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Zorluk: ZorCollaboration with Interdisciplinary Team

A nurse is coordinating the discharge plan for a client with advanced Parkinson's disease who was recently admitted for aspiration pneumonia. The client is now medically stable and preparing to return home with their elderly spouse. The nurse notes the client has experienced recent weight loss, increased 'freezing of gait' episodes, and difficulty swallowing medications. The spouse expresses feeling overwhelmed about managing the client's complex care needs at home. Which actions by the nurse demonstrate appropriate interdisciplinary collaboration and safe care planning? (Select all that apply)

  1. Request a Speech-Language Pathologist (SLP) consultation to evaluate the client's dysphagia and safe medication administration.Cevap
  2. Coordinate with a Physical Therapist (PT) to implement mobility strategies for the client's increased freezing of gait.Cevap
  3. C
    Delegate the initial evaluation of the spouse's ability to assist with daily care to the Unlicensed Assistive Personnel (UAP).
  4. D
    Tell the anxious spouse, "Everything will be fine; many families successfully manage Parkinson's disease at home."
  5. E
    Prioritize interdisciplinary discussions regarding the client's chronic resting tremors over addressing the risk for recurrent aspiration.
  6. Collaborate with a Medical Social Worker (MSW) to explore community support programs and respite care options for the spouse.Cevap

Cevap

The correct actions include requesting an SLP consultation for dysphagia, coordinating with a PT for mobility issues, and collaborating with an MSW to support the overwhelmed spouse.
Appropriate interdisciplinary collaboration involves consulting an SLP to manage the life-threatening risk of aspiration, a PT to address the physical safety risk posed by freezing of gait, and an MSW to provide structural and psychosocial support for an overwhelmed caregiver. These actions directly address the complex needs identified in the scenario using the correct specialized professionals.

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1
Analyze the client's clinical presentation and identify specific needs.
Identified needs include aspiration risk (difficulty swallowing), mobility deficits (freezing of gait), and psychosocial strain (overwhelmed spouse).
Accurate identification of client needs is the first step in determining which interdisciplinary team members are required.
2
Match the identified needs with the appropriate interdisciplinary team scopes of practice.
SLP for swallowing, PT for gait/mobility, and MSW for psychosocial support and community resources.
Effective collaboration requires referring clients to the team members with the specialized expertise to address specific deficits.
3
Evaluate the remaining options for safety, delegation rules, and prioritization principles.
Delegating evaluation to a UAP is unsafe, providing false reassurance is non-therapeutic, and ignoring aspiration risks for chronic tremors violates prioritization rules.
Nursing actions must adhere to the legal scope of practice, therapeutic communication standards, and Maslow's/ABC prioritization frameworks.

Anahtar Kavram

Interdisciplinary Team Collaboration in Complex Discharge Planning
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Collaboration with Interdisciplinary Team

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