Due to the chronic and progressive nature of cardiac valve disease, a collaborative care approach is optimal for client management. What member of the team would be essential to a holistic approach to client care? Select all that apply
1. Nurses and health care providers
2. Physical and occupational therapists
3. Psychologists/psychiatrists
4. Dieticians
5. Pharmacists
1. Nurses and health care providers
2. Physical and occupational therapists
3. Psychologists/psychiatrists
4. Dieticians
5. Pharmacists
Rationale: Nurses and health care providers. Nurses are pivotal in the coordination of the health care team and nursing management. It is essential that the health care provider monitor the progress of the valve disease and determine when surgical intervention is necessary. Physical and occupational therapists. The occupational therapist helps facilitate realistic occupational goals, while the physical therapist assists in the maintenance of optimum conditioning given the activity restrictions. Psychologists/psychiatrists. Psychiatric counseling may be necessary to assist in lifestyle adjustments necessitated by a chronic disease process. Dieticians. When cardiac valve disease is complicated by the presence of heart failure symptoms of congestion, diet and fluid restriction counseling are necessary. The dietician can educate the client/family about salt restrictions and assist them to have satisfying meals that do not increase the risk of fluid retention. Pharmacists. Since medication is an essential part of the management of valve disorders, the role of the pharmacist is crucial in educating the client about how to manage the medications and their side effects.
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