神外二區(qū)小講課：洼田飲水試驗及相關(guān)飲食指導課件

Drinkingwatertest&TherelevantguidanceofdietGuangzhouMedicalUniversity主講人:石彩蘭指導老師:朱美玲2017.03.24洼田飲水試驗及相關(guān)飲食指導Drinkingwatertest&Guangzho1.Reasonsofdrinkingwatertest2.Advantagesofdrinkingwatertest3.Methodsofdrinkingwatertest4.Therelevantpatients’dietguidanceMaincontent（主要內(nèi)容）1.ReasonsofdrinkingwaterteReason31.earlyintervention2.preventlunginfection（肺炎）Malnutrition（營養(yǎng)不良）Dehydration（脫水）Asphyxia（窒息）Reason31.earlyintervention2.pAdvantages4EnsuredifferentdegreesofswallowingdysfunctionclearlyGivecorrespondingnursinginterventionAvoidunnecessaryindwellinggastrictubeNasogastrictubecanreducetheincidence（發(fā)生率）ofpulmonaryinfectioneffectivelyintheearlyclassifysimpleoperationAdvantages4Ensuredifferentderequirements5havetreatmentindicationsclearconsciousnessabletocompletethetestObeyinstructionsinaccordancerequirements5havetreatmentinMethods6situp30mlwarmwaterobservethetimeofswallowchokingcoughLevel1optimalcanatimetoswallowthewatersmoothlyLevel2finedividemorethan2timestoswallow,butwithoutchokingcoughswallowLevel3mediumoneswallow,butthereareachokeandcoughLevel4canLevel5poorin2timesormoretimestoswallow,buttherearechokeandcoughchokingandcoughfrequently,andcan'tswallowMethods6situp30mlwarmwatePayattention:

1.Donotneedtotellavoidtension3.Aftertestmustbeaccuracy2.QuantityofwaterdietguidancePayattention:

1.DonotneedMethodsNormalLevel1,andswallowingin5secondsSuspiciousAdrink,butdrinkmorethan5secondsortwicetilllevel2.Abnormal3~5level,anddivideinlight,mediumandseverechokingcoughMethodsNormalLevel1,andswallTreatmentandnursingintervention(治療及護理干預)9assessmentresult(評定的結(jié)果):Level3Level5Level4giveguidancetoswallowingtraininggiveswallowingtrainingandguidepatientstoswallowingtrainingontheirownindwellinggastrictubeTreatmentandnursingintervenDietGuidanceformandchoiceDiluteLiquid（稀流質(zhì)）water,milk,fruitjuice,coffeeThickliquid（濃流質(zhì)）

cerealbeverage（谷物飲料）,joinedwiththickeningagent（增粘劑）ofwater,soup,eggs,etcSemi-solid（半固體）Pastefood（糊狀食物）Solid（固體）

ricepaste（米糊）,vegetablespaste（菜糊）,meatpaste,steamedegg（蒸水蛋），waterlotusrootstarch（水藕粉）,softrottenrice（爛飯）,bread,rice,chaozhouporridge

biscuit，nuts,etcDietGuidanceformandchoiceDTHANKYOUSUCCESS2022/10/3011可編輯THANKYOUSUCCESS2022/10/22Avoidtochoose

DryoreasilylooseoffoodMorechewingfoodHighviscous（粘性的）foodsHotdilute（稀的）liquidfoodsthefoodhaveboneorsting(刺)suchasriceinsoup（湯泡飯）,leanmeat（稀肉）,porridgeHybrid（混合的）textureoffoodcookies,cakes,Friedricelargepiecesofmeat,peanutsricecake,glutinousrice（糯米）Avoidtochoose

