John Green, a 71-year-old patient, is being discharged from the rehabilitation unit 8 weeks after an

ischemic stroke. The patient’s spouse stated that they used to enjoy going to golf outings with their

friends, but the patient has not played golf since he had the stroke, and she does not want to try to golf

once her husband is discharged home because he has to use a walker and can barely ambulate. She also

states that her husband still has trouble speaking, and his short-term memory is not very astute so it would

be embarrassing to be on a golf outing with him. The patient’s spouse has worn the same outfit to the

rehabilitation unit the past 3 days, and the nurse notices the patient’s hair is unkempt and his affect is flat.

The rehab nurse has made arrangements with the social worker for a physical therapist, speech

therapist, and occupational therapist to provide three sessions of therapy at the patient’s home for the

next 4 weeks, and then a reevaluation will follow to determine if the patient will need further therapy. The

patient is able to sit independently, stand independently, and use a walker. The patient is able to ambulate

30 feet with the walker, and then he requires a short rest before he is able to ambulate another 30 feet.

The patient slurs words occasionally and has hesitant speech. The patient has problems with short-term

speech. (Learning Objective 7)
What educational topics should the nurse provide the family about home care for the patient after stroke?
What assessment of the spouse does the nurse need to make, and what should the nurse suggest?
Three references at the bottom

Sample Solution

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