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单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,可编辑,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,可编辑,*,*,*,*,*,*,*,*,*,*,*,*,*,*,*,*,*,*,*,*,*,*,*,*,*,*,*,Drinking water test&,The relevant guidance of diet,Guangzhou Medical University,主讲人,:,石彩兰,指导老师,:,朱美玲,2017.03.24,洼田饮水试验及相关饮食指导,Drinking water test&Guangzho,1.Reasons of drinking water test,2.Advantages,of drinking water test,3.Methods,of drinking water test,4.The relevant patients,diet guidance,Main content,（主要内容）,1.Reasons of drinking water te,Reason,3,1.early intervention,2.prevent,lung infection,（肺炎）,Malnutrition,（营养不良,）,Dehydration,（脱水）,Asphyxia,（窒息）,Reason31.early intervention2.p,Advantages,4,Ensure different degrees of swallowing dysfunction clearly,Give corresponding nursing intervention,Avoid unnecessary indwelling gastric tube,Nasogastric tube can reduce the incidence,（发生率）,of pulmonary infection effectively in the early,classify,simple operation,Advantages4Ensure different de,requirements,5,have treatment indications,clear consciousness,able to complete the test,Obey instructions,in accordance,requirements5have treatment in,Methods,6,sit up,30 ml warm water,observe,the time of swallow,choking cough,Level 1,optimal,can a time to swallow the water smoothly,Level 2,fine,divide more than 2 times to swallow,but without choking cough swallow,Level 3,medium,one swallow,but there are a choke and cough,Level 4,can,Level 5,poor,in 2 times or more times to swallow,but there are choke and cough,choking and cough frequently,and cant swallow,Methods6sit up 30 ml warm wate,Pay attention:,1.Do not need to tell,avoid tension,3.After test,must be accuracy,2.Quantity of water,diet guidance,Pay attention:1.Do not need,Methods,Normal,Level 1,and swallowing in 5 seconds,Suspicious,A drink,but drink more than 5 seconds or twice till level 2.,Abnormal,3 5 level,and divide in light,medium and severe choking cough,MethodsNormalLevel 1,and swall,Treatment and nursing intervention(,治疗及护理干预,),9,assessment result,(,评定的结果,):,Level 3,Level 5,Level 4,give guidance to swallowing training,give swallowing training and guide patients to swallowing training on their own,indwelling gastric tube,Treatment and nursing interven,Diet Guidance,form and choice,Dilute,Liquid,（稀流质）,water,milk,fruit juice,coffee,Thick liquid,（浓流质）,cereal beverage,（谷物饮料）,joined with thickening agent,（增粘剂）,of water,soup,eggs,etc,Semi-solid,（半固体）,Paste food,（糊状食物）,Solid,（固体）,rice paste,（米糊）,vegetables paste,（菜糊）,meat paste,steamed egg,（蒸水蛋），,water lotus root starch,（水藕粉）,soft rotten rice,（烂饭）,bread,rice,chaozhou porridge,biscuit,，,nuts,etc,Diet Guidance form and choiceD,THANK YOU,SUCCESS,2024/11/20,11,可编辑,THANK YOUSUCCESS2023/10/91,Avoid to choose,Dry or easily loose of food,More chewing food,High viscous,（粘性的）,foods,Hot dilute,（稀的）,liquid foods,the food have bone or sting(,刺,),such as rice in soup,（汤泡饭）,lean meat,（稀肉）,porridge,Hybrid,（混合的）,texture of food,cookies,cakes,Fried rice,large pieces of meat,peanuts,rice cake,glutinous rice,（糯米）,Avoid to chooseDry or easily,Feeding order,1.Paste,（糊状）,food,thick liquid,（浓流质）,2.Paste,（糊状）,food,semi-solid,（半固体）,dilute liquid paste food,（稀流质）,solid,（固体）,Feeding tools,Spoon,（调羹）,cup,Straws,（吸管）,Feeding order 1.Paste（糊状）food,Eating guidance-position,Semi recumbent position,（半卧位）,and head forward slightly(,头稍前倾,),general,Stay in bed,Lateral position,侧卧位,Sit up straight and head forward bends slightly,and body can tend to the contralateral(,健侧,)30 degrees(,头稍前倾,),坐直头稍前屈位，身体可倾向健侧,30,度,get out of bed,Eating guidance-positionSemi r,食物的形态,Lethargy,（昏睡），,sleepiness,，,and swallowing ability under moderate,Easy to swallow liquid,，,such as,fresh milk,vegetable juice,juice,The improvement of swallowing function and physical recovery,Eating training,Homogeneous glue(,均质胶冻状,)or paste food,such as Custard,（蛋羹）,batter(,面糊,),Translate to a nearly normal diet and water gradually,食物的形态Lethargy（昏睡），sleepiness,Oral food intake,（摄食入口量）,3-4ml,1,spoon,Swallowing several times,repeatedly,or,Drink the right amount(,适量的,)of water,Oral food intake（摄食入口量）3-4ml1S,进食物的分配和方法,Good for breakfast,lunch eat satisfied,dinner to eat less,principles,Lethargy,（昏睡），,sleepiness,Eating while encouraging,offer certain stimulation to wake up,mental symptoms,Dont open mouth,Be patient to enlighten,（开导）,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,进食物的分配和方法Good for breakfast,l,Tongue muscle mo
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