A series of transient ischemic attacks have caused an older adult to become dysphagic. Despite failing a swallowing assessment, the client wishes to eat a regular diet. How should the care team respond to this request?

The approach of providing the requested diet after ensuring the client understands the risks is critical in patient-centered care, especially for older adults who may have specific preferences and desires regarding their nutrition. This choice recognizes the importance of honoring the client's autonomy while also ensuring they are informed about potential consequences. By engaging the client in a discussion about the risks associated with dysphagia, such as aspiration pneumonia or choking, the care team fosters an environment of informed decision-making.

This method supports the philosophy of shared decision-making, where the older adult can weigh their choices and preferences against the safety concerns brought up by healthcare providers. Furthermore, this strategy maintains the client's dignity and respects their right to make choices about their own care, which is vital in geriatric nursing. In doing so, the care team can also monitor the client more closely during mealtimes, ensuring safety while respecting the client's wishes.

Addressing potential options such as a strictly enforced diet, only advising liquids, or suggesting smaller bites would not adequately balance the older adult's wishes with education about the risks, thereby potentially undermining their trust and engagement in their care plan.