Which healthcare professional should the nurse consider involving when planning care for a client post-CVA with swallowing issues?

• A. Speech therapist
• B. Radiologic technologist
• C. Pharmacist
• D. Occupational therapist

Answer: (A)

In the scenario of a client post-cerebrovascular accident (CVA) experiencing swallowing issues, the involvement of a speech therapist is essential. Speech therapists are specialized healthcare professionals trained to assess and treat swallowing disorders, commonly known as dysphagia. They can evaluate the client’s swallowing function, identify the specific challenges faced during eating and drinking, and develop appropriate rehabilitation strategies or dietary modifications.

By collaborating with a speech therapist, the nurse ensures that the client receives a comprehensive care plan that not only addresses safety while eating but also promotes effective feeding techniques and potential exercises to improve swallowing function. This partnership is crucial in preventing aspiration and ensuring adequate nutrition, which are vital for recovery following a CVA.

The other professions, while valuable in different aspects of patient care, do not specialize in the particular challenges associated with swallowing post-CVA. For instance, a radiologic technologist focuses on imaging and does not play a role in swallowing assessments, while a pharmacist may help manage medications but does not deal with the mechanical or functional aspects of swallowing. An occupational therapist could help with daily living activities, but their scope does not include specialized swallowing interventions that a speech therapist provides.