PN Adult Medical Surgical Practice Exam

When discussing discharge planning for a patient with a recent stroke, what is the most important factor to consider?

1. The patient’s support system at home.

2. The patient's age and activity level.

3. The patient's ability to communicate effectively.

4. The preventative medications prescribed.

The correct answer is: The patient’s support system at home.

When discussing discharge planning for a patient who has recently experienced a stroke, the most critical factor to consider is the patient's support system at home. A robust support system is vital for the patient’s recovery and successful transition from hospital to home. Stroke can significantly affect a patient’s physical and cognitive abilities, which may impair their capacity to perform daily activities independently. Having a reliable support system, comprised of family members, friends, or caregivers, can ensure that the patient has the necessary assistance with daily tasks, transportation to follow-up appointments, emotional support, and medication management. Furthermore, this support can help facilitate rehabilitation efforts, which are crucial in the recovery process. While the patient's age and activity level, ability to communicate effectively, and preventative medications are indeed important considerations, they do not outweigh the need for a solid support network. Without appropriate support, patients may struggle to implement medical advice or adhere to therapeutic regimens, putting them at higher risk for complications and rehospitalization. This highlights the central role that a supportive environment plays in the overall recovery and wellbeing of stroke patients.