【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.Therelevantpatients’dietgui

danceMaincontent（主要内容）Reason1.earlyintervention2.preventlunginfection（肺炎）Malnutrition（营养不良）Dehydration（脱水）Asphyxia（窒息）2AdvantagesEnsur

edifferentdegreesofswallowingdysfunctionclearlyGivecorrespondingnursinginterventionAvoidunnecessaryi

ndwellinggastrictubeNasogastrictubecanreducetheincidence（发生率）ofpulmonaryinfectioneffectivelyintheearlycla

ssifysimpleoperation3requirementshavetreatmentindicationsclearconsciousnessabletocompletethetestObeyinstructionsinaccordance4Methodssitup30mlwa

rmwaterobservethetimeofswallowchokingcoughLevel1optimalcanatimetoswallowthewatersmoothlyLevel2finedividemorethan2timestoswallow,butwithoutchokin

gcoughswallowLevel3mediumoneswallow,butthereareachokeandcoughLevel4canLevel5poorin2timesormoretimestoswallow,buttherearecho

keandcoughchokingandcoughfrequently,andcan'tswallow5Payattention:1.Donotneedtotellavoidtension3.Aftertestm

ustbeaccuracy2.QuantityofwaterdietguidanceMethodsNormalLevel1,andswallowingin5secondsSuspiciousAdrin

k,butdrinkmorethan5secondsortwicetilllevel2.Abnormal3~5level,anddivideinlight,mediumandseverechokingcoughTreatmentandnursinginterve

ntion(治疗及护理干预)assessmentresult(评定的结果):Level3Level5Level4giveguidancetoswallowingtraininggiveswallowingtrainingandguidepatientstoswa

llowingtrainingontheirownindwellinggastrictube8DietGuidanceformandchoiceDiluteLiquid（稀流质）water,milk,fruitjuice,c

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

tefood（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）,

bread,rice,chaozhouporridgebiscuit，nuts,etcAvoidtochooseDryoreasilylooseoffoodMorechewingfoodHighviscous（粘性的）foodsHotdil

ute（稀的）liquidfoodsthefoodhaveboneorsting(刺)suchasriceinsoup（汤泡饭）,leanmeat（稀肉）,porridgeHybrid（混合的）textureoffood

cookies,cakes,Friedricelargepiecesofmeat,peanutsricecake,glutinousrice（糯米）Feedingorder1.Paste（糊状）foodthickliquid（浓流质）2.Paste（糊状）food

semi-solid（半固体）diluteliquidpastefood（稀流质）solid（固体）FeedingtoolsSpoon（调羹）cupStraws（吸管）Eatingguidance-positionSe

mirecumbentposition（半卧位）andheadforwardslightly(头稍前倾)generalStayinbedLateralposition侧卧位Situpstraightandheadf

orwardbendsslightly,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Lethargy（昏睡），sleepiness，andswallowingabilityundermoderateEasytoswallowliquid，suchas,freshmilk,vegetablejuice,juiceTheimprovementofswallowingfunc

tionandphysicalrecoveryEatingtraining,Homogeneousglue(均质胶冻状)orpastefood,suchasCustard（蛋羹）,batter(面糊)Translatet

oanearlynormaldietandwatergraduallyOralfoodintake（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,offercertainstimul

ationtowakeupmentalsymptomsDon'topenmouthBepatienttoenlighten（开导）andinspire,andtrytoassistintakeallth

ebookings.Addaspoonful(匙)ofwaterintheteethinordertostimulatetoopenthemouthTonguemusclemovementparalysis(偏瘫)causedbymixingfailur

eEatingwhileencouraging,offercertainstimulationtowakeupusenasalfeedingifcannotmaintainbymouthintakeenoughwaterandheatPharynge

al(咽部)movementdisordersOralnursingshouldmaintainaseatafteramealmorethanhalfanhourMattersneedingattention(吞咽训练的注意事项)causes,dangerous,tra

iningandcountermeasures(对策)detaileddescriptionobserveandrecordcloselyPreventabnormaldeglutition(误咽)andaspirationpneumonia（吸入性肺炎）Payatt

entiontoSurgicaltreatment.Dehydration(脱水)andothernutritionstate,andsupplytimely.Aspirationpneumonia(吸入性肺炎)happenfrequently,an

dswallowingfunctionnotimproveThankyouforyoulistening!