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The nurse diagnosed the patient with a risk for aspiration due to impaired swallowing as evidenced by dysphagia. The nurse's plan was to teach the patient measures to prevent aspiration after 8 hours of nursing intervention. These measures included assessing the patient's gag reflex and swallowing, elevating the head of the bed during eating, placing the patient on their side or changing positions, encouraging drinking fluids with meals, eating small amounts of food, and instructing the patient to do so to reduce the risk of aspiration and allow secretions to drain properly. The nurse would then evaluate if the patient could demonstrate these measures to prevent aspiration after 8 hours.
The nurse diagnosed the patient with a risk for aspiration due to impaired swallowing as evidenced by dysphagia. The nurse's plan was to teach the patient measures to prevent aspiration after 8 hours of nursing intervention. These measures included assessing the patient's gag reflex and swallowing, elevating the head of the bed during eating, placing the patient on their side or changing positions, encouraging drinking fluids with meals, eating small amounts of food, and instructing the patient to do so to reduce the risk of aspiration and allow secretions to drain properly. The nurse would then evaluate if the patient could demonstrate these measures to prevent aspiration after 8 hours.
The nurse diagnosed the patient with a risk for aspiration due to impaired swallowing as evidenced by dysphagia. The nurse's plan was to teach the patient measures to prevent aspiration after 8 hours of nursing intervention. These measures included assessing the patient's gag reflex and swallowing, elevating the head of the bed during eating, placing the patient on their side or changing positions, encouraging drinking fluids with meals, eating small amounts of food, and instructing the patient to do so to reduce the risk of aspiration and allow secretions to drain properly. The nurse would then evaluate if the patient could demonstrate these measures to prevent aspiration after 8 hours.
S= “nahihirapan Risk for Aspiration After 8 hours of Assess for gag Impaired After 8 hours of akong kumain Aspiration r/t (the nursing reflex and swallowing nursing lalu na Impaired misdirection intervention pt. swallowing. may cause intervention paglumulunok” Swallowing As of will demonstrate aspiration. client will be O= evidenced by oropharyngea measures to able to Difficulty Dysphagia l secretions prevent Elevate the To aid demonstrate swallowing or gastric aspiration. head of the bed breathing and measures to contents into or Upright promotes prevent the larynx position when lung aspiration. and lower eating. expansion. respiratory tract) is Place pt. on Reduces the common in lateral position risk of older adults or change the aspiration by with position. allowing dysphagia secretions to and can lead drain. to aspiration pneumonia. Encourage pt. To prevent The older adult to drink fluids blockage on with one of these when eating. the passage conditions is at of food. even greater risk for aspiration Instruct pt. to To prevent because the eat with small obstruction dysphagia is amount of on airway superimposed on food. and the slowed aspiration. swallowing rate associated with normal aging.