Assessment Diagnosis Planning Intervention Rationale Evaluation

 Risk for aspiration Short term Independent: Short term

related to  Evaluate the  Swallowing
 Objectives: parkinsonian After 2 hours of patient’s ability difficulties and After 2 hours of
 Drooling changes in nursing to swallow, choking are nursing intervention
 Aspiration musculature as intervention the extent of common in PD, the patient will able
 Choking evidence by patient will paralysis, and evaluation to swallow
 Difficulty in drooling swallow ability to provides effectively with no
swallowing aspiration effectively with no maintain airway. baseline incidence of
choking incidence of  Provide foods information from aspiration.
difficulty in aspiration. that are soft and which to plan
swallowing require little interventions for Long term
Long term chewing; care.
provide  Helps to
thickened prevent After 4 hours of
After 4 hours of liquids if aspiration; nursing intervention
nursing possible. Avoid facilitates ability the Patient will able
intervention the thin liquids. to swallow. to ingest an
Patient will ingest  Teach patient to  These types of adequate amount
an adequate place food in foods are easier of nutrients without
amount of tongue, close to control and the dangers of
nutrients without the lips and decrease aspiration.
the dangers of teeth, lift the potential for
aspiration. tongue up and choking or
then back, and aspiration.
swallow.  Proper
 Encourage the technique to
patient to chew prevent
first on one side aspiration.
of the mouth
and then on the
other.
Dependent

Administer cogentin
as ordered To reduce tremors
and secretion of
saliva
Collaborative:
 Refer the
patient to the Nutritional
dietitian for expertise may be
instructions on necessary to
the optimize the
maintenance of therapeutic diet
a well-balanced needed to facilitate
diet. healing..