Questions and Answers
What will take place over the next two weeks?
Performance Testing
During Week #11, what will the groups do?
Switch activities
Where can students find guidelines for performance testing?
On their shell
What is one of the learning objectives for Week #9?
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What does the Canadian Nutrition Screening Tool (CNST) help assess?
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What does the Canadian Dietary Guidelines for Health Professionals and Policy Makers emphasize?
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What is included in a balanced nutritional intake?
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What does the dietary history assessment include?
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How do nurses promote appetite for visually impaired clients?
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What is included in the nutrition assessment process?
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What do professional standards like Canada's Food Guide provide?
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What is included in diet progression and therapeutic diets?
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What do cultural considerations in nutrition include?
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What do nurses integrate when assessing nutrition?
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What do the Canadian Dietary Guidelines for Health Professionals and Policy Makers emphasize in terms of food?
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What does a balanced nutritional intake include in terms of fats?
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What are the feeding strategies for patients with dementia?
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What is dysphagia?
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What are the warning signs of dysphagia?
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What are the symptoms of aspiration pneumonia?
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What are the feeding strategies for patients with dysphagia?
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What is aspiration?
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What are the emergency procedures for airway obstruction?
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What does assessment for oral care involve?
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Why is brushing and flossing essential for oral care?
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What does denture care involve?
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What is recommended for individuals with dryness and inflammation of the oral mucosa?
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What is recommended for those with stomatitis/xerostomia?
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What is recommended for caring for a client living with dementia?
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What is recommended for unconscious clients in terms of oral hygiene?
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What are older adults at risk for in terms of oral hygiene?
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What contributes to inadequate dental care for some older adults?
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What does the text cover in relation to meal assistance, dysphagia, and aspiration risk?
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What is the purpose of examining the oral cavity for pocketing?
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What are appropriate nurse responses to client requests?
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What specific actions should be taken prior to feeding a client with dysphagia?
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Study Notes
Oral Hygiene and Care for Various Health Conditions
- Risk factors for oral hygiene problems include inability to perform oral hygiene effectively, dehydration, presence of tubes, medications, trauma to the mouth, immunosuppression, age-related changes, unconsciousness, diabetes, and chemotherapy.
- For mucosal changes associated with aging and certain drugs, more frequent mouth care and anti-infective agents are recommended.
- For individuals with dryness and inflammation of the oral mucosa, increased hydration, more frequent mouth care, and water-soluble lubricants are advised.
- Those with stomatitis/xerostomia are recommended to practice gentle brushing and flossing, increase the frequency of oral hygiene, and apply water-soluble lubricants to lips, while avoiding alcohol, commercial mouthwash, and smoking.
- Caring for a client living with dementia involves assessing abilities, functional difficulties, and mouth, and using techniques like distraction, a two-person approach, and hand-over-hand technique for oral care.
- Unconscious clients are susceptible to drying of mucous-thickened saliva and require careful positioning, mouth cleaning, and monitoring of salivary secretions.
- Oral hygiene for the unconscious client involves cleaning the mouth using a brush or toothette every 2 hours and checking the policy for using chlorhexidine.
- Performing mouth care for the unconscious client or debilitated patient requires extra care due to the increased risk of aspiration pneumonia, dry inflamed oral mucosa, and the need to protect the airway.
- Older adults are at risk for poor oral hygiene due to factors such as edentulism, weakened periodontal membrane, chronic illnesses, ill-fitting dentures, weaker jaw muscles, age-related decline in saliva secretion, poor nutritional status, and limited access to dental care.
- Financial limitations, low income, and lack of transportation contribute to inadequate dental care for some older adults.
- The text includes questions related to meal assistance, dysphagia, and aspiration risk, with a focus on creating a safe environment and appropriate actions for clients.
- The questions also cover the purpose of examining the oral cavity for pocketing, appropriate nurse responses to client requests, and specific actions to take prior to feeding a client with dysphagia.
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