DryoreasilyFeedingorder1.Paste（糊狀）foodthickliquid（濃流質(zhì)）2.Paste（糊狀）foodsemi-solid（半固體）diluteliquidpastefood（稀流質(zhì)）solid（固體）FeedingtoolsSpoon（調(diào)羹）cupStraws（吸管）Feedingorder1.Paste（糊狀）foodEatingguidance-positionSemirecumbentposition（半臥位）andheadforwardslightly(頭稍前傾)generalStayinbedLateralposition側(cè)臥位Situpstraightandheadforwardbendsslightly,andbodycantendtothecontralateral(健側(cè))30degrees(頭稍前傾)坐直頭稍前屈位，身體可傾向健側(cè)30度

getoutofbedEatingguidance-positionSemir食物的形態(tài)Lethargy（昏睡），sleepiness，andswallowingabilityundermoderateEasytoswallowliquid，suchas,freshmilk,vegetablejuice,juiceTheimprovementofswallowingfunctionandphysicalrecoveryEatingtraining,Homogeneousglue(均質(zhì)膠凍狀)orpastefood,suchasCustard（蛋羹）,batter(面糊)Translatetoanearlynormaldietandwatergradually食物的形態(tài)Lethargy（昏睡），sleepinessOralfoodintake（攝食入口量）3-4ml1spoonSwallowingseveraltimesrepeatedlyorDrinktherightamount(適量的)ofwaterOralfoodintake（攝食入口量）3-4ml1S進食物的分配和方法Goodforbreakfast,luncheatsatisfied,dinnertoeatlessprinciplesLethargy（昏睡），sleepinessEatingwhileencouraging,offercertainstimulationtowakeupmentalsymptomsDon'topenmouthBepatienttoenlighten（開導）andinspire,andtrytoassistintakeallthebookings.Addaspoonful(匙)ofwaterintheteethinordertostimulatetoopenthemouth進食物的分配和方法Goodforbreakfast,lTonguemusclemovementparalysis

(偏癱)causedbymixingfailureEatingwhileencouraging,offercertainstimulationtowakeupusenasalfeedingifcannotmaintainbymouthintakeenoughwaterandheatPharyngeal(咽部)movementdisordersOralnursingshouldmaintainaseatafteramealmorethanhalfanhourTonguemusclemovementparalysMattersneedingattention(吞咽訓練的注意事項)causes,dangerous,trainingandcountermeasures(對策)detaileddescriptionobserveandrecordcloselyPreventabnormaldeglutition(誤咽)andaspirationpneumonia（吸入性肺炎）PayattentiontoSurgicaltreatment.Dehydration(脫水)andothernutritionstate,andsupplytimely.Aspirationpneumonia(吸入性肺炎)happenfrequently,andswallowingfunctionnotimproveMattersneedingattention(吞咽訓練Thankyouforyoulistening!

Thankyouforyoulistening!

THANKYOUSUCCESS2022/10/3021可編輯THANKYOUSUCCESS2022/10/22Drinkingwatertest&TherelevantguidanceofdietGuangzhouMedicalUniversity主講人:石彩蘭指導老師:朱美玲2017.03.24洼田飲水試驗及相關(guān)飲食指導Drinkingwatertest&Guangzho1.Reasonsofdrinkingwatertest2.Advantagesofdrinkingwatertest3.Methodsofdrinkingwatertest4.Therelevantpatients’dietguidanceMaincontent（主要內(nèi)容）1.ReasonsofdrinkingwaterteReason241.earlyintervention2.preventlunginfection（肺炎）Malnutrition（營養(yǎng)不良）Dehydration（脫水）Asphyxia（窒息）Reason31.earlyintervention2.pAdvantages25EnsuredifferentdegreesofswallowingdysfunctionclearlyGivecorrespondingnursinginterventionAvoidunnecessaryindwellinggastrictubeNasogastrictubecanreducetheincidence（發(fā)生率）ofpulmonaryinfectioneffectivelyintheearlyclassifysimpleoperationAdvantages4Ensuredifferentderequirements26havetreatmentindicationsclearconsciousnessabletocompletethetestObeyinstructionsinaccordancerequirements5havetreatmentinMethods27situp30mlwarmwaterobservethetimeofswallowchokingcoughLevel1optimalcanatimetoswallowthewatersmoothlyLevel2finedividemorethan2timestoswallow,butwithoutchokingcoughswallowLevel3mediumoneswallow,butthereareachokeandcoughLevel4canLevel5poorin2timesormoretimestoswallow,buttherearechokeandcoughchokingandcoughfrequently,andcan'tswallowMethods6situp30mlwarmwatePayattention:

