A nurse is providing an interdepartmental handoff report to a home health nurse using the SBAR (Situation, Background, Assessment, Recommendation) format. The client is being discharged after a severe ischemic stroke that resulted in right-sided hemiplegia. During the assessment phase, the discharging nurse notes that the client's spouse is highly anxious and feels overwhelmed about managing the client's daily hygiene, dressing, and feeding. Which statement by the discharging nurse represents the most appropriate "Recommendation" to ensure safe, interdisciplinary care?
- I recommend coordinating with an occupational therapist to evaluate the client and teach the spouse adaptive techniques for activities of daily living.Answer
- BI recommend delegating the family education on safe bathing and transfer procedures to the home health unlicensed assistive personnel.
- CI recommend offering the spouse frequent reassurance that everything will be fine once they settle into their new normal.
- DI recommend prioritizing a physical therapy evaluation to address the client's inability to perform fine motor tasks like holding eating utensils.
Answer
The most appropriate recommendation is to coordinate with an occupational therapist to evaluate the client and teach the spouse adaptive techniques for activities of daily living.
The correct answer accurately identifies the occupational therapist as the appropriate interdisciplinary team member to address deficits in activities of daily living (ADLs) and fine motor skills. Suggesting this referral in the 'Recommendation' phase of SBAR directly addresses the spouse's concerns and ensures safe, effective care planning for the transition home.
Step-by-Step Solution
Key Concept
Occupational therapists are the interdisciplinary team members who specialize in evaluating and teaching clients and families adaptive techniques for fine motor skills and activities of daily living (ADLs).