Which intervention promotes independence for patients with limited mobility?

• A. Complete dependence on caregiver.
• B. Eliminate use of assistive devices.
• C. Restrict activities to bed rest.
• D. Encourage self-care activities and use assistive devices; set achievable goals.

Answer: (D)

Promoting independence means actively involving the patient in self-care and using tools that compensate for limited mobility so tasks can be done safely and with a sense of control. Encouraging self-care activities helps preserve strength, coordination, and routine, while assistive devices—such as reachers, sock aids, dressing aids, grab bars, or a gait belt—provide support that makes independence feasible rather than impossible. Setting achievable goals gives the patient clear, attainable steps, builds confidence, and prevents frustration, allowing gradual progress.

This approach contrasts with relying entirely on a caregiver, which erodes autonomy and can lead to further loss of function. Eliminating assistive devices removes essential safety and facilitation, making independence impractical and risky. Limiting activities to bed rest leads to deconditioning and a cycle of increasing dependence. By combining self-care encouragement, appropriate assistive tools, and realistic goals, independence is supported while maintaining safety.