神外二區(qū)小講課洼田飲水試驗及相關(guān)飲食指導

關(guān)于神外二區(qū)小講課洼田飲水試驗及相關(guān)飲食指導第1頁，課件共19頁，創(chuàng)作于2023年2月1.Reasonsofdrinkingwatertest2.Advantagesofdrinkingwatertest3.Methodsofdrinkingwatertest4.Therelevantpatients’dietguidanceMaincontent（主要內(nèi)容）第2頁，課件共19頁，創(chuàng)作于2023年2月Reason1.earlyintervention2.preventlunginfection（肺炎）Malnutrition（營養(yǎng)不良）Dehydration（脫水）Asphyxia（窒息）第3頁，課件共19頁，創(chuàng)作于2023年2月AdvantagesEnsuredifferentdegreesofswallowingdysfunctionclearlyGivecorrespondingnursinginterventionAvoidunnecessaryindwellinggastrictubeNasogastrictubecanreducetheincidence（發(fā)生率）ofpulmonaryinfectioneffectivelyintheearlyclassifysimpleoperation第4頁，課件共19頁，創(chuàng)作于2023年2月requirementshavetreatmentindicationsclearconsciousnessabletocompletethetestObeyinstructionsinaccordance第5頁，課件共19頁，創(chuàng)作于2023年2月Methodssitup30mlwarmwaterobservethetimeofswallowchokingcoughLevel1optimalcanatimetoswallowthewatersmoothlyLevel2finedividemorethan2timestoswallow,butwithoutchokingcoughswallowLevel3mediumoneswallow,butthereareachokeandcoughLevel4canLevel5poorin2timesormoretimestoswallow,buttherearechokeandcoughchokingandcoughfrequently,andcan'tswallow第6頁，課件共19頁，創(chuàng)作于2023年2月Payattention:

1.Donotneedtotellavoidtension3.Aftertestmustbeaccuracy2.Quantityofwaterdietguidance第7頁，課件共19頁，創(chuàng)作于2023年2月MethodsNormalLevel1,andswallowingin5secondsSuspiciousAdrink,butdrinkmorethan5secondsortwicetilllevel2.Abnormal3~5level,anddivideinlight,mediumandseverechokingcough第8頁，課件共19頁，創(chuàng)作于2023年2月Treatmentandnursingintervention(治療及護理干預)assessmentresult(評定的結(jié)果):Level3Level5Level4giveguidancetoswallowingtraininggiveswallowingtrainingandguidepatientstoswallowingtrainingontheirownindwellinggastrictube第9頁，課件共19頁，創(chuàng)作于2023年2月DietGuidanceformandchoiceDiluteLiquid（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,etc第10頁，課件共19頁，創(chuàng)作于2023年2月Avoidtochoose

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）第11頁，課件共19頁，創(chuàng)作于2023年2月Feedingorder1.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）第12頁，課件共19頁，創(chuàng)作于2023年2月Eatingguidance-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

getoutofbed第13頁，課件共19頁，創(chuàng)作于2023年2月食物的形態(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第14頁，課件共19頁，創(chuàng)作于2023年2月Oralfoodintake（攝食入口量）3-4ml1spoonSwallowingseveraltimesrepeatedlyorDrinktherightamount(適量的)ofwater第15頁，課件共19頁，創(chuàng)作于2023年2月進食物的分配和方法Goodforbreakfast,luncheatsatisfied,dinnertoeatlessprinciplesLethargy（昏睡），sleepinessEatingwhileencouraging,offercertainstimulationtowakeupmentalsymptomsDon'topenmouthBepatienttoenlighten（開導）andinspire,andtrytoassistintakeallthebookings.Addaspoonful(匙)ofwaterintheteethinordertostimulatetoopenthemouth第16頁，課件共19頁，創(chuàng)作于2023年2月Tonguemusclemovementparalysis

(偏癱)causedbymixingfailureEatingwhileencouraging,offercertainstimulationtowakeupusenasalfeedingifcannotmaintainbymouthintakeenoughwaterandheatPharyngeal(咽部)movementdisordersOralnursingshouldmaintainaseatafteramealmorethanhalfanhour第17頁，課件共19頁，創(chuàng)作于2023年2月Mattersneedingattention(吞咽訓練的注意事項)causes,dangerous,trainingandcountermeasures(對策)detaileddescriptionobserveandrecordcloselyPreventabnormaldeglutition(誤咽)andaspirationpneumonia（吸入性