Dysphagia :: Health, Diseases

DysphagiaSurviving a severe stoke often leads to a new problem. Almost half of patient qualify by severe stroke develop difficulty in swallowing that is known as dysphagia. People in this condition have trouble in guardianship food and fluid in their mouth or swallowing. When food passes from the mouth into oropharynx and laryngopharynx, it enters the esophagus and muscular contraction propels it to the stomach, but when process goes wrong the food and fluids get in the esophagus which is known as reflux (Nozarka, 2010). There are factors that disrupt normal swallowing. These include stroke, age-related changes, medication and neurological disease (Nozarko, 2010). Signs of dysphagia are cough during eating, change in voice tone or quality after swallowing, perverted movements of the mouth, tongue or lips and slow, weak, precise, or uncoordinated speech. Other signs of the disease are abnormal gag, delayed swallowing, incomplete oral clearance or pocketing, regurgitation, pharyng eal pooling, delayed or absent trigger of swallow, and inability to speak consistently (Potter & Perry, 2009). Dysphagia can leads to ambitiousness pneumonia. During purpose, the food or fluid passes through the vocal folds and enters the airway. It can be caused by impaired laryngeal closure or overflow of food or liquids retained in pharynx. This increases the risk of choking and aspiration pneumonia. Through coughing the body tries to free from aspiration that helps to clear food and fluid from lungs. However, silent aspiration is very dangerous because food and fluid penetrate the airway and move deep into the lungs that cause major respiratory problems. Dysphagia also results to malnutrition and dehydration. This increases the risk for pressure ulcer (Nozarko, 2010).Assessment of the gathered data leads to a nursing diagnosis. A client who is a stroke survivor complains in difficulty when swallowing that is associated to deficit in oral, pharyngeal, or esophageal structure or function. In this case the nursing diagnosis is impaired swallowing related to neurological problem (Ackley & Ladwig, 2011).As a caregiver of a client in this condition, setting goals and outcome is needed. The goal and outcome for a client suffering from dysphagia are the client can effectively swallow without choking within seven days, and the client will be free from aspiration evidence by clear lung sound within five days (Ackley & Ladwig, 2011).To pair the goals and outcomes for this patient first determine the severity of dysphagia. If a person has mild dysphagia, simply provide a suitable and advice about eating slowly and sit down upright while eating may enable the person to remain well nourished sic and problem free (Nozarka, 2010, para.

The Hasid and the Zionist :: Essays Papers

The Hasid and the ZionistThe saying, Opposites attract actually comes to life in The Chosen, by Chaim Potok. in that respect are both similarities and differences between Reuven and Danny. Usually, close friends hold back more(prenominal) similarities than differences, but not Reuven and Danny. They really are total opposites. They have differences on almost every aspect of life. They have different beliefs and ways of living. They even have differences in almost all of their relationships. Reuven and Danny are completely unlike. Reuven Malter is a Zionist he was a Jew who wanted a Jewish state, before the Messiah came. He has always been good at math, not like Danny. He wanted to be a Rebbi when he grew up, although at first he wanted to be a mathematician. The gematriya for prozdor is five hundred and thirteen (134). Reuven really doesnt think for himself, he always has his father help him with his problems. I told him (251). This pretty well sums up Reuvens relati onship with his father, he told him absolutely everything and never solved his own problems. Unlike Danny, Reuven and his father communicate really well together. Reuven hates Reb, Dannys father, but Danny reckon him. I hate Reb (221). Contradictory to Danny, Reuven goes out with women on his weekends, while Danny sits at home cultivationing. Reuven said, I was dating regularly now on Saturday nights (250). There are even some differences in appearance, such as, Reuven wears glasses and he doesnt have ear curls. Danny Saunders is an anti-Zionist, which means he opposes Zionists. Danny was great in the study of the Talmud Reuven on the other hand was kind of slow at it. Danny never actually wanted to be a Tzakkid he always wanted to locomote a psychologist. I dont know, Probably a psychologist (69). He constantly showed that he thought for himself, because every problem he had, he normally solved it by himself, he never got the answer like Reuven