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Zorluk: ZorCollaboration with Interdisciplinary Team

A nurse is coordinating the care plan for a client recovering from a right hemispheric cerebrovascular accident (CVA). The client exhibits left-sided hemiparesis, unilateral neglect, and impulsive behavior. The family expresses severe distress because the client frequently chokes when drinking liquids and becomes highly agitated when struggling to grasp eating utensils. Which action by the nurse demonstrates the most appropriate interdisciplinary collaboration and care management?

  1. Requesting a referral to a speech-language pathologist to evaluate the choking episodes and an occupational therapist to address the difficulty with grasping utensils.Cevap
  2. B
    Delegating the task of assessing the client's swallowing coordination during their first meal to an experienced unlicensed assistive personnel (UAP).
  3. C
    Consulting a physical therapist to develop a rehabilitation plan specifically focused on treating the client's dysphagia and fine motor deficits.
  4. D
    Responding to the family by stating, "Why are you so worried? Most stroke patients experience these issues, and they will resolve on their own with time."

Cevap

Requesting a referral to a speech-language pathologist to evaluate the choking episodes and an occupational therapist to address the difficulty with grasping utensils.
The correct action demonstrates an accurate understanding of interdisciplinary roles. A speech-language pathologist (SLP) is the clinical expert in evaluating and treating swallowing disorders (dysphagia) to prevent aspiration. An occupational therapist (OT) specializes in helping clients regain fine motor skills and adapt to performing activities of daily living (ADLs), such as grasping utensils for self-feeding.

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1
Analyze the client's specific clinical deficits.
The client has two distinct new issues: choking when drinking liquids (dysphagia) and an inability to properly grasp eating utensils (a fine motor/ADL deficit).
Identifying the specific functional deficits is required to determine which interdisciplinary team members possess the correct scope of practice.
2
Match the identified deficits to the appropriate allied health professionals.
Choking and dysphagia require evaluation by a speech-language pathologist (SLP). Difficulty grasping utensils for self-feeding requires an occupational therapist (OT).
Proper interdisciplinary collaboration requires consulting the team member whose expertise directly aligns with the client's specific barrier to recovery.
3
Evaluate the remaining options for safe practice and therapeutic communication.
Delegating a swallowing assessment to a UAP is unsafe and outside their scope. PTs focus on gross motor mobility, not fine motor or swallowing. Telling the family not to worry provides false reassurance.
The nurse must act safely by utilizing the correct team members, delegating appropriately, and communicating therapeutically with the family.

Anahtar Kavram

Interdisciplinary Team Collaboration and Allied Health Scopes of Practice
Tahmini Süre:1m 30s
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Collaboration with Interdisciplinary Team

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