How can the nurse support a client's autonomy following a total colectomy?

Supporting a client's autonomy following a total colectomy involves empowering them to make choices regarding their care and environment as much as possible. Asking the client when they would like the staff to replace their bed linens is an excellent way to provide them with an opportunity to express their preferences and participate actively in their care. This approach not only fosters independence but also promotes dignity and respect for the client's individual needs and wishes, which is fundamental to patient-centered care.

The other options, while they may seem efficient, do not support the client's autonomy. Making decisions on behalf of the client undermines their right to be involved in choices affecting their health and recovery. Maintaining strict control over the client’s care schedule dismisses the individual’s ability to have a say in their own care routine, and ignoring the client’s preferences can lead to feelings of disempowerment and dissatisfaction with the care they receive. All these actions can erode trust and hinder the therapeutic relationship between the nurse and the client.