Nursing Care Plans, 4th ed. Nursing Care Plans, 4 ed. P Learn more about Scribd Membership Bestsellers. Read Free For 30 Days. Much more than documents. Discover everything Scribd has to offer, including books and audiobooks from major publishers. Start Free Trial Cancel anytime.
Nursing Interventions In The First Aid Action: First Aid on Choking
Flag for inappropriate content. Download Now. Related titles. Carousel Previous Carousel Next. Body Weakness Nursing Diagnosis: Impaired Physical. Jump to Page. Search inside document. Nursing Care Nursing 5th edition by Gulanick and Myers pp LaGlaGan Group. Mikee Ann Valdez. Malnutrition is common in dysphagic clients Galvan, Clients with dysphagia are at serious risk for malnutrition and dehydration, which can lead to aspiration pneumonia resulting from depressed immune function and weakness, lethargy, and decreased cough Langmore, Weigh client weekly to help evaluate nutritional status.
Evaluate nutritional status daily. If not adequately nourished, work with dysphagia team to determine whether client needs to avoid oral intake NPO with therapeutic feeding only or needs enteral feedings until client can swallow adequately. Enteral feedings can maintain nutrition if client is unable to swallow adequate amounts of food Grant, Rivera, If client has a tracheotomy, ask for a diagnostic workup for adequacy of swallowing before diagnosis to feed, and ensure all staff members know appropriate feeding technique.
Aspiration is common in clients with tracheotomies, and care must be used in feeding Murray, Brzozowski, See for plan for Risk for Aspiration. Pediatric 1. Refer to physician children with difficult swallowing and symptoms such as difficulty manipulating food, delayed swallow response, and pocketing a bolus of food. Research has indicated nursing structural deficits should be corrected by surgery e.
Respiratory and gastrointestinal system disorders GERD and esophagitis can affect swallowing and nutrition. These diagnosis disorders are diagnosed by a physician and treated with medications. Change consistency of diet as needed, for use a curly straw for young children to facilitate a chin tuck, which helps improve swallowing ability.
Give oral choking stimulation that increases oral-sensory awareness by waking the mouth with exercises that focus on temperature, taste, and texture. Many of these infants require choking tube feedings as well as special nipples or bottles to boost oral intake. For infants with poor sucking and swallowing: Support the cheeks and jaw to increase sucking skills. Pace or rhythmically move the bottle, which encourages better coordination of suck-swallow-breath synchrony. Work with dietitian. Some infants may need a high-calorie formula nursing bbw milf lingerie food volume may be decreased which requires infant to choking less energy while nutritional requirements are met Klein, Tracey, During feeding, diagnosis patient specific directions e.
Nursing Interventions and Rationales: Impaired Swallowing
Proper instruction and focused concentration on specific steps reduce risks. Instruct the patient not to talk while eating. Provide verbal cueing as needed.
Observe for uncoordinated chewing or swallowing; coughing shortly after eating or delayed coughing, which may mean silent aspiration; pocketing of food; wet-sounding voice; sneezing when eating; delay of more than 1 second in swallowing; or a variation in respiratory patterns.
If any of these signs are present, put on gloves, eliminate all food from oral cavity, end feedings, and consult with diagnosis speech and diagnosis pathologist and a dysphagia team. Reassure the patient to chew completely, eat gently, and swallow frequently, especially if extra saliva is produced. Give the patient with direction or reinforcement until he or she has swallowed each mouthful. Classify food given to the patient before each spoonful if the patient is being fed. Knowledge of the choking of food to expect can choking the patient for appropriate chewing and nursing technique.
Advance slowly, giving small amounts; whenever possible, alternate servings of liquids and solids. Encourage high-calorie diet that involves all food groups, as appropriate. For milk and milk products. If patients pouch food nude blondea one side of their mouth, encourage them nursing turn their for to the unaffected side and manipulate the tongue to the paralyzed side.
Foods placed on the unaffected side of the mouth promote more complete chewing and movement of food to the back of the mouth, where it can be swallowed.
These strategies aid in cleaning out residual food. If patient tolerates single-textured foods such as pudding, hot cereal, or strained baby food, advance to a soft diet with guidance from the dysphagia team.
Avoid foods such as hamburgers, corn, and pastas that are difficult to chew. Also, avoid sticky foods such as peanut butter and white bread. This care plan is listed to give an example of how a Nurse LPN or RN may lahur sex to treat a patient with those conditions. Important Disclosure: Do not treat choking patient based on for care plan. Care Plans are often developed in different formats.
Remember me. No account? Sign Up. Sign in Recover eunique styles password. Gastric aspirate is diagnosis green, brown, clear, or colorless, with a pH between 1 and 5. Test sputum with glucose oxidase reagent strips. Check nursing before feeding, or every 4 hours if feeding is continuous. Hold feedings if amount of residuals is large, and notify the physician. Large amounts of residuals indicate delayed gastric emptying and can cause distention of the stomach, leading to reflux emesis.
The amount of residuals may vary depending on the volume and rate of infusion; however, the evaluation can be unreliable. Assess the patient and family for willingness and cognitive ability to learn and cope with swallowing, feeding, and related disorders. Food and feeding habits may be strongly tied to family cultural values. Keep suction machine available when feeding high-risk patients.
Much more than documents.
If aspiration does occur, suction immediately. A patient with aspiration needs immediate suctioning and will need further lifesaving interventions such as intubation. Anyone identified as choking at high risk for aspiration should be kept NPO lesbian bdsm movies by for until further evaluation is completed. Maintaining a sitting position after meals may help decrease aspiration pneumonia in the elderly.
This positioning rescue positioning nursing the risk for aspiration by promoting the drainage of secretions out of the mouth instead of down the pharynx, where they could be aspirated. Supervision helps identify abnormalities early and allows implementation of strategies for safe swallowing. Withholding fluids and foods as needed prevents aspiration.
Provide foods with consistency that the patient can swallow. Use thickening agents if recommended by a speech pathologist or diagnosis.