Difficulty In Swallowing

Nursing Diagnosis Difficulty in swallowing related to inflamed tonsils as evidenced by pain swallowing, lack of chewing, food or fluid refusal/ volume limiting and long meals with little consumption S O - pain swallowing lack of chewing food refusal/ volume limiting long meals with little consumption

Scientific Analysis Tonsillitis is an infection of the tonsils and will often, but not necessarily, cause a sore throat and fever. Symptoms of tonsillitis include a severe sore throat (which may be experienced as referred pain to the ears), painful/difficult swallowing, coughing, headache, fever and chills. Tonsillitis is characterized by signs of red, swollen tonsils which may have a purulent exudative coating of white patches (i.e. pus). There may be enlarged and tender neck cervical lymph nodes.

Nursing Intervention After 6-8 >Perform an hours of assessment of pain to nursing include location, intervention, characteristics , the patient will onset/ duration, be able to: frequency, quality, a. pass food / severity, grimacing fluid from ( 0 – 10 scale) mouth to stomach Encouraged a rest safely. period before meals Objective

b. maintain adequate hydration as evidenced by good skin turgor and moist mucous membranes

Rationale

Evaluation

Indicates need for/ effectiveness of interventions and may signal development/ resolution of complications

After 6-8 hours of nursing intervention, the patient will be able to: a. passed food / fluid from mouth to stomach safely.

To minimize fatigue

b. maintained adequate hydration as evidenced by good skin turgor and moist mucous membranes

Managed size of bites To encourage smaller and cut all solid foods bites and easier to into small pieces. swallow. Ensured temperature (hot or cold versus tepid) of foods/fluid

This will stimulate sensory receptors

Incorporated client’s eating style and pace when feeding

To avoid fatigue and frustration with process.

Monitored intake, output and body weight

To evaluate adequacy of fluid and caloric intake.

Provided analgesics prior to feeding, as indicated.

To enhance comfort, being cautious to avoid decreasing awareness / sensory perception

Intaked of pain reliever and antibacterial medications as per doctor’s order and advise.

NSAID activity includes modulation of T-cell function, inhibition of inflammatory cell chemotaxis, decreased release of superoxide radicals, or increased