Which specialist should a nurse recommend to a client having difficulty swallowing after a stroke?

When a client experiences difficulty swallowing after a stroke, the most appropriate specialist to recommend is a speech therapist. This is because speech therapists are specifically trained to assess and treat swallowing disorders, known as dysphagia. They possess the expertise to evaluate the swallowing ability, implement safe swallowing strategies, and provide exercises to strengthen the muscles involved in the swallowing process.

Speech therapists can also educate both the client and caregivers on dietary modifications and techniques to minimize the risk of aspiration, which is a concern in individuals with swallowing difficulties. Their role becomes essential in ensuring that the patient can safely consume food and liquids, promoting better nutrition and overall health.

While a dietitian can play a supportive role by helping to optimize the nutritional aspects of the diet post-stroke, they do not focus on the mechanical aspects of swallowing itself. Occupational therapists primarily address daily living activities and may help with adaptive techniques, but they do not specialize in swallowing issues. Physical therapists concentrate on improving mobility and strength, which, while important for recovery, are not directly related to swallowing difficulties. Therefore, recommending a speech therapist is the most appropriate action for addressing swallowing challenges after a stroke.