醫(yī)學(xué)課件洼田飲水試驗(yàn)及相關(guān)飲食指導(dǎo)

1、1.Reasons of drinking water test2.Advantagesof drinking water test3.Methodsof drinking water test4. The relevant patientsdiet guidanceMain content（主要內(nèi)容）1.Reasons of drinking water teReason1.early intervention2.preventlung infection（肺炎）Malnutrition（營(yíng)養(yǎng)不良）Dehydration（脫水）Asphyxia（窒息）2Reason1.early inter

2、vention2.prAdvantagesEnsure different degrees of swallowing dysfunction clearlyGive corresponding nursing interventionAvoid unnecessary indwelling gastric tubeNasogastric tube can reduce the incidence（發(fā)生率） of pulmonary infection effectively in the earlyclassifysimple operation 3AdvantagesEnsure diff

3、erent degrequirementshave treatment indicationsclear consciousness able to complete the test Obey instructions in accordance4requirementshave treatment indMethodssit up 30 ml warm waterobservethe time of swallow choking coughLevel 1optimalcan a time to swallow the water smoothlyLevel 2finedivide mor

4、e 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 swallow5Methodssit up 30 ml warm waterPay attention :1.D

5、o not need to tell avoid tension3.After test must be accuracy2.Quantity of waterdiet guidance Pay attention :1.Do not need 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

6、choking coughMethodsNormalLevel 1,and swallTreatment and nursing intervention(治療及護(hù)理干預(yù))assessment result(評(píng)定的結(jié)果):Level 3Level 5Level 4give guidance to swallowing traininggive swallowing training and guide patients to swallowing training on their ownindwelling gastric tube8Treatment and nursing interve

7、nDiet Guidance form and choiceDilute Liquid（稀流質(zhì)）water, milk, fruit juice, coffeeThick liquid（濃流質(zhì)） cereal beverage（谷物飲料）, joined with thickening agent（增粘劑） of water, soup, eggs, etcSemi-solid（半固體）Paste food（糊狀食物）Solid（固體） rice paste（米糊）, vegetables paste（菜糊）, meat paste, steamed egg（蒸水蛋），water lotus

8、root starch（水藕粉）, soft rotten rice（爛飯）, bread, rice, chaozhou porridge biscuit， nuts, etcDiet Guidance form and choiceDAvoid 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（湯泡飯）, lean meat（稀肉）,

9、porridgeHybrid（混合的） texture of foodcookies, cakes, Fried ricelarge pieces of meat, peanutsrice cake, glutinous rice（糯米）Avoid to chooseDry or easily Feeding order 1.Paste（糊狀） foodthick liquid（濃流質(zhì)）2.Paste （糊狀）foodsemi-solid（半固體）dilute liquid paste food（稀流質(zhì) ）solid（固體）Feeding tools Spoon（調(diào)羹）cupStraws（吸管

10、）Feeding order 1.Paste（糊狀） foodEating guidance-positionSemi recumbent position（半臥位）and head forward slightly(頭稍前傾)generalStay in bedLateral position 側(cè)臥位Sit up straight and head forward bends slightly , and body can tend to the contralateral(健側(cè)) 30 degrees(頭稍前傾)坐直頭稍前屈位，身體可傾向健側(cè)30度 get out of bedEating

11、 guidance-positionSemi r食物的形態(tài)Lethargy（昏睡）， sleepiness ，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(均質(zhì)膠凍狀) or paste food , such as Custard（蛋羹）, batt

12、er(面糊)Translate to a nearly normal diet and water gradually 食物的形態(tài)Lethargy（昏睡）， sleepiness Oral food intake（攝食入口量）3-4ml1spoonSwallowing several timesrepeatedly orDrink the right amount(適量的) of waterOral food intake（攝食入口量）3-4ml1S進(jìn)食物的分配和方法Good for breakfast, lunch eat satisfied, dinner to eat lessprinc

13、iplesLethargy（昏睡）， sleepiness Eating while encouraging, offer certain stimulation to wake up mental symptomsDont open mouthBe patient to enlighten（開導(dǎo)） 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進(jìn)食物的分配和方法Good f

14、or breakfast, lTongue muscle movement paralysis(偏癱) caused by mixing failureEating 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 hourTongue muscle movement paralysMatters needing attention(吞咽訓(xùn)練的注意事項(xiàng))causes, dangerous, training and countermeasures(對(duì)策)detailed descriptionobserve and record closelyPrevent abnormal deglutition(誤咽) and aspiration pneumonia（吸入性肺炎）Pay attention toSurgical trea