Risk For Aspiration
Risk For Aspiration
Risk For Aspiration
Subjective: Risk for Aspiration Short term: • Assess for gag reflex • Impaired swallowing Goal met; as
Maglisod koa R/T Depressed After 30 minutes of nursing and swallowing. may cause aspiration. evidenced by patient/
og tulon sa Cough and Gag interventions the patient will be SO was able to
foods Reflex able to: • Elevate the head of the • To aid breathing and demonstrate and
Patient will demonstrate bed or Upright position promotes lung verbalize
Objective: measures to prevent when eating. expansion. understanding of
RR 22 cpm aspiration. cause and therapeutic
Restlessness Long term: • Place pt. on lateral • Reduces the risk of management regimen
Hoarseness of After 1-2 hours of nursing position or change the aspiration by allowing and patient was able
voice noted intervention patient/significant position. secretions to drain. to maintain a patent
Productive other will be able to: airway
cough with Significant other will bed • Encourage pt. to drink • To prevent blockage
mucus demonstrate and verbalize fluids when eating. on the passage of food.
secretion color understanding of cause
yellow and therapeutic
management regimen • Instruct pt. to eat with • To prevent obstruction
maintain airway patency small amount of food. on airway and
and maintain normal aspiration.
breathing pattern