A nurse is preparing to discharge a client who has COPD. The client states, "I don't know how to get oxygen delivered to my home." Which of the following resources should the nurse recommend for the client?
Explanation & Rationale
Discharge planning for a client with Chronic obstructive pulmonary disease involves coordinating long-term support services that promote safety, independence, and effective disease management at home. Clients with COPD often require home oxygen therapy, equipment setup, and ongoing monitoring to manage chronic hypoxemia. Navigating healthcare resources can be complex, so interdisciplinary coordination is essential. The nurse plays a key role in linking the client to services that facilitate continuity of care after hospital discharge. Rationale: A. Case management is the appropriate resource because case managers coordinate post-discharge services such as home oxygen delivery, equipment setup, insurance coverage, and follow-up care. They act as a link between the healthcare team, suppliers, and the client to ensure continuity of care. This support is essential for clients with chronic conditions like COPD who require ongoing medical equipment at home. B. Palliative care focuses on symptom management and quality of life for clients with serious or advanced illness but does not specifically arrange medical equipment or home oxygen delivery. While it may be beneficial for symptom control in COPD, it is not the primary service responsible for coordinating home healthcare logistics. C. Rehabilitation programs focus on improving physical endurance, breathing techniques, and functional capacity through pulmonary rehabilitation. Although helpful for COPD management, they do not coordinate home oxygen delivery or equipment services. Their primary role is therapeutic exercise and education rather than discharge logistics. D. Respite care provides temporary relief for caregivers by offering short-term care for the client, usually in a facility setting. It is not designed to arrange home medical equipment or long-term oxygen therapy. This service supports caregivers rather than addressing the client’s immediate post-discharge equipment needs.