A practical nurse is assisting an 84-year-old client who experiences age-related dysphagia and a diminished gag reflex with their meal. To prevent aspiration and promote safe swallowing, arrange the nursing actions in the correct chronological order.
- 1Elevate the head of the bed to a 90-degree angle.
- 2Place a small, manageable bite of food into the client's mouth.
- 3Instruct the client to tilt their chin downward toward the chest before swallowing.
- 4Inspect the inside of the cheeks for any pocketed or unswallowed food.
- 5Maintain the client in a seated, upright position for at least 30 minutes.
Cevap
The correct sequence is to first elevate the head of the bed, then provide a small bite of food, instruct the client to use the chin-tuck maneuver, inspect the mouth for pocketed food, and finally maintain an upright position after the meal.
The sequence of interventions prioritizes safety from the preparation phase through the post-meal phase. Proper upright positioning is the foundation of safe swallowing. Introducing a small amount of food followed by the chin-tuck maneuver protects the airway during the active phase of swallowing. Post-swallow assessment ensures no food remains that could be aspirated later. Finally, maintaining an upright posture prevents delayed aspiration from reflux, directly addressing age-related gastrointestinal changes.
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Anahtar Kavram
Nursing interventions for age-related dysphagia and aspiration prevention.