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Difficulty: MediumCollaboration with Interdisciplinary Team

A 68-year-old client is preparing for discharge home following a complex bowel resection with a new permanent colostomy. The client has a history of poorly controlled type 2 diabetes mellitus with severe peripheral neuropathy in both hands. The client expresses significant concern about the cost of ostomy supplies and insulin. Which of the following interdisciplinary team collaborations should the registered nurse initiate? Select all that apply.

  1. Medical Social Worker to identify financial assistance programs for medical suppliesAnswer
  2. Occupational Therapist to assess and recommend adaptations for fine motor deficitsAnswer
  3. Registered Dietitian to develop a postoperative glycemic control and nutrition planAnswer
  4. D
    Physical Therapist to teach the client how to cut and apply the ostomy skin barrier
  5. E
    Hospital Chaplain to provide guidance on managing the monetary costs of discharge
  6. F
    Unlicensed Assistive Personnel to evaluate the client's psychological readiness to view the stoma

Answer

The correct interdisciplinary collaborations are the Medical Social Worker, the Occupational Therapist, and the Registered Dietitian.
The correct selections directly address the client's specific clinical and psychosocial needs within the appropriate scopes of practice. The Medical Social Worker is essential for resolving financial barriers to obtaining medical supplies. The Occupational Therapist is necessary to help the client adapt ostomy care techniques to accommodate the fine motor deficits caused by severe peripheral neuropathy. The Registered Dietitian is required to provide specialized education on postoperative nutrition and glycemic control for the poorly managed diabetes.

Step-by-Step Solution

1
Analyze the client's clinical presentation and explicitly stated needs.
The client has three distinct needs: financial concerns regarding supplies, fine motor deficits (neuropathy) impacting their ability to perform ostomy care, and poorly controlled diabetes requiring nutritional management.
Identifying the specific physical and psychosocial deficits is the necessary first step in determining appropriate interdisciplinary referrals.
2
Match each identified need with the appropriate interdisciplinary team member's scope of practice.
Financial needs align with the Medical Social Worker, fine motor deficits align with the Occupational Therapist, and diabetes/healing nutrition aligns with the Registered Dietitian.
Ensuring referrals match the correct scope of practice optimizes client outcomes and provides comprehensive care coordination.
3
Evaluate the distractors against the client's needs and delegation rules.
The Physical Therapist focuses on gross motor skills, the Chaplain addresses spiritual rather than financial needs, and Unlicensed Assistive Personnel cannot perform initial psychosocial assessments.
Ruling out incorrect disciplines and inappropriate delegations ensures safe care and prevents medical errors.

Key Concept

Interdisciplinary Team Collaboration and Scope of Practice
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Topics

Collaboration with Interdisciplinary Team

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