【文档说明】医学课件洼田饮水试验及相关饮食指导.ppt，共(18)页，2.320 MB，由小橙橙上传

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1.Reasonsofdrinkingwatertest2.Advantagesofdrinkingwatertest3.Methodsofdrinkingwatertest4.Therelevantpa

tients’dietguidanceMaincontent（主要内容）Reason1.earlyintervention2.preventlunginfection（肺炎）Malnutrition（营养不良）Dehydration（脱水）Asphyx

ia（窒息）2AdvantagesEnsuredifferentdegreesofswallowingdysfunctionclearlyGivecorrespondingnursinginterventionAvoidunnecessaryindwe

llinggastrictubeNasogastrictubecanreducetheincidence（发生率）ofpulmonaryinfectioneffectivelyintheearlyclassifysimpleoperation3requirementshavetreatmentin

dicationsclearconsciousnessabletocompletethetestObeyinstructionsinaccordance4Methodssitup30mlwarmwaterobservetheti

meofswallowchokingcoughLevel1optimalcanatimetoswallowthewatersmoothlyLevel2finedividemorethan2timestoswallow,

butwithoutchokingcoughswallowLevel3mediumoneswallow,butthereareachokeandcoughLevel4canLevel5poorin2timesor

moretimestoswallow,buttherearechokeandcoughchokingandcoughfrequently,andcan'tswallow5Payattention:1.Donotneedtotellavoidtension3.Aftertestmustbeac

curacy2.QuantityofwaterdietguidanceMethodsNormalLevel1,andswallowingin5secondsSuspiciousAdrink,butdrinkmor

ethan5secondsortwicetilllevel2.Abnormal3~5level,anddivideinlight,mediumandseverechokingcoughTreatmentandnurs

ingintervention(治疗及护理干预)assessmentresult(评定的结果):Level3Level5Level4giveguidancetoswallowingtraininggiveswallowingtrainingandguidepatientstoswallowin

gtrainingontheirownindwellinggastrictube8DietGuidanceformandchoiceDiluteLiquid（稀流质）water,milk,fruitjuice,coffeeThick

liquid（浓流质）cerealbeverage（谷物饮料）,joinedwiththickeningagent（增粘剂）ofwater,soup,eggs,etcSemi-solid（半固体）Pastefood

（糊状食物）Solid（固体）ricepaste（米糊）,vegetablespaste（菜糊）,meatpaste,steamedegg（蒸水蛋），waterlotusrootstarch（水藕粉）,softrottenrice（烂饭）,b

read,rice,chaozhouporridgebiscuit，nuts,etcAvoidtochooseDryoreasilylooseoffoodMorechewingfoodHighviscous（粘性的）foodsHot

dilute（稀的）liquidfoodsthefoodhaveboneorsting(刺)suchasriceinsoup（汤泡饭）,leanmeat（稀肉）,porridgeHybrid（混合的）textureoffoodcoo

kies,cakes,Friedricelargepiecesofmeat,peanutsricecake,glutinousrice（糯米）Feedingorder1.Paste（糊状）foodthickliquid（浓

流质）2.Paste（糊状）foodsemi-solid（半固体）diluteliquidpastefood（稀流质）solid（固体）FeedingtoolsSpoon（调羹）cupStraws（吸管）

Eatingguidance-positionSemirecumbentposition（半卧位）andheadforwardslightly(头稍前倾)generalStayinbedLateralposition侧卧位Situpst

raightandheadforwardbendsslightly,andbodycantendtothecontralateral(健侧)30degrees(头稍前倾)坐直头稍前屈位，身体可倾向健侧30度getoutofbed食物的形态Leth

argy（昏睡），sleepiness，andswallowingabilityundermoderateEasytoswallowliquid，suchas,freshmilk,vegetablejuice,juiceTheimprovementofswallowingfunctiona

ndphysicalrecoveryEatingtraining,Homogeneousglue(均质胶冻状)orpastefood,suchasCustard（蛋羹）,batter(面糊)Translatetoane

arlynormaldietandwatergraduallyOralfoodintake（摄食入口量）3-4ml1spoonSwallowingseveraltimesrepeatedlyorDrinktherightamount(适量的)ofwater进食物的分配

和方法Goodforbreakfast,luncheatsatisfied,dinnertoeatlessprinciplesLethargy（昏睡），sleepinessEatingwhileencouraging,offer

certainstimulationtowakeupmentalsymptomsDon'topenmouthBepatienttoenlighten（开导）andinspire,andtrytoassistintakeallthebookings.Addaspoonful(

匙)ofwaterintheteethinordertostimulatetoopenthemouthTonguemusclemovementparalysis(偏瘫)causedbymixingfailureEatingwhileencou

raging,offercertainstimulationtowakeupusenasalfeedingifcannotmaintainbymouthintakeenoughwaterandheatPharyngeal(咽部)m

ovementdisordersOralnursingshouldmaintainaseatafteramealmorethanhalfanhourMattersneedingattention(吞咽训练的注意事项)causes,danger

ous,trainingandcountermeasures(对策)detaileddescriptionobserveandrecordcloselyPreventabnormaldeglutition(误咽)andaspirationpneumonia（吸入性肺炎）Paya

ttentiontoSurgicaltreatment.Dehydration(脱水)andothernutritionstate,andsupplytimely.Aspirationpneumonia(吸入性肺炎)happenfrequently,andswall

owingfunctionnotimproveThankyouforyoulistening!