Risk for aspiration related to Client goal: Client will not Encourage the client to Goal partially met. I aspirate. eat slowly and chew all have not been able to be impaired swallowing food well before present with the client secondary to CVA. Client outcome: Client will attempting to swallow during all meal times demonstrate effective to aid in the passage of but when I am present I swallowing free of aspiration as the bolus from the ensure that the client evidenced by absence of esophagus to the spends approximately coughing while eating and stomach. (Day et. al., 10-15 seconds chewing drinking. 2014, p. 1098) each bite to make Ensure that the client swallowing more remains in semi or high effective. I will fowlers position with continue with this the chin tucked down intervention and while eating and at least attempt to be present 30 minutes afterwards for more meals to to avoid food remaining encourage this practice. in the esophagus. (Day Goal met. I have et. al., 2014, p. 1098) positioned the client’s Provide wheelchair at an fluids to approximate 60 degree client during and angle during meal times between meals to aid in and have positioned his the passage of food chin accordingly from the esophagus to throughout feeding. I the stomach. (Potter & have also rescheduled Perry, 2014, p. 1073) his afternoon nap to 1300 to accommodate the time needed for food to pass through the esophagus. I will
Risk for aspiration related to impaired swallowing secondary to CVA. Client goal: Client will not aspirate. Client outcome: Client will demonstrate effective swallowing free of aspiration as evidenced by absence of coughing while eating and drinking. Encourage the client to eat slowly and chew all food well before attempting to swallow to aid in the passage of the bolus from the esophagus to the stomach. (Day et. al., 2014, p. 1098) Ensure that the client remains in semi or high fowlers position with the chin tucked down while eating and at least 30 minutes afterwards to avoid food remaining in the esophagus. (Day et. al., 2014, p. 1098) Provide fluids to client during and between meals to aid in the passage of food from the esophagus to the stomach. (Potter & Perry, 2014, p. 1073) Goal partially met. I have not been able to be present with the client during all meal times but when I am present I ensure that the client spends approximately 10-15 seconds chewing each bite to make swallowing more effective. I will continue with this intervention and attempt to be present for more meals to encourage this practice. Goal met. I have positioned the client’s wheelchair at an approximate 60 degree angle during meal times and have positioned his chin accordingly throughout feeding. I have also rescheduled his afternoon nap to 1300 to accommodate the time needed for food to pass through the esophagus. I will
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