CUES S= nahihirapan akong kumain lalu na paglumulunok O= Difficulty swallowing

NURSING DIAGNOSIS Risk for Aspiration r/t Impaired Swallowing As evidenced by Dysphagia

SCIENTIFIC EXPLANATION Aspiration (the misdirection of oropharyngea l secretions or gastric contents into the larynx and lower respiratory tract) is common in older adults with dysphagia and can lead to aspiration pneumonia. The older adult with one of these conditions is at even greater risk for aspiration because the dysphagia is superimposed on the slowed

PLANNING

NURSING RATIONALE INTERVENTION After 8 hours of Assess for gag Impaired nursing reflex and swallowing intervention pt. swallowing. may cause will demonstrate aspiration. measures to prevent Elevate the To aid aspiration. head of the bed breathing and or Upright promotes position when lung eating. expansion. Place pt. on lateral position or change the position. Reduces the risk of aspiration by allowing secretions to drain. To prevent blockage on the passage of food. To prevent obstruction on airway and aspiration.

EVALUATION After 8 hours of nursing intervention client will be able to demonstrate measures to prevent aspiration.

Encourage pt. to drink fluids when eating. Instruct pt. to eat with small amount of food.

swallowing rate associated with normal aging.