Occupational Therapy Assistant

Category - Implementing Interventions

John and his wife Lavinia have been married for 63 years. John is being discharged from the nursing home. You have worked hard at teaching him how to complete ADLs himself, but he insists that Lavinia help him with everything once he gets home. Lavinia has severe osteoarthritis and has trouble completing her own ADLs. What do you tell John to encourage him to complete ADLs himself?
  1. “John, you are lazy. You must complete your own self-care tasks.
  2. “John, your doctor will not let you out of this nursing home until you can complete your own self-care tasks.”
  3. “John, I know Lavinia is very willing to help you do everything at home. But she is in a lot of pain, and she has trouble completing her own self-care tasks. Don’t you think that if you could complete your own self-care tasks, you would make life easier for Lavinia?”
  4. “John, I will not allow Lavinia to do everything for you. You must complete your self-care tasks yourself!”
Explanation
Answer: C. You would tell John that you know his wife, Lavinia, is very willing to help him with everything at home. But she is in a lot of pain and has trouble completing her own self-care tasks. You would appeal to John that the act of completing his own self-care tasks would make life easier for Lavinia. Elderly people are often motivated by the fact that if they can complete a task themselves, they will not be a “burden” to their loved ones.
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