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    Care Plan

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    Genghis Bunagan Lasam
    The client is at risk for aspiration due to impaired swallowing. The care plan involves positioning the client at a 90 degree angle when eating, offering soft, easy to swallow foods cut into small pieces, and providing oral care after meals to prevent aspiration and further issues. The client has impaired physical mobility due to anxiety from pain with exertion. The care plan aims to prevent muscular atrophy and related diseases through encouraging active range of motion exercises and moving from bed to chair with guidance to strengthen muscles and prevent issues from immobility. Progress will be evaluated by ability to move independently.

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    Care Plan

    Uploaded by

    Genghis Bunagan Lasam
    381 views4 pages
    The client is at risk for aspiration due to impaired swallowing. The care plan involves positioning the client at a 90 degree angle when eating, offering soft, easy to swallow foods cut into small pieces, and providing oral care after meals to prevent aspiration and further issues. The client has impaired physical mobility due to anxiety from pain with exertion. The care plan aims to prevent muscular atrophy and related diseases through encouraging active range of motion exercises and moving from bed to chair with guidance to strengthen muscles and prevent issues from immobility. Progress will be evaluated by ability to move independently.

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    The client is at risk for aspiration due to impaired swallowing. The care plan involves positioning the client at a 90 degree angle when eating, offering soft, easy to swallow foods cut into small pieces, and providing oral care after meals to prevent aspiration and further issues. The client has impaired physical mobility due to anxiety from pain with exertion. The care plan aims to prevent muscular atrophy and related diseases through encouraging active range of motion exercises and moving from bed to chair with guidance to strengthen muscles and prevent issues from immobility. Progress will be evaluated by ability to move independently.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    381 views4 pages

    Care Plan

    Uploaded by

    Genghis Bunagan Lasam
    The client is at risk for aspiration due to impaired swallowing. The care plan involves positioning the client at a 90 degree angle when eating, offering soft, easy to swallow foods cut into small pieces, and providing oral care after meals to prevent aspiration and further issues. The client has impaired physical mobility due to anxiety from pain with exertion. The care plan aims to prevent muscular atrophy and related diseases through encouraging active range of motion exercises and moving from bed to chair with guidance to strengthen muscles and prevent issues from immobility. Progress will be evaluated by ability to move independently.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 4

    CARE PLAN

    Nursing Diagnosis

    Risk for aspiration related to impaired swallowing ability as manifested by client is coughing and gagging during
    feeding

    Provide supportive rationale for having selected the priority nursing diagnosis
    Impaired gag reflex causes client risk for aspiration and further can lead to foreign object ease access to the lungs

    Expected Outcomes Target Intervention Rationale For Evaluation


    (Goal Setting) Dates Interventions
    The client is expected to After an Position patient at 90- This position helps The client is able to
    swallow each meal with no hour degree angle, whether to move the food swallow without
    difficulty in passing food from in bed or in a chair or according to the coughing and
    mount to stomach wheelchair. Use gravity therefore gagging.
    cushions or pillows to this will help to
    maintain position prevent aspiration

    Offer foods with Solid foods are


    consistency that patient prone for blockage
    can swallow. Use in the
    thickening agents as tracheoesophageal
    appropriate. Cut foods area and eventually,
    into small pieces. can impede
    Semisolid foods like respiration
    pudding and hot cereal
    are most easily
    swallowed.
    This removes
    Provide oral care after residuals and
    meals reduces pocketing of
    food that can be
    later aspirated
    Nursing Diagnosis

    Impaired physical mobility related to anxiety from the pain experienced upon physical exertion as manifested by
    client verbalizing it to the nurse

    Provide supportive rationale for having selected the priority nursing diagnosis
    client is risk for muscular atrophy and other related diseases caused by immobility

    Expected Outcomes Target Intervention Rationale For Evaluation


    (Goal Setting) Dates Interventions
    The client is expected to 2 hours Encourage patient to This prevents Client is moving
    perform movements perform active range of extremities from from bed to a chair
    independently with minimal motion exercises contractures and and bathroom with
    assistance further lead to guidance and
    permanent supervision. Client
    immobility and other is effectively
    diseases caused by performing active
    Encourage patient to immobility range of motion
    move from bed to chair and other exercises
    every once in a while This will help to with no assistance
    strengthen
    abdominal and leg
    muscles to prevent
    muscle atrophy.
    Contraction of
    muscle helps venous
    return thus prevent
    them pooling in
    extremities which
    can further lead to
    clotting cause by
    stasis

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