What is the primary ethical responsibility of an SLP when a patient with advanced dementia shows signs of aspiration?

The primary ethical responsibility of a Speech-Language Pathologist (SLP) when a patient with advanced dementia shows signs of aspiration is to make a recommendation based on clinical judgment. This responsibility stems from the SLP's expertise in evaluating and managing swallowing disorders, which includes identifying risks for aspiration and determining the appropriate dietary modifications to ensure patient safety.

In cases of advanced dementia, the patient may have cognitive and behavioral challenges that complicate their ability to communicate preferences or needs regarding eating and swallowing. Therefore, the SLP must utilize their knowledge and skills to assess the patient's swallowing abilities, understand the implications of aspiration, and propose a safe diet level that minimizes risk while considering the patient's quality of life.

This approach aligns with the ethical principles of beneficence—acting in the best interest of the patient—and nonmaleficence—doing no harm. The SLP's recommendation should be based on clinical evidence, the patient's condition, and appropriate swallowing assessments. Collaboration with other healthcare providers, such as physicians and nursing staff, is also critical in ensuring a comprehensive plan is developed.

The other choices do not adequately reflect the ethical and professional obligations of the SLP in this context. The SLP should not solely defer decisions to other professionals without applying their own expertise