Question

Difficulty: MediumCollaboration with Interdisciplinary Team

During discharge preparations, a client who had a unilateral below-the-knee amputation three days ago expresses acute anxiety about returning home. The client states to the registered nurse, "I cannot imagine how I will be able to safely take a shower or get dressed without help." Which intervention demonstrates the most appropriate interprofessional coordination of care?

  1. Request a consultation with occupational therapy to assess the client's need for adaptive equipment and provide self-care training.Answer
  2. B
    Instruct the unlicensed assistive personnel to demonstrate modified dressing techniques to the client before discharge.
  3. C
    Comfort the client by explaining that these fears are common and physical therapy will handle all bathing and dressing concerns.
  4. D
    Prop the residual limb on a pillow to prevent edema and consult the medical social worker to arrange for an assisted living facility.

Answer

Request a consultation with occupational therapy to assess the client's need for adaptive equipment and provide self-care training.
The client's primary concern relates to safely performing activities of daily living (ADLs), specifically bathing and dressing. Occupational therapists specialize in promoting client independence by evaluating the ability to perform ADLs, recommending specific adaptive equipment, and providing targeted self-care training. Requesting an occupational therapy consultation directly addresses the client's functional deficit through appropriate interprofessional collaboration.

Step-by-Step Solution

1
Analyze the specific nature of the client's verbalized concern.
The client is expressing anxiety specifically related to performing activities of daily living (ADLs), such as bathing and dressing, following an amputation.
Identifying the precise functional deficit is necessary to determine which interdisciplinary team member has the correct scope of practice.
2
Determine the appropriate allied health discipline for the identified need.
Occupational therapy (OT) is identified as the correct discipline.
Occupational therapists specialize in evaluating clients, recommending adaptive equipment, and providing training to restore independence in ADLs and fine motor skills.
3
Evaluate the remaining distractors for clinical safety and scope of practice errors.
Delegation of teaching to a UAP, using false reassurance, and improper post-operative positioning are identified as incorrect nursing actions.
The nurse must synthesize knowledge of delegation rules, therapeutic communication, and physiological safety (preventing contractures) to eliminate inappropriate interventions.

Key Concept

Interprofessional Scope of Practice and Care Coordination
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