1.Donotneedtotellavoidtension3.Aftertestmustbeaccuracy2.QuantityofwaterdietguidancePayattention:

1.DonotneedMethodsNormalLevel1,andswallowingin5secondsSuspiciousAdrink,butdrinkmorethan5secondsortwicetilllevel2.Abnormal3~5level,anddivideinlight,mediumandseverechokingcoughMethodsNormalLevel1,andswallTreatmentandnursingintervention(治療及護理干預)30assessmentresult(評定的結(jié)果):Level3Level5Level4giveguidancetoswallowingtraininggiveswallowingtrainingandguidepatientstoswallowingtrainingontheirownindwellinggastrictubeTreatmentandnursingintervenDietGuidanceformandchoiceDiluteLiquid（稀流質(zhì)）water,milk,fruitjuice,coffeeThickliquid（濃流質(zhì)）

cerealbeverage（谷物飲料）,joinedwiththickeningagent（增粘劑）ofwater,soup,eggs,etcSemi-solid（半固體）Pastefood（糊狀食物）Solid（固體）

ricepaste（米糊）,vegetablespaste（菜糊）,meatpaste,steamedegg（蒸水蛋），waterlotusrootstarch（水藕粉）,softrottenrice（爛飯）,bread,rice,chaozhouporridge

biscuit，nuts,etcDietGuidanceformandchoiceDTHANKYOUSUCCESS2022/10/3032可編輯THANKYOUSUCCESS2022/10/22Avoidtochoose

DryoreasilylooseoffoodMorechewingfoodHighviscous（粘性的）foodsHotdilute（稀的）liquidfoodsthefoodhaveboneorsting(刺)suchasriceinsoup（湯泡飯）,leanmeat（稀肉）,porridgeHybrid（混合的）textureoffoodcookies,cakes,Friedricelargepiecesofmeat,peanutsricecake,glutinousrice（糯米）Avoidtochoose

DryoreasilyFeedingorder1.Paste（糊狀）foodthickliquid（濃流質(zhì)）2.Paste（糊狀）foodsemi-solid（半固體）diluteliquidpastefood（稀流質(zhì)）solid（固體）FeedingtoolsSpoon（調(diào)羹）cupStraws（吸管）Feedingorder1.Paste（糊狀）foodEatingguidance-positionSemirecumbentposition（半臥位）andheadforwardslightly(頭稍前傾)generalStayinbedLateralposition側(cè)臥位Situpstraightandheadforwardbendsslightly,andbodycantendtothecontralateral(健側(cè))30degrees(頭稍前傾)坐直頭稍前屈位，身體可傾向健側(cè)30度

getoutofbedEatingguidance-positionSemir食物的形態(tài)Lethargy（昏睡），sleepiness，andswallowingabilityundermoderateEasytoswallowliquid，suchas,freshmilk,vegetablejuice,juiceTheimprovementofswallowingfunctionandphysicalrecoveryEatingtraining,Homogeneousglue(均質(zhì)膠凍狀)orpastefood,suchasCustard（蛋羹）,batter(面糊)Translatetoanearlynormaldietandwatergradually食物的形態(tài)Lethargy（昏睡），sleepinessOralfoodintake（攝食入口量）3-4ml1spoonSwallowingseveraltimesrepeatedlyorDrinktherightamount(適量的)ofwaterOralfoodintake（攝食入口量）3-4ml1S進食物的分配和方法Goodforbreakfast,luncheatsatisfied,dinnertoeatlessprinciplesLethargy（昏睡），sleepinessEatingwhileencouraging,offercertainstimulationtowakeupmentalsymptomsDon'topenmouthBepatienttoenlighten（開導）andinspir