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    Concept Map Week 2

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    Ashley Christensen
    A 90-year-old widowed female patient was admitted on December 7th with a diagnosis of cerebrovascular accident. She has difficulty swallowing a pureed diet. To prevent aspiration, the nurse keeps suction equipment at the bedside and elevates the patient's head during and after meals. The patient's goal is to remain free of aspiration through the end of the clinical day on February 26th, which she achieved.

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    Concept Map Week 2

    Uploaded by

    Ashley Christensen
    14 views1 page
    A 90-year-old widowed female patient was admitted on December 7th with a diagnosis of cerebrovascular accident. She has difficulty swallowing a pureed diet. To prevent aspiration, the nurse keeps suction equipment at the bedside and elevates the patient's head during and after meals. The patient's goal is to remain free of aspiration through the end of the clinical day on February 26th, which she achieved.

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    A 90-year-old widowed female patient was admitted on December 7th with a diagnosis of cerebrovascular accident. She has difficulty swallowing a pureed diet. To prevent aspiration, the nurse keeps suction equipment at the bedside and elevates the patient's head during and after meals. The patient's goal is to remain free of aspiration through the end of the clinical day on February 26th, which she achieved.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    14 views1 page

    Concept Map Week 2

    Uploaded by

    Ashley Christensen
    A 90-year-old widowed female patient was admitted on December 7th with a diagnosis of cerebrovascular accident. She has difficulty swallowing a pureed diet. To prevent aspiration, the nurse keeps suction equipment at the bedside and elevates the patient's head during and after meals. The patient's goal is to remain free of aspiration through the end of the clinical day on February 26th, which she achieved.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
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    ASHLEY CHRISTENSEN, CLINICAL WEEK: 2

    PATIENT: LFS, ROOM 404 ADMIT: 12-7-11 AGE: 90 MEDICAL DIAGNOSIS CVA Psychosocial Function: Widowed, Caucasian, Female, Presbyterian, Integrity vs. Despair development Diagnostic Tests: CT, MRI, Arteriography, Carotid ultrasonography

    INTERVENTION #1

    ASSESSMENT Patient has difficulty swallowing pureed diet

    INTERVENTION #2 Keep suction apparatus at the bedside to be prepared for episodes of aspiration that require immediate suctioning. Observe and report instances of cynanosis, dyspnea, or choking.

    Elevate head of the bed 90 degrees during mealtimes and for 30 minutes after the completion of a meal.

    NURSING DIAGNOSIS Impaired swallowing related to neuromuscular disturbances as evidence by difficulty eating secondary to cerebrovascular disease.

    PLANNING/EXPECTED OUTCOME: Patient will remain free from aspiration through the end of clinical day on Sunday, February 26th.

    RATIONAL This technique deceases the risk of aspiration

    RATIONAL These symptoms indicate thepresence of material in the lungs.

    EVALUATION Goal Met. Patient remained free from aspiration through the end of clinical day on Sunday, February 26th

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