Question

Difficulty: EasyCollaboration with Interdisciplinary Team

A nurse is developing a discharge plan for a client with advanced heart failure. The client requires home oxygen therapy equipment, needs to learn energy conservation techniques for bathing, and requires initial education on a strict low-sodium diet. The client expresses anxiety about managing these changes at home. Which collaborative actions should the nurse include in the plan of care? (Select all that apply.)

  1. Consult the facility case manager to coordinate the delivery of home oxygen equipment.Answer
  2. Request a referral to occupational therapy to teach the client energy conservation strategies during bathing.Answer
  3. Collaborate with a registered dietitian to provide comprehensive education regarding the low-sodium diet.Answer
  4. D
    Delegate the initial low-sodium diet education to the unlicensed assistive personnel (UAP) to ensure timely completion.
  5. E
    Delay initiating the home oxygen coordination until the day of discharge to prioritize immediate acute care needs.
  6. F
    Tell the client not to worry about the transition home because the healthcare provider has everything under control.

Answer

The correct actions are consulting the case manager for oxygen equipment, requesting occupational therapy for bathing strategies, and collaborating with a registered dietitian for dietary education.
The correct collaborative actions appropriately utilize the interdisciplinary team based on their distinct scopes of practice. Case managers handle resource coordination (oxygen), occupational therapists address activities of daily living (bathing), and dietitians manage complex nutritional education (low-sodium diet).

Step-by-Step Solution

1
Analyze the client's specific discharge needs.
The client requires home oxygen, bathing modifications, and specialized dietary teaching.
Identifying specific deficits and needs is the first step in determining which interdisciplinary team members are required.
2
Match the identified needs to the appropriate allied health scopes of practice.
Oxygen coordination matches the case manager, ADL modifications match the occupational therapist, and nutritional teaching matches the dietitian.
Effective collaboration requires an accurate understanding of each team member's role and expertise.
3
Evaluate the remaining options for safety and therapeutic communication.
Delegating initial teaching to UAP, delaying discharge planning, and providing false reassurance are identified as incorrect actions.
These actions violate principles of safe delegation, care prioritization, and therapeutic communication.

Key Concept

Interdisciplinary Team Roles and Scope of Practice
Estimated Time:1m 0s
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