I did a care plan on my Pt that suffered from a stroke and has a G-tube.
For one of my Nursing diagnosis, I chose "risk for aspiration, r/t G-tube..."
My instructor handed it back with a comment "He has a G-Tube - why is he at risk for aspiration?"
Now I'm questioning it myself. It seemed like a no-brainer when I chose it, and in a way it still does, but this particular instructor is *ALWAYS* right.
Mar 25, '05
If he is having difficulties with swallowing, then he is deifnitely at risk for aspiration. It means that he is having difficulty in keeping his secretions clear. The G-tube would have been placed so that he can get nutrition thru this, you do not want to keep someone just on IV fluids, the gut is much better. He is at minimal risk for aspiration from the G-tube, it is his oral secretions that can cause him the most problems.
If there is a problem with nausea, the tube can also be placed in the jejunum to prevent this.
Last edit by suzanne4 on Mar 26, '05