What setting should a nurse recommend for an older adult client who had a total hip arthroplasty and cannot ambulate independently?

For an older adult client who has undergone total hip arthroplasty and is unable to ambulate independently, recommending a home health nurse visit is appropriate because it allows for personalized care in the comfort of their own home. This approach provides the client with one-on-one attention and tailored rehabilitation support, focusing on recovery from the surgery while maintaining familiarity and reducing the stress associated with a hospital or facility setting.

Home health services can facilitate necessary therapy, medication management, and assistance with daily activities while allowing the client to recover at their own pace in an environment that may enhance their emotional well-being. This option maximizes the client's comfort and provides the opportunity to maintain personal routines which can be vital in the recovery process.

While rehabilitation facilities can offer extensive therapy, they may not address the emotional and social needs as effectively as a home setting. Nursing homes typically cater to clients who require more extensive long-term care due to chronic conditions and extensive assistance, which may not be necessary for someone recovering from a hip surgery. Assisted living facilities offer some support but may not provide the intensive rehabilitation needed immediately after surgery.