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Zorluk: OrtaCollaboration with Interdisciplinary Team

A nurse is coordinating the care plan for a 78-year-old client recovering from urosepsis. The client is hemodynamically stable but exhibits new-onset confusion, intermittent agitation, and a refusal to eat. The client has a continuous intravenous (IV) infusion and an indwelling urinary catheter. Which actions represent appropriate interdisciplinary collaboration and safe care management? Select all that apply.

  1. Request a medication review by the clinical pharmacist to identify any pharmacological causes for the acute confusion.Cevap
  2. Consult with the registered dietitian to assess the client's nutritional requirements and recommend targeted interventions for the food refusal.Cevap
  3. Collaborate with the physical therapist to establish a safe, progressive mobility plan to prevent functional decline.Cevap
  4. D
    Inform the case manager that the client's sudden cognitive decline is a normal part of the aging process that will require a higher level of care upon discharge.
  5. E
    Delegate the initial bedside assessment of the client's swallowing ability to the unit's unlicensed assistive personnel (UAP).
  6. F
    Obtain a provider prescription for physical restraints to protect the intravenous line without first documenting alternative safety strategies.

Cevap

The appropriate collaborative actions are requesting a medication review by the clinical pharmacist, consulting the registered dietitian for a nutritional assessment, and collaborating with the physical therapist for a progressive mobility plan.
Effective interdisciplinary collaboration involves utilizing the specialized expertise of various healthcare professionals to optimize client outcomes. The clinical pharmacist evaluates potential polypharmacy or adverse drug reactions contributing to delirium. The registered dietitian is the appropriate expert to address the client's nutritional deficits. The physical therapist provides targeted interventions to maintain mobility and prevent deconditioning in older adults recovering from acute illness.

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1
Analyze the client's acute clinical presentation.
The client is experiencing new-onset confusion, agitation, and refusal to eat, alongside a risk for deconditioning.
Identifying the specific clinical challenges determines which interdisciplinary team members are required.
2
Evaluate the need for pharmacological expertise.
The clinical pharmacist is identified as the appropriate team member to review the IV medications and overall regimen for causes of acute confusion.
Pharmacists are the experts in drug interactions and toxicities.
3
Evaluate the need for nutritional and physical therapy expertise.
The registered dietitian is identified for the refusal to eat, and the physical therapist is identified to manage mobility.
These team members operate within their specific scopes of practice to address the client's deficits.
4
Analyze the remaining options against safety and delegation principles.
The remaining options are rejected because they involve attributing acute pathology to normal aging, improperly delegating assessments to a UAP, and prematurely utilizing restraints.
Effective interdisciplinary collaboration requires adherence to legal, ethical, and safety standards.

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Collaboration with Interdisciplinary Team
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Collaboration with Interdisciplinary Team

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