BCEN CEN Practice Question

The correct answer is to arrange for a home health nurse evaluation within 24 hours of discharge. This strategy addresses the complex needs of an elderly patient with cognitive impairment and limited support who has experienced a fall. A home health nurse can assess the patient's home environment, evaluate their ability to follow discharge instructions, ensure proper medication management, and identify any additional support needs or safety concerns. This approach is more comprehensive than simply providing written instructions or contacting family members, which may not be sufficient given the patient's cognitive status and lack of support. While involving a social worker is beneficial, it doesn't provide the immediate, hands-on assessment that a home health nurse can offer. Arranging for home health services demonstrates a proactive approach to preventing complications, reducing the risk of readmission, and ensuring continuity of care for a vulnerable patient. It also aligns with best practices in geriatric emergency medicine and discharge planning for high-risk patients.