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Zorluk: OrtaCollaboration with Interdisciplinary Team

During morning rounds on a neurology unit, a nurse observes a client with an acute exacerbation of multiple sclerosis consuming breakfast. The client coughs repeatedly and clears their throat forcefully after taking sips of water. When asked how they are feeling, the client states, 'My throat feels unusually weak today when I try to drink.' Which action by the nurse demonstrates the most appropriate interprofessional collaboration?

  1. A
    Assign an unlicensed assistive personnel to closely monitor and feed the client slowly for the remainder of the meal.
  2. B
    Contact the clinical dietitian to immediately replace the client's water with nectar-thickened liquids.
  3. Request a consultation with a speech-language pathologist to comprehensively evaluate the client's swallowing function.Cevap
  4. D
    Ask the client, 'Why do you think you are coughing so much when you try to drink your water today?'

Cevap

The nurse should request a consultation with a speech-language pathologist to comprehensively evaluate the client's swallowing function.
The client's coughing and throat clearing after drinking thin liquids are classic signs of dysphagia, a common complication of multiple sclerosis exacerbations. The speech-language pathologist is the specific interdisciplinary team member trained to conduct swallow studies, diagnose aspiration risk, and recommend safe diet modifications.

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1
Analyze the client's clinical presentation.
The client with multiple sclerosis is exhibiting new coughing and throat clearing after drinking thin liquids.
Identifying new neurological deficits is critical, as these symptoms strongly indicate dysphagia and a high risk for aspiration.
2
Evaluate the scope of practice for the interdisciplinary team members.
A speech-language pathologist specializes in assessing and managing swallowing disorders, whereas a dietitian focuses on nutritional content.
Matching the client's specific functional deficit to the correct allied health professional ensures safe and effective collaborative care.
3
Determine the safety of delegation and communication.
Delegating feeding of an unstable client is unsafe, and asking 'why' is non-therapeutic.
The nurse must prioritize securing an expert assessment to prevent an adverse physiological event like aspiration pneumonia.

Anahtar Kavram

Interprofessional collaboration involves identifying the specific functional deficits of a client and referring them to the appropriate specialist, such as a speech-language pathologist for new-onset dysphagia.
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Collaboration with Interdisciplinary Team

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