Nursing Diagnosis - Impaired Swallowing related to Dysphagia

Dysphagia is difficulty in swallowing process and skip the food from the esophagus to the stomach. Causes of dysphagia can be various kinds. It is important to know the difference dysphagia due to oropharyngeal and esophageal disorders.

Dysphagia can be found on some of the causes that can cause the condition include:
  • Stroke
  • Progressive neurological disease
  • The lapse trachestomy
  • Paralise or absence of movement of the vocal cords
  • Tumors in the mouth
  • Head surgery
At regurgitation is often caused by acid that rises from the stomach (acid reflux). Regurgitation can also be caused by a narrowing (stricture) or blockage of the esophagus. Where blockage can occur due to several causes, including cancer of the esophagus, by impaired nerve control valve in the esophagus and the mouth of the stomach.

Impaired Swallowing Definition :
Abnormal functioning of the swallowing mechanism associated with deficits in oral, pharyngeal, or esophageal structure or function

Nursing Diagnosis for Dysphagia

Impaired swallowing related to weakness of the muscles due to paralise.

Expected results:
Patients can demonstrate the proper method of ingest food without causing despair

Intervention:
  • Review the patient's ability to swallow, note the extent of facial paralysis.
  • Increase efforts to be able to perform effective ingestion such as helping the patient hold his head.
  • Place the patient in a sitting position / upright during and after eating.
  • Stimulation lips to open and close the mouth manually by pressing lightly on the lips / under the chin.
  • Place the food in the mouth is not sick / impaired.
  • Most in touch with the cheeks spatel tongue to detect weaknesses.
  • Give eat slowly in a quiet environment.
  • Start by giving oral semi-liquid foods, soft foods when the patient can swallow water.
  • Help the patient to choose foods that are small or do not need to chew and easy to swallow.
  • Instruct the patient to use a straw to drink liquids.
  • Encourage you to participate in an exercise program.


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