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CUES NURSING SCIENTIFIC PLANNING NURSING RATIONALE EVALUATION

DIAGNOSIS EXPLANATION INTERVENTION


S= “nahihirapan Risk for Aspiration After 8 hours of  Assess for gag  Impaired After 8 hours of
akong kumain Aspiration r/t (the nursing reflex and swallowing nursing
lalu na Impaired misdirection intervention pt. swallowing. may cause intervention
paglumulunok” Swallowing As of will demonstrate aspiration. client will be
O= evidenced by oropharyngea measures to able to
 Difficulty Dysphagia l secretions prevent  Elevate the  To aid demonstrate
swallowing or gastric aspiration. head of the bed breathing and measures to
contents into or Upright promotes prevent
the larynx position when lung aspiration.
and lower eating. expansion.
respiratory
tract) is  Place pt. on  Reduces the
common in lateral position risk of
older adults or change the aspiration by
with position. allowing
dysphagia secretions to
and can lead drain.
to aspiration
pneumonia.  Encourage pt.  To prevent
The older adult to drink fluids blockage on
with one of these when eating. the passage
conditions is at of food.
even greater risk
for aspiration  Instruct pt. to  To prevent
because the eat with small obstruction
dysphagia is amount of on airway
superimposed on food. and
the slowed aspiration.
swallowing rate
associated with
normal aging.

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