Answer 4

  • Most responsible physician
    • Manage comorbidity of hypertension
    • Potential need for pain management 
  • Neurologist
    • Follow-up treatments to ensure the patient is being managed. 
    • Potential medications for patient to help slow disease progression
  • Nurse
    • Time medications
    • See how the patient is doing that day
    • If they have any investigations that day
  • Occupational therapists
    • Help with treatment sessions
    • Able to help prescribe gait aids
    • Potentially set up supports on discharge if needed. 
  • Family
    • Communicate with family to get a sense of social support, this will be especially important for discharge
  • Respiratory therapist
    • To ensure that the patient is not in need of oxygen therapy, has proper lung functioning
    • Is managed and educated on the progression of ALS and has follow-up appointments. 
  • PTA
    • If the patient is safe to mobilize/perform home exercise programs and the PTA is competent in the skills that they need to perform (i.e. bed mobility – transferring to chair), you are able to include them as part of the treatment plan.