4 Posts
Nursing Diagnosis
Impaired swallowing r/t neuromuscular impairment aeb soft diet order and difficulty swallowing foods and liquids.
Outcome
The patient will demonstrate effective swallowing without choking or aspiration.
Intervention
The nurse will monitor swallowing ability for choking.
The nurse will assess patient’s month for food pockets.
The nurse will instruct the patient to swallow frequently.
Please give feedback on deficient knowledge diagnosis. Do you I use a caregiver teaching & deficient knowledge since he does not speak and has dementia? I am really stuck on teh deficient knowledge diagnois and teaching need.
Teaching
Deficient knowledge of feeding r/t unfamiliarity of feeding process aeb feeding patients quickly.
The caregivers will measure small amounts of food and alternate between solids and liquids
All feedback is appreciated
1 Article; 14,604 Posts
impaired swallowing r/t neuromuscular impairment aeb soft diet order and difficulty swallowing foods and liquids.
outcome
the patient will demonstrate effective swallowing without choking or aspiration.
intervention
the nurse will monitor swallowing ability for choking.
the nurse will assess patient's month for food pockets.
the nurse will instruct the patient to swallow frequently.
please give feedback on deficient knowledge diagnosis. do you i use a caregiver teaching & deficient knowledge since he does not speak and has dementia? i am really stuck on the deficient knowledge diagnosis and teaching need.
teaching
deficient knowledge of feeding r/t unfamiliarity of feeding process aeb feeding patients quickly.
the caregivers will measure small amounts of food and alternate between solids and liquids
it is very difficult to have a specific teaching need for a patient who is confused and has dementia. these needs must be extremely simplistic because of their impaired memory. frankly, based on what you've listed about this patient, i'd try a bladder re-training program first to address the urinary incontinence.
Daytonite, BSN, RN
1 Article; 14,604 Posts
can you use maslow's hierarchy of needs to prioritize? it takes the abcs into consideration: http://en.wikipedia.org/wiki/maslow's_hierarchy_of_needs
impaired swallowing, urinary incontinence, impaired skin integrity, impaired physical mobility, and feeding, bathing, dressing self-care deficit are physiological needs that are sequenced by the abcs. think of it this way. . .what problem will kill the patient faster? impaired verbal communication and chronic confusion are safety needs. "risk for" diagnoses are potential problems and do not even exist yet, so must take the lowest priority below actual problems.