神外二区小讲课洼田饮水试验以及相关饮食指导

1、关于神外二区小讲课洼田饮水试验及相关饮食指导第一张，PPT共十九页，创作于2022年6月1.Reasons of drinking water test2.Advantagesof drinking water test3.Methodsof drinking water test4. The relevant patientsdiet guidanceMain content（主要内容）第二张，PPT共十九页，创作于2022年6月Reason1.early intervention2.preventlung infection（肺炎）Malnutrition（营养不良）Dehydration

2、（脱水）Asphyxia（窒息）第三张，PPT共十九页，创作于2022年6月AdvantagesEnsure different degrees of swallowing dysfunction clearlyGive corresponding nursing interventionAvoid unnecessary indwelling gastric tubeNasogastric tube can reduce the incidence（发生率） of pulmonary infection effectively in the earlyclassifysimple opera

3、tion 第四张，PPT共十九页，创作于2022年6月requirementshave treatment indicationsclear consciousness able to complete the test Obey instructions in accordance第五张，PPT共十九页，创作于2022年6月Methodssit up 30 ml warm waterobservethe time of swallow choking coughLevel 1optimalcan a time to swallow the water smoothlyLevel 2fined

4、ivide more than 2 times to swallow, but without choking cough swallowLevel 3mediumone swallow, but there are a choke and coughLevel 4canLevel 5poorin 2 times or more times to swallow, but there are choke and coughchoking and cough frequently , and cant swallow第六张，PPT共十九页，创作于2022年6月Pay attention :1.D

5、o not need to tell avoid tension3.After test must be accuracy2.Quantity of waterdiet guidance 第七张，PPT共十九页，创作于2022年6月MethodsNormalLevel 1,and swallowing in 5 secondsSuspiciousA drink, but drink more than 5 seconds or twice till level 2.Abnormal3 5 level, and divide in light, medium and severe choking

6、 cough第八张，PPT共十九页，创作于2022年6月Treatment and nursing intervention(治疗及护理干预)assessment result(评定的结果):Level 3Level 5Level 4give guidance to swallowing traininggive swallowing training and guide patients to swallowing training on their ownindwelling gastric tube第九张，PPT共十九页，创作于2022年6月Diet Guidance form and

7、choiceDilute Liquid（稀流质）water, milk, fruit juice, coffeeThick liquid（浓流质） cereal beverage（谷物饮料）, joined with thickening agent（增粘剂） of water, soup, eggs, etcSemi-solid（半固体）Paste food（糊状食物）Solid（固体） rice paste（米糊）, vegetables paste（菜糊）, meat paste, steamed egg（蒸水蛋），water lotus root starch（水藕粉）, soft r

8、otten rice（烂饭）, bread, rice, chaozhou porridge biscuit， nuts, etc第十张，PPT共十九页，创作于2022年6月Avoid to chooseDry or easily loose of foodMore chewing foodHigh viscous（粘性的） foodsHot dilute（稀的） liquid foodsthe food have bone or sting(刺)such as rice in soup（汤泡饭）, lean meat（稀肉）, porridgeHybrid（混合的） texture of f

9、oodcookies, cakes, Fried ricelarge pieces of meat, peanutsrice cake, glutinous rice（糯米）第十一张，PPT共十九页，创作于2022年6月Feeding order 1.Paste（糊状） foodthick liquid（浓流质）2.Paste （糊状）foodsemi-solid（半固体）dilute liquid paste food（稀流质 ）solid（固体）Feeding tools Spoon（调羹）cupStraws（吸管）第十二张，PPT共十九页，创作于2022年6月Eating guidanc

10、e-positionSemi recumbent position（半卧位）and head forward slightly(头稍前倾)generalStay in bedLateral position 侧卧位Sit up straight and head forward bends slightly , and body can tend to the contralateral(健侧) 30 degrees(头稍前倾)坐直头稍前屈位，身体可倾向健侧30度 get out of bed第十三张，PPT共十九页，创作于2022年6月食物的形态Lethargy（昏睡）， sleepines

11、s ，and swallowing ability under moderateEasy to swallow liquid，such as, fresh milk, vegetable juice, juiceThe improvement of swallowing function and physical recoveryEating training, Homogeneous glue(均质胶冻状) or paste food , such as Custard（蛋羹）, batter(面糊)Translate to a nearly normal diet and water gr

12、adually 第十四张，PPT共十九页，创作于2022年6月Oral food intake（摄食入口量）3-4ml1spoonSwallowing several timesrepeatedly orDrink the right amount(适量的) of water第十五张，PPT共十九页，创作于2022年6月进食物的分配和方法Good for breakfast, lunch eat satisfied, dinner to eat lessprinciplesLethargy（昏睡）， sleepiness Eating while encouraging, offer cert

13、ain stimulation to wake up mental symptomsDont open mouthBe patient to enlighten（开导） and inspire, and try to assist intake all the bookings.Add a spoonful(匙) of water in the teeth in order to stimulate to open the mouth第十六张，PPT共十九页，创作于2022年6月Tongue muscle movement paralysis(偏瘫) caused by mixing fail

14、ureEating while encouraging, offer certain stimulation to wake up use nasal feeding if can not maintain by mouth intake enough water and heatPharyngeal(咽部) movement disordersOral nursingshould maintain a seat after a meal more than half an hour第十七张，PPT共十九页，创作于2022年6月Matters needing attention(吞咽训练的注意事项)causes, dangerous, training and countermeasures(对策)detailed descriptionobserve and record closelyPrevent abnormal deglutition(误咽) and aspiration pneumonia（吸入性肺炎）P