A charge nurse is teaching a group of nurses about the purpose of a living will. Which of the following information about living wills should the charge nurse include in the teaching?

Choice A reason: This is not the information that the nurse should include in the change-of-shift report. The time the client received his last dose of pain medication is not relevant to the transfer to the rehabilitation facility. The nurse should document the pain medication administration in the medication record and communicate it to the receiving nurse.

Choice B reason: This is the information that the nurse should include in the change-of-shift report. The steps to follow when providing wound care are important to ensure the continuity and quality of care for the client. The nurse should explain the type, location, and condition of the wound, the dressing materials and frequency, and any signs of infection or complications.

Choice C reason: This is not the information that the nurse should include in the change-of-shift report. The client's preferred time for bathing is not essential to the transfer to the rehabilitation facility. The nurse should respect the client's preferences and routines, but they are not a priority for the report.

Choice D reason: This is not the information that the nurse should include in the change-of-shift report. The belief that the client has a difficult relationship with his son is not based on facts and may be biased or inaccurate. The nurse should avoid making assumptions or judgments about the client's family dynamics and focus on the objective data and the client's needs.

Choice A reason: Decreased cost-effectiveness is not an outcome of critical pathway use, but rather an outcome of poor quality care. Critical pathways are designed to improve the quality and efficiency of care by reducing unnecessary costs and resources.

Choice B reason: Decreased care delays is an outcome of critical pathway use, as it reflects the timely and coordinated delivery of care. Critical pathways are evidence-based plans that outline the expected course of care and outcomes for a specific client population.

Choice C reason: Increased length of stay is not an outcome of critical pathway use, but rather an outcome of ineffective or inappropriate care. Critical pathways are intended to shorten the length of stay by optimizing the care process and preventing complications.

Choice D reason: Increased variation in clinical interventions is not an outcome of critical pathway use, but rather an outcome of inconsistent or individualized care. Critical pathways are meant to standardize the clinical interventions based on the best available evidence and practice guidelines.