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Zorluk: OrtaCollaboration with Interdisciplinary Team

A nurse is coordinating the interdisciplinary care plan for a client with newly diagnosed amyotrophic lateral sclerosis (ALS) who is experiencing progressive dysphagia, generalized weakness, and early signs of respiratory decline. The client is preparing to transition to home hospice care. Which of the following actions by the nurse demonstrate appropriate multidisciplinary collaboration and safe care? Select all that apply.

  1. Coordinating with the speech-language pathologist to evaluate the client's risk for aspiration and recommend safe swallowing techniques.Cevap
  2. Requesting a consultation with the medical social worker to assist the family in arranging home hospice care and identifying community resources.Cevap
  3. Collaborating with the respiratory therapist to ensure the family is properly trained on the use of the client's prescribed noninvasive ventilation equipment.Cevap
  4. D
    Instructing the unlicensed assistive personnel to provide the initial teaching to the family on how to administer scheduled enteral tube feedings.
  5. E
    Delaying an urgent SBAR report to the provider regarding the client's new-onset paradoxical breathing until the multidisciplinary care rounds.
  6. F
    Reassuring the family not to worry about the transition because the interdisciplinary care team will make all the difficult decisions for them.

Cevap

The appropriate collaborative actions are coordinating with the speech-language pathologist for swallowing evaluation, requesting a medical social worker consultation for hospice arrangements, and collaborating with the respiratory therapist for ventilation equipment training.
Optimal care for a complex condition like ALS requires a multidisciplinary approach. The speech-language pathologist is uniquely qualified to manage dysphagia and aspiration risks. The medical social worker possesses the expertise to navigate community resources, financial concerns, and hospice transitions. The respiratory therapist is essential for managing progressive respiratory failure and ensuring proper use of ventilation equipment.

Adım Adım Çözüm

1
Analyze the client's clinical presentation and care needs.
The client has ALS with dysphagia, respiratory decline, and requires a transition to home hospice.
Identifying specific deficits allows the nurse to determine which allied health disciplines are required.
2
Match the client's needs to the appropriate allied health scopes of practice.
Dysphagia requires a speech-language pathologist, transition planning requires a medical social worker, and respiratory equipment requires a respiratory therapist.
Effective interdisciplinary collaboration relies on utilizing the specialized skills of each team member.
3
Evaluate the remaining options for safe nursing practice and communication.
Delegating initial teaching, delaying critical respiratory escalations, and providing false reassurance violate safe care standards.
The nurse must prioritize ABCs, delegate within the scope of practice, and use therapeutic communication.

Anahtar Kavram

Interdisciplinary collaboration requires the nurse to correctly identify the specialized roles of allied health professionals while maintaining safe delegation, prioritizing critical physiological changes, and utilizing therapeutic communication.
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Collaboration with Interdisciplinary Team

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