Page 18 - Altered Obstructive Nursing Care
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Nursing Interventions Rationales
Assure that the consistency of diet is suitable Thickened semisolid foods such as pudding
for the patient’s ability to chew and swallow, as and hot cereal are most easily swallowed and
assessed by the speech therapist. less likely to be aspirated.
If vision is affected, guide the patient about the After a CVA, patients may have unilateral
placement of food on the plate. neglect and may ignore half of the plate.
Provide an appropriate setting for feeding
where the patient has supportive assistance yet Embarrassment or fear of spilling food on self
may prevent the patient’s effort to feed self.
is not embarrassed.
Dressing/grooming
The need for privacy is fundamental for most
Provide privacy during dressing. patients. Patients may take longer to dress and
may be fearful of breaches in privacy.
The use of buttonhook or loop-and-pile
Use appropriate assistive devices for dressing closures on clothes may make it possible for a
as assessed by the nurse and occupational patient to continue independence in this self-
therapist.
care activity.
Suggest elastic shoelaces or Velcro closures on The closures eliminate tying, which can add to
shoes. frustration.
Assistance can reduce energy expenditure and
Give frequent encouragement and aid with frustration. However, care needs to be taken
dressing as needed. so the care provider does not rush through
tasks, negating the patient’s attempts.
Dressing requires energy. A chair that
provides more support for the body than
Utilize wheelchair or stationary chair.
sitting on the side of the bed saves energy
when dressing.
A plan that balances periods of activity with
Establish regular activities so the patient is periods of rest can help the patient complete
rested before activity. the desired activity without undue fatigue and
frustration.
A large size guarantees easier dressing and
Consider the use of clothing one size larger.
comfort.
Recommend a front-opening brassiere and Clothing that is easier to put on and remove
half-slips. enhances self-care with dressing.
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