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Dysphasia
Difficult "dys" swallowing "phagia"
Protein
Most important nutrients for tissue growth and repair
With aging changes occur in the GI system
Taste and smell dull, appetite decreases, secretion of digestive juices decreased.
Dysphasia diet
Is required to people who had difficulty to swallow
Clear liquid diet
Water, tea, apple grape cranberry juices, clear broth, hard candy and popsicles
Sing and symptoms
Food spills out of the person's mouth, frequently coughs or chokes before or during swallowing, is hoarse and gargling sounds " wheezing " sneezes.
Aspiration precaution
Position the person upright as the nurse and care plan. Maintain person position for at least 30 to 60 minutes
Fiber and residue restricted
Refined bread and crackers, vegetables juice, cook fruit without skin or seeds, potatoes, no raw fruit or vegetables
Sodium controlled
Unsalted butter, fruit and vegetables
Diabetes meal plan
Serve meals and snacks on time. Report if person did or not eat to the nurse
Nop
Nothing "non" by "per" mouth "os"
Servin meal
Follow care plan, person food allergies, what assistant device the person use, person may need help opening cartons, person's intake measure. Report observations
Feeding person
Use teaspoons and full teaspoon 1/3
Help residents with food
Offer fluids during the meal, this help person chew and swallow, engage the person in pleasant conversations, sit facing the person.
Naso- gastric "NG" tube
A feeding tube is inserted trough the nose " naso" into the stomach " gastro"
Percutaneous endoscopic gastrostomy "PEG"
Doctor insert a feeding tube into the stomach (gastro) trough a small incision (stomy) made trough (per) the skin ( cuteaneous)
IV therapy
Intravenous IV therapy is giving fluids through a needle or catheter inserted into a vein. RN are responsible for IV therapy
Bradycardia
Slow "Brady" heart rate "cardia" less than 60 beats per minute
Hypertension
Systolic pressure is 140 mm Hg or higher (hyper) or the diastolic pressure is 90 mm Hg or higher
Pulse rate
The number of heartbeats or pulse felt in 1 minute
Respiration
Breathing air into (inhalation) and out of ( exhalation) the lungs
Oral temperature
Ask person not to eat, drink, smoke, or chew gum for at least 15 to 20 minutes
Rectal temperature
Is taken with the person in Sims' position. Buttock is raised to expose the anus.
Tympanic membrane thermometer
Is inserted into the ear canal, pulled ear up and back
Radial pulse
Is used most often
Adult rate
Between 60 and 100 beats per minute. Less than 60 or more than 100 is considered abnormal
Taking a radial pulse
Place the first 2 or 3 fingertip of one hand against the radial artery
Counting Respiration
Healthy adult has 12 to 20 respiration per minute.
Systole
The period of heart muscle contraction. Hear pumping blood. first sound
Diastole
The period of heart muscle relaxation. Heart is at rest. Sound disappears
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