A nurse case manager is working with a client newly diagnosed with amyotrophic lateral sclerosis (ALS). The client expresses concerns about maintaining independence and managing progressive symptoms. Which service should the case manager prioritize coordinating?

Question: A nurse case manager is working with a client newly diagnosed with amyotrophic lateral sclerosis (ALS). The client expresses concerns about maintaining independence and managing progressive symptoms. Which service should the case manager prioritize coordinating?

Answer options:

• Enrolling the client in a local support group for ALS patients.
• Arranging for a personal support worker to assist with activities of daily living (ADLs). ✅ Referral to an occupational therapist for adaptive equipment and home modifications.
• Scheduling regular follow-up appointments with the neurologist.

Correct answer: Referral to an occupational therapist for adaptive equipment and home modifications.

Explanation: While all options are important, for a client with a progressive neurological condition like ALS, initiating early intervention with an occupational therapist is crucial. This helps proactively address independence and safety by assessing for and recommending adaptive equipment and home modifications essential for managing progressive functional decline, promoting quality of life, and delaying dependence.