Impaired swallowing is the abnormal functioning of the swallowing mechanism. The impairment is associated with deficits in the oral, esophageal or pharyngeal structure of the function. It prevents the sufferer from meets daily nutritional requirements by preventing proper eating and absorption. It is a difficult disorder and should be prevented. Impaired Swallowing Care Plan provides an updated assessment of the diagnosis to the patient with an impaired swallowing condition. For this reason, nursing care team may have a need to seek for impaired swallowing care plan writing help to design a neat and well structured impaired swallowing care plan for their patients.

Impaired Swallowing Care Plan Diagnosis

The signs and symptom that a care plan should anticipate include:

Oral: First stage

Pharyngeal (second stage)

Esophageal: third stage

In all phases, the swallow study is abnormal, and the patient may refuse to eat.

Impaired Swallowing Care Plan Desired Outcomes

Impaired Swallowing Care Plan Nursing Assessment

Assessment is necessary for helping the caregiver to recognize the likely problems that could be the cause of impaired swallowing and handle any difficulty rat could emerge during care.

Asking the patient to swallow to assess his or her ability: Lets the caregiver determine ability of swallowing mechanism

Observe the occurrence of coughing or choking when eating and drinking: Signals a nurse about signs that indicate aspiration (drawing of breath).

Assess an ability to swallow small amounts of water: Ability to swallow liquid is a test for risk of aspiration

Check fluid or food backflow: Another signal about risk of aspiration

Determine and evaluate the readiness to eat: Helps to determine the physical and mental ability of a patient to attempt eating without the presence of aspiration.

Impaired Swallowing Care Plan Interventions

The care plan for impaired swallowing should contain therapeutic nursing interventions to help in managing the current condition and promote healing.

Position the patient in the proper position when eating: Correct positioning prevents aspiration.

Encourage eating small frequent meals with rests in between: These feeding steps prevent exhausting activities including feeding

Encourage self-feeding as possible: Promotes independence and motivates the patient to practice best swallowing techniques

The caregiver should place the food on the unaffected side when feeding a patient recovering from a stroke: Allows chewing on the unaffected side to prevent food from getting to the affected side a risking aspiration.

Prevent oral care before meals: Oral cleanliness helps to increase appetite.

Ensure their suction equipment at the bedside: Having suction equipment at the ready helps the nurse to drain saliva in case of drooling

Initiate alternative feeding when oral intake is impossible: Helps to maintain nutritional intake.

Oversee eating to the end: A nursed should oversee the feeding to ensure that the patient does not talk or get distracted while eating. It lets the entire concentration to be on feeding.

Arrange calorie count: Refer the patient to a dietician for calorie content in consideration to the patient's food preferences.

It offers guidelines on better food choices that have the correct caloric content: Consult a therapist or speech pathologist

Allow the patient to get quick intervention of swallowing and other accompanying impairment: It is good for the caregiver to praise a patient every time he or she follows directions and swallows successfully.

As healing progresses, it is necessary to weight the patient weekly to evaluate nutritional intake and encourage exercises that strengthen muscular strength of tongue or face.

It is also necessary to educate the patient and family on best caring practice and dietary requirements.

Impaired Swallowing Care Plan Writing Help

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Impaired physical mobility is a limitation of purposeful, independent movement of the body or body part. Impairment of physical mobility can be temporary, recurring or permanent. Aging is the most significant cause, but medical conditions such stroke of physical injuries that cause fractures can also hinder free movement.

Impaired Physical Mobility Care Plan Diagnosis

Various reasons may hinder the ability to move independently, but a caregiver should look for the defining signs and symptoms as the way of establishing whether a patient has impaired physical mobility.

A patient with movement impairments will be reluctant to attempt any movements.

Impaired Physical Mobility Care Plan Goals and outcomes

A care plan should have goals to help the patient in recovering from impaired physical mobility or prevent deteriorating from current ability. After therapy intervention, a caregiver should help the patient to achieve some of the outcomes.

Impaired Physical Mobility Care Plan Patient Assessment

Impaired physical mobility is a representation of complex health care problems that will require treatment by health care professionals in different specializations. However, nursing assessment is crucial to determine if it exists and identify underlying issues that could cause impaired physical mobility.

Check functional level of mobility

Functional mobility is on a scale of 1 ( walking at regular pace and ground level with one flight of stairs or more causing shortness of breath ) to 4 (Dyspnea and fatigue when at rest).

Understanding the particular level helps in adjusting the care plan to accommodate techniques that allow best management plan. You determine the patient's independent physical mobility on a 0-4 scale. 0 shows the person is independent and 4 are entirely dependent without participating in any activity. 

Assess impediments to mobility

Identifying barriers to independent movement such as chronic arthritis, swollen/ painful joints help in designing an optimal treatment plan.

Assess strength to perform a range of motion on all joints.

Strength assessment provides helpful data on the extent of the physical problems and determining the right therapy. A test by a physiotherapist might be necessary.

Monitor nutritional needs to improve mobility

Good nutrition is a source of essential energy to participate in rehabilitative activities and exercises.

It is essential that a caregiver r determines if the cause of impaired physical mobility could be psychological. Some client is unable to move due to matters that emanate from their psychology state such as depression.

Impaired Physical Mobility Care Plan Intervention

After proving that the patient has impaired physical mobility, the caregiver must strive to implement the action part of the care plan. A nurse will not treat as a physician, but the rationale of the intervention is that it will help to restore mobility if possible. If it is impossible, a caregiver can still assist in preserving urgent motion.

Special care includes helping the patient to change positions, exercises, take nutritious diet and get a safe environment. A care plan for impaired physical mobility involves:

Implementing measures for maintenance of optimal mobility of joints and muscles during immobility through various actions.

Consult the right healthcare providers such as physicians or physiotherapists when there is a need or if the client’s mobility or range of motion is limited beyond expectation.

Marshall the support of family members by teaching and assisting them to assist the patient with a variety of movements. Encouragement from family and friends help to uplift the most of a patient.

A caregiver puts side rails and provides an overhead trapeze for the safety of a patient with mobility challenges. 

The Impaired Oral Mucous Membrane Care Plan Writing Help Online is about a lining on the inside of the mouth consisting of an oral epithelium and lamina propria an underlying connectivity tissue. The impaired oral mucous membrane is a disruption of the soft tissue of oral cavity and or lips. Nursing Writing Services offers the best Impaired Oral Mucous Membrane Care Plan Writing Help Online

Irritations are indicators of the impairment when the oral mucous or oral mucosa has systematic conditions. Other numerous symptoms also appear when the oral mucosa has problems. Most of the impairments are viral and treatable.

Many factors contribute to the occurrence of infection oral mucous membrane including aging, lack of self-care, use chemicals such as tobacco or alcohol and medical conditions like cleft lip, dehydration or impaired salivation.

Impaired Oral Mucous Membrane Care Plan Diagnosis

When a nursing comes across a patient complaining of irritation on the oral mucosa, it essential to examine and inquire if these symptoms that indicate the existence of impairment are existing:

Impaired Oral Mucous Membrane Care Plan Goals and Outcomes

The caregiver should aim to help the client in achieving a healthy oral cavity indicated by the following:

Impaired Oral Mucous Membrane Care Plan Patient Assessment

A care plan for oral mucous membrane should include a comprehensive assessment to determine the extent of infection by doing the following:

Early evaluation of these manifestations allows for early and accurate treatment.

Impaired Oral Mucous Membrane Care Plan Interventions

These therapeutic nursing interventions help to reduce the effect and heal impaired oral mucous membrane.

Plan a thorough mouth care regimen after every meal and 4 hours while awake: Mouth care prevent formation of bacteria and oral plaques

Increase rinsing with a recommended solution between brushings and once at night if there are signs of mild stomatitis: Solutions help to promote comfort and reduce further damage.

Provide topics or systemic analgesics on prescription: Analgesics relieve pain and provide comfort

Use tap water or a normal saline for oral care: Commercial mouthwashes contain hydrogen peroxide that injures oral mucosa or alcohol as it causes drying of oral mucous membranes. Lemon sycerin swabs decrease oral moisture, salivary amylaise and erodes tooth enamel.

Mouth lubrication and moisturizing: Lubricating prevents dryness on the lips prevent drying and cracking. Maintaining moisture by frequent sips of water promptes cleansing effect of saliva and avert mucosal drying which causes fissures, lesions, and erosions

Encourage moth and teeth brushing with a soft toothbrush after meals and flossing at least one in a day: Brushing reduces plaque and controls periodontal diseases. If brushing or flossing cause much pain, you should stop it.

Urge the patient to take a vitamin and protein-rich diet: A balanced diet helps to promote healing. Encourage taking of lukewarm soft foods that do not require hard chewing and drinks with a straw.

When patients heal, a caregiver should teach them to implement and an appropriate oral hygiene plan which is significant to oral health. Education should include teaching patients to inspect oral cavities to monitor sign and symptoms of the impaired oral mucous membrane for implementation of early treatment.

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Impaired Gas Exchange Care Plan Writing Services is mainly about a deficit or excess of oxygenation or elimination of carbon dioxide at the alveolar-capillary membrane. Both situations can cause hypoxemia and hypercapnia.Nursing Writing Services offers the best Impaired Gas Exchange Care Plan writing services online.

Gas exchange takes place by diffusion between alveoli and pulmonary. Oxygen and carbon dioxide diffusion occur passively according to their normal concentration differences that should be maintained by air flow (ventilation) of alveoli and blood flow(perfusion) of pulmonary capillaries.

A balance exists between the two, but these individual conditions might cause an alteration hence the impaired gas exchange.

Impaired Gas Exchange Care Plan Diagnosis

A care plan should anticipate the existing factors that help to diagnose the existence of impaired gas exchange.

The following signs and symptoms show the presence of impaired gas exchange:

Impaired Gas Exchange Care Plan Goals and Outcomes

A caregiver should have goals to achieve for the benefit of a patient after care giving. At the end of care session, a nurse should have seen some of these outcomes on the patient:

Impaired Gas Exchange Care Plan Nursing Assessment

Despite the need for other diagnostic tests, a caregiver should begin by looking for clues about the status of the respiratory system and individual responses. These assessments help to determine if there are signs of impaired gas exchange.

Impaired Gas Exchange Care Plan Interventions

Control concentration of oxygen in COPD patients

Oxygen concentration increases the urge to breathe in making the patient retain carbon monoxide chronically

Administer humidified oxygen through the most appropriate device

Using a breathing device helps to overcome hypoventilation during oxygen therapy for a patient with chronic lung diseases that may need the more hypoxic drive.

Teach slow breathing techniques

A caregiver should use an incentive spirometer according to an instruction to teach deep breathing techniques to the patient. It helps to increase oxygenation.

Perform suction when necessary

Suction helps to clear the secretions if a patient is unable to clear the airway.

Help the patient to sleep in the proper position

There are various sleeping positions for patients with impaired gas exchange due to multiple causes. For instance, a caregiver should position a patient with the head of the bed in an elevated position at 45 degrees to allow lung expansion, increase thoracic capacity and prevent crowding of abdominal contents. Patients with lung conditions such as abscess and hemorrhage should lie with affected lung down to avert drainage on the working lung. It is essential to turn a patient after every two hours.

Caregivers should inform that their patient at the hospital or home stay in an irritant-free environment.

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