| PLAN |
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- Assess for causative factors (history of dysphagia or aspiration, decreased level of consciousness, GI/feeding tubes, autonomic disorders, debilitated.)
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- Assess patient for presence/absence of gag, cough and swallow reflex.
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- Monitor for signs of aspiration during feedings (coughing, choking, and drooling).
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- Monitor and assess pulmonary status.
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- Elevate head of bed, or maintain a side-lying position.
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- Encourage patient to cough and suction, as needed.
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- Collaborate with speech and/or nutrition, as needed.
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- Educate patient/family on causes and prevention of aspiration.
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- Other
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| DESIRED OUTCOME |
At risk for entry of gastrointestinal secretions, oropharyngeal
secretions, solids, or fluids into tracheobronchial passages due to
reduced level of consciousness, structural deficits, and mechanical
devices, neurologic or gastrointestinal disorders.
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