Care plan

Care Plan Name Institution Course Name Instructor Due Date Care Plan Nursing Diagnosis 1 P Impaired SwallowingStudent’s Name: ___________ E Risk for aspiration related to dysphagia (small bite size)Patient’s Initials: ________________________ S a. Difficulty initiating swallowingDate of Patient Care: _____________________ b. Choking or coughing during or after swallowingDate Paper Submitted: ____________________ c. Sensation of food sticking in the throat or chest after swallowing Dysphagia is also known as impairment in swallowing, and it usually requires an individual considerably more time and effort to transfer food or liquid from the mouth to the stomach (Wayne, 2021). In normal circumstances, there are specific muscles that help in the movement of food through the throat and esophagus. In the event that these muscles are not able to work right anymore, then such an individual will experience dysphagia. The following table shows the expected outcomes, nursing interventions, rationales, and evaluations that can be helpful for an individual experiencing dysphagia. Expected Outcomes Nursing Interventions Rationales Evaluation The patient will safely consume meals without aspiration or choking by the end of the shift. - Assess the patient’s swallowing ability before meals. - Place the middle finger on the thyroid notch and place the ring finger on the cricoid ring to assess the patient’s pharyngeal reflex. - Provide small, bite-sized portions of food. - Encourage the patient to sit upright while eating. - Monitor patient during meals for signs of difficulty swallowing or aspiration. - Assessment helps determine the severity of swallowing impairment. - The pharyngeal reflex, also known as the pharyngeal swallow reflex, is a protective mechanism that prevents the aspiration of food or liquids into the airway during swallowing (Wayne, 2021). Therefore, nurses can gather information about the integrity of the swallowing process and identify any abnormalities that may increase the risk of aspiration. - Small bite sizes reduce the risk of choking or aspiration. - Proper positioning facilitates safe swallowing. - Monitoring allows prompt intervention if swallowing difficulties arise. The patient successfully consumed meals without aspiration or choking. Nursing Diagnosis 2 P Impaired physical mobility/fall riskStudent’s Name: _________________________ E Generalized weakness Patient’s Initials: ________________________ S a. Requires assistance for transfersDate of Patient Care: _____________________ b. Reports feeling unsteady while walkingDate Paper Submitted: ____________________ c. History of falls in the past month Impaired physical mobility means the inability to move around safely...