A newly licensed physical therapist, starting inpatient rehab with a comatose patient, is asked by a relative to consult a more experienced therapist. Which response is most appropriate?

A newly licensed physical therapist, starting inpatient rehab with a comatose patient, is asked by a relative to consult a more experienced therapist. Which response is most appropriate?

• A. Please allow me to work with this patient, and if you are still concerned, we can discuss changes.
• B. Are you concerned that I won't be able to help your loved one recover?
• C. I passed my licensure examination, which indicates that I can be effective.
• D. Do you believe that I am not competent to help with the rehabilitation?

Answer: (B)

When a family member asks for a consultation with a more experienced therapist, respond in a way that validates their concern and invites open communication. Asking an open-ended question like, “Are you concerned that I won’t be able to help your loved one recover?” shows empathy, acknowledges their worries, and signals a collaborative approach. It invites them to share specifics about their concerns and demonstrates that you’re focused on the patient’s outcome and willing to involve others as needed. This kind of response helps build trust, supports patient- and family-centered care, and keeps the discussion productive. The other reactions tend to be less effective: making the discussion about permissions can feel like you’re setting boundaries without addressing the family’s worry; citing licensure as proof of ability centers on credentials rather than the patient’s needs; and asking if they think you’re not competent is defensive and unprofessional.

When a family member asks for a consultation with a more experienced therapist, respond in a way that validates their concern and invites open communication. Asking an open-ended question like, “Are you concerned that I won’t be able to help your loved one recover?” shows empathy, acknowledges their worries, and signals a collaborative approach. It invites them to share specifics about their concerns and demonstrates that you’re focused on the patient’s outcome and willing to involve others as needed. This kind of response helps build trust, supports patient- and family-centered care, and keeps the discussion productive.

The other reactions tend to be less effective: making the discussion about permissions can feel like you’re setting boundaries without addressing the family’s worry; citing licensure as proof of ability centers on credentials rather than the patient’s needs; and asking if they think you’re not competent is defensive and unprofessional.