A client with amyotrophic lateral sclerosis (ALS) is hospitalized and has recently started coughing and clearing their throat frequently during meals. The client's spouse is visibly anxious and asks the nurse if the client is going to choke. Which action by the nurse is the most appropriate to address these concerns?
- Request a consultation with a speech-language pathologist to evaluate the client's swallowing function.Answer
- BInstruct the unlicensed assistive personnel (UAP) to perform an initial bedside swallowing assessment.
- CPrioritize providing the spouse with pamphlets about ALS support groups before addressing the client's airway safety.
- DReassure the spouse by stating, "Try not to worry; our medical team will ensure nothing bad happens."
Answer
The most appropriate action is to request a consultation with a speech-language pathologist to formally evaluate the client's swallowing function.
Clients with progressive neuromuscular diseases, such as ALS, are at an increased risk for developing dysphagia. Coughing during meals is a cardinal sign of potential aspiration. The most appropriate collaborative action is to obtain a consultation with a speech-language pathologist (SLP), as they are the interdisciplinary experts trained to evaluate swallowing safety and recommend appropriate diet modifications.
Step-by-Step Solution
Key Concept
Interprofessional collaboration for dysphagia management
Estimated Time:45s