During interdisciplinary rounds, a nurse utilizes the SBAR framework to report on a client preparing for discharge following a complex surgical resection of an acoustic neuroma. The assessment reveals that the client chokes on thin liquids, exhibits ataxia that prevents them from holding utensils, and is tearful, stating, "I am completely hopeless." Which collaborative action by the nurse is the most appropriate?
- Consult a speech-language pathologist to evaluate the swallowing risk and an occupational therapist to address the fine motor deficits.Answer
- BDelegate the initial assessment of the client's swallowing ability during breakfast to the unlicensed assistive personnel.
- CPrioritize coordinating a dietary consult for nutritional supplementation before establishing immediate aspiration precautions.
- DReassure the client by stating, "Everything will be fine once you start therapy," rather than requesting a medical social worker.
Answer
Consult a speech-language pathologist to evaluate the swallowing risk and an occupational therapist to address the fine motor deficits.
The correct answer demonstrates accurate interdisciplinary collaboration by identifying the appropriate allied health professionals for the client's specific deficits. An SLP is required to address the dysphagia and prevent aspiration, while an OT is required to address the ataxia and assist with adaptive feeding tools.
Step-by-Step Solution
Key Concept
Effective interdisciplinary collaboration requires the nurse to accurately identify client needs and refer them to the appropriate allied health professional, such as a Speech-Language Pathologist for dysphagia and an Occupational Therapist for fine motor and ADL deficits.