A pediatric nurse is coordinating the transition of care for a 10-year-old client who sustained a severe traumatic brain injury and multiple upper extremity fractures in a motor vehicle collision. The client is medically stable but exhibits expressive aphasia, difficulty swallowing liquids, and an inability to perform upper body dressing. Furthermore, the client's parents are expressing extreme distress about their inability to afford the recommended intensive inpatient rehabilitation. Which of the following interdisciplinary team members should the nurse actively involve in this client's care plan? Select all that apply.
- Speech-language pathologist to evaluate the swallowing difficulties and expressive aphasiaAnswer
- Occupational therapist to implement strategies and adaptive equipment for upper body dressingAnswer
- Medical social worker to explore financial assistance programs and coordinate rehabilitation placementAnswer
- DUnlicensed assistive personnel (UAP) to conduct the initial discharge education on upper extremity cast care
- EHospital chaplain to identify community grants and negotiate insurance coverage for the rehabilitation stay
Answer
The nurse should actively involve the speech-language pathologist, the occupational therapist, and the medical social worker.
The correct team members directly address the specific needs outlined in the scenario: the speech-language pathologist manages the expressive aphasia and swallowing difficulty, the occupational therapist addresses the inability to perform upper body dressing (an activity of daily living), and the medical social worker addresses the family's financial crisis and coordinates the transfer to a rehabilitation facility.
Step-by-Step Solution
Key Concept
Collaboration with Interdisciplinary Team