A nurse is caring for a client who recently had a stroke and states, "I am having trouble swallowing my food." To which of the following members of the interprofessional team should the nurse initiate a referral?
Explanation & Rationale
A. Speech-language pathologist: Speech-language pathologists (SLPs) are trained to assess and manage dysphagia, including swallowing difficulties after a stroke. They evaluate swallowing function, recommend safe feeding techniques, and provide exercises to improve swallowing ability, directly addressing the client’s expressed concern. B. Physical therapist: Physical therapists focus on mobility, balance, and strengthening exercises. While important for post-stroke rehabilitation, they do not specialize in swallowing assessment or management. Referral to a PT would not address the client’s immediate swallowing difficulties. C. Social worker: Social workers provide support for psychosocial needs, discharge planning, and community resources. Although valuable for overall care, they are not responsible for evaluating or treating swallowing disorders. D. Occupational therapist: Occupational therapists assist with activities of daily living, adaptive equipment, and fine motor skills. While they may help with feeding techniques, the primary assessment and management of dysphagia require an SLP.