Question

A 70 yo mentally competent pt is at high risk for falls. the nurse recommends the use of a cane or a walker, but the pt refuses. what should the nurse do first

a. explore other options with the pt that may be acceptable
b. request that the MD speak to the pt
c. call the pt SDM to discuss the matter
d. refer the pt to the physio for assessment

Answer 1

The nurse should first discuss and explore alternative options with the patient to find an acceptable solution for fall prevention, demonstrating respect for the patient's autonomy and willingness to collaborate.

Step-by-step explanation:

If a 70-year-old mentally competent patient is at high risk for falls and refuses the use of a cane or walker, the nurse should first explore other options with the patient that may be acceptable. This approach respects the patient's autonomy and encourages collaborative decision-making. The nurse can offer various alternatives or modifications that might increase the patient's safety without making them uncomfortable or resistant.

For instance, discussing potential hazards in the patient's living environment that could be mitigated, or considering physical therapy to improve balance and strength, might be more agreeable to the patient. It is also important to educate the patient about the risks and benefits of using assistive devices and to address any concerns or misconceptions they may have.

If after exploring other options the patient still refuses, the nurse may then consider consulting with the physician or other healthcare professionals, such as a physiotherapist, to further assess and address the patient's needs and concerns.