An LPN is assisting with the care of a client who has been receiving physical therapy for a fractured hip. The client is making slow progress and expresses frustration, stating, 'I don't think this therapy is helping. I want to stop.' What is the LPN's most appropriate initial response?
- AExplain the benefits of perseverance in rehabilitation.
- BEncourage the client to discuss their concerns with the physical therapist.
- CRemind the client that continued therapy is essential for recovery.
- DDocument the client's statement and notify the RN.
Show answer & explanationAnswer & explanation
Correct answer: B. Encourage the client to discuss their concerns with the physical therapist.
The client is expressing dissatisfaction with the physical therapy. The most appropriate initial action for the LPN is to encourage the client to communicate their concerns directly to the physical therapist. This promotes client advocacy and direct communication within the interdisciplinary team, allowing the specialist to address the client's specific issues and potentially adjust the therapy plan.
Why the other options are wrong
- A. This is a general statement that may not address the client's specific reasons for wanting to stop therapy.
- C. While true, this is dismissive of the client's feelings and does not address the underlying frustration.
- D. While documentation and notifying the RN are important, the LPN can first empower the client to communicate directly with the responsible team member.
Interdisciplinary Collaboration: Client Concerns
When a client expresses concerns or dissatisfaction with care provided by a specific member of the interdisciplinary team, the LPN's role is to facilitate direct communication between the client and that team member.
- Direct communication empowers clients and promotes active participation in their care.
- Specialists are best equipped to address concerns within their scope.
- LPNs act as facilitators in interdisciplinary collaboration.
Memory trick: Client's voice, specialist's ear, a team that's always near.