, which could affect her overall recovery. Therefore, a goal that encourages the patient's involvement in self-care and promotes acceptance of her altered body image is pertinent, as it could lead to improved mental and emotional well-being, which is conducive to physical recovery.

Goals related to nourishment and pain management are also important; however, they do not directly address the psychosocial barriers that the patient is currently experiencing. While preventing additional pressure ulcers is significant for any bedridden patient, the information provided does not indicate that this is an immediate concern for her. Therefore, attention should primarily be focused on the patient's psychological adjustment and engagement in her own care, which is essential for comprehensive recovery.