Which referral should a nurse anticipate for a client with Parkinson's disease needing assistance with ADLs?

A referral to an occupational therapist is the most appropriate choice for a client with Parkinson's disease who needs assistance with activities of daily living (ADLs). Occupational therapists are specifically trained to help individuals develop, recover, and maintain the skills needed for daily living and work. In the context of Parkinson's disease, clients may experience challenges with fine motor skills, coordination, and overall functional mobility. An occupational therapist can provide strategies and adaptive tools or devices to help clients perform ADLs more independently, such as dressing, grooming, and personal hygiene.

While other specialists may also be beneficial in the comprehensive care of a client with Parkinson's disease, their primary focus differs. A dietitian can help manage nutritional needs, especially if the client has specific dietary concerns or swallowing difficulties. A physical therapist would focus on improving gross motor skills, balance, and strength which, while important, may not directly address the immediate needs for assistance with ADLs. A speech therapist would assist with communication and swallowing issues, another aspect of Parkinson’s disease, but again does not directly target ADL support. Therefore, referring to an occupational therapist is the best choice to enhance the client's capacity to perform daily activities.