An 82-year-old client recovering from a stroke has left-sided weakness and needs help with transfers, bathing and dressing. The care plan specifies a walker, gait belt and staff assistance for transfers. The client can wash the face and brush the teeth independently when supplies are within reach and says, “Please let me do those parts myself and keep my religious medallion on.” It does not interfere with care. Which approach should the LPN/VN use?
- Remove the medallion for routine hygiene even though it does not interfere with care.
- Have the client stand alone at the sink while gathering supplies to encourage independence.
- Complete all hygiene tasks for the client to conserve energy, despite the request to participate.
- Follow the assessed transfer plan, arrange supplies for safe self-care, and honor the client’s medallion preference.