Question

Discharge Plan A 78 year old client is diagnosed with Chronic Renal Failure (CRF). The client is hemodynamically stable and the multidisciplinary care team is planning for discharge. Complete the following table providing information to address the clients ADL's and social activities, rehabilitation strategies, techniques and equipment in the columns provided (see example below)

Current issues Possible impact on client's ADLs and social activities. Possible rehabilitation strategies, techniques and equipment. Diet maintenance Inability to cook own meals. Needs education for Renal diet. Meals On Wheels could be arranged to assist the client with meal preparation. Dietician referral is to provide education on low salt diet preparation.

Current issues Possible impact on client's ADLs and social activities. Possible rehabilitation strategies, techniques and equipment.

1)     Managing medications

7.2)     Skin integrity issues

7.3)     Fluid Balance

7.4)     Bilateral leg oedema

7.5)     Exercise maintenance

Answer 1

Current issues	Possible impact on client's ADLs and social activities	Possible rehabilitation strategies, techniques and equipment.
Managing medications	Inability to take own medicine, needs supervision	Attend home nurse or care giver for the same
Skin integrity issues	inability to move from the bed and with in the bed	change the position of the patient every 2 hourly
Fluid Balance	Client not able to monitor intake out put chart	Restrict fluid intake, supervision of the intake and out put chart
Bilateral leg oedema	Difficulty in taking care of ADL	Provide assisstance for the same
Exercise maintenance	Not able to perform any exercise by his own	Assist in exercise, provide equipment which helps in exercise