Correct Answer: to provide a secure environment for the patient
when a 35-year-old blind and deaf patient is admitted to a healthcare facility, the charge nurse faces a unique set of challenges. this patient, due to their disabilities, is particularly vulnerable in unfamiliar environments. thus, the primary responsibility of the charge nurse in this situation would be to create and maintain a secure environment for the patient. let’s explore why this is crucial and how it can be achieved.
patients who are blind and deaf can experience heightened anxiety and disorientation upon being placed in new settings. without the ability to see or hear, these patients rely heavily on their remaining senses and a stable, predictable environment to navigate and understand their surroundings. it is imperative for healthcare providers to recognize these unique needs and address them appropriately.
the priority in creating a secure environment involves several key actions by the nursing staff:
1. **assessment of the environment**: the first step is conducting a thorough assessment of the environment to ensure it is safe and navigable for the patient. this includes removing any physical obstacles that could pose a risk, ensuring that floors are clear of hazards that could lead to falls, and arranging the room in a way that maximizes the patient's ability to use their sense of touch and spatial awareness to orient themselves.
2. **personalized orientation**: upon admission, it is crucial to orient the patient to their new surroundings in a manner that they can comprehend. this might include guided tactile tours of the room and facilities they will use, consistent placement of their personal items, and the use of any available adaptive technologies or aids designed for individuals who are blind and deaf.
3. **effective communication**: establishing a reliable method of communication is essential. this could involve the use of tactile signing, braille, or other tools tailored to the patient's needs and preferences. the nursing staff must be trained or briefed on the best ways to communicate effectively with the patient to reduce confusion and anxiety.
4. **continuous monitoring and support**: continuous monitoring ensures that the patient does not encounter unexpected situations that could lead to stress or injury. regular check-ins by the nursing staff can help reassure the patient and provide an opportunity to address any needs or concerns that arise.
while other tasks such as ensuring that admission procedures are followed and paperwork is processed correctly are also important, they do not supersede the immediate and ongoing needs of ensuring patient safety and comfort. informing the family about visiting hours and other procedural matters, while supportive, is secondary to the patient’s direct care and well-being in this specific context.
in conclusion, providing a secure environment for a blind and deaf patient is about much more than mere physical safety. it encompasses creating a space where the patient can feel oriented, understood, and cared for, despite the challenges posed by their sensory impairments. this holistic approach not only addresses their immediate physical needs but also supports their psychological well-being, ensuring a smoother and more comfortable healthcare experience.
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