Safety and Infection Control Q 9
During the evaluation of the quality of home care for a client with Alzheimer’s disease, the priority for the nurse is to reinforce which statement by a family member?
A. “At least two (2) full meals a day are eaten.”
B. “We go to a group discussion every week at our community center.”
C. “We have safety bars installed in the bathroom and have 24-hour alarms on the doors.”
D. “The medication is not a problem to have it taken three (3) times a day.”
Correct Answer: C. We have safety bars installed in the bathroom and have 24-hour alarms on the doors.
Note all options are correct statements. However, safety is most important to reinforce.
Option C: Ensuring safety of the client with increasing memory loss is a priority of home care. In addition to installation of safety bars, all obvious hazards should be removed in order to prevent falls and other injuries. A hazard-free home environment allows the patient maximum independence and a sense of autonomy.
Option A: In addition to proper nutrition, mealtimes should be kept pleasant, simple, calm, and without confrontations. Patients with AD prefer foods that are familiar, appetizing, and tastes good. Food should be cut into smaller pieces when possible to prevent choking. Hot food and beverages should be served warm or have their temperature checked to prevent burns.
Option B: Socialization is encouraged for patients with dementia. Participation in simple activities, visits from friends, doing hobbies, or caring for pets helps improve the quality of life.
Option D: Medication for Alzheimer’s disease helps manage the cognitive and behavioral symptoms.