Question

A stroke patient has difficulty eating because she is coughing and choking when taking solids and liquids. She has failed a swallow evaluation and is scheduled to have a feeding tube placed. Which actual nursing diagnosis related to nutrition is the most appropriate diagnosis for this patient?

Answer 1

The most appropriate nursing diagnosis for a stroke patient with swallowing difficulties is 'Impaired Swallowing' due to risks during the pharyngeal phase of deglutition. A feeding tube may be necessary for ensuring nutrition and safety.

Step-by-step explanation:

The most appropriate actual nursing diagnosis related to nutrition for a stroke patient who is having difficulty eating because of coughing and choking when taking solids and liquids is Impaired Swallowing. This diagnosis is based on the patient's symptoms and the failed swallow evaluation, indicating difficulties with the coordination of the swallowing process. Ensuring patient safety and adequate nutrition, the placement of a feeding tube is often considered.

Deglutition, or swallowing, is a complex process involving multiple stages: the voluntary phase, the pharyngeal phase, and the esophageal phase. The risk of food entering the respiratory pathways occurs during the pharyngeal phase. This risk is blocked by the action of the epiglottis, which closes off the larynx, and by other reflexes that temporarily stop breathing to prevent aspiration.