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Zorluk: OrtaCollaboration with Interdisciplinary Team

A nurse is coordinating the discharge plan for a client who is recovering from a total laryngectomy with a new permanent tracheostomy and a percutaneous endoscopic gastrostomy (PEG) tube. Which actions should the nurse include in the interdisciplinary care plan? Select all that apply.

  1. Consult the speech-language pathologist to evaluate swallowing function and develop alternative communication strategies.Cevap
  2. Coordinate with the medical social worker to arrange home delivery of necessary tracheostomy and enteral feeding supplies.Cevap
  3. Schedule a session with the respiratory therapist to reinforce proper airway clearance and suctioning techniques with the family.Cevap
  4. D
    Delegate the initial observation and assessment of the family's PEG tube feeding technique to the unlicensed assistive personnel (UAP).
  5. E
    Provide reassurance by telling the client they will easily adjust to these lifestyle changes without needing to join a community support group.
  6. F
    Postpone notifying the respiratory therapist about a sudden increase in thick, bloody airway secretions to allow the client to complete routine morning hygiene.

Cevap

The correct actions involve consulting the speech-language pathologist for communication strategies, coordinating with the medical social worker for home supplies, and scheduling the respiratory therapist to reinforce airway clearance techniques.
A client with a total laryngectomy and PEG tube requires complex multidisciplinary care. The speech-language pathologist is essential for establishing alternative communication methods and evaluating swallowing. The medical social worker or case manager is responsible for coordinating community resources and securing home medical equipment. The respiratory therapist provides specialized education on managing the permanent tracheostomy and suctioning techniques.

Adım Adım Çözüm

1
Analyze the client's clinical situation and anticipated discharge needs.
The client has a permanent airway alteration and nutritional support needs requiring complex, multidisciplinary interventions.
Identifying specific deficits and care requirements determines which specialized team members are essential for safe discharge.
2
Match the client's specific needs with the appropriate interdisciplinary team members' scope of practice.
Speech-language pathology is needed for communication and swallowing, respiratory therapy for airway care, and social work for home resources.
Appropriate interprofessional collaboration ensures all aspects of the client's transition to home are safely managed.
3
Evaluate the remaining options against safety, delegation, and therapeutic communication principles.
Options involving inappropriate delegation to UAP, non-therapeutic reassurance, and delayed prioritization of airway issues are rejected.
Nurses must maintain safe delegation boundaries and prioritize physiological needs while providing holistic, therapeutic care.

Anahtar Kavram

Effective interdisciplinary collaboration ensures comprehensive care for clients with complex physiological and psychosocial needs during transitions of care.
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Collaboration with Interdisciplinary Team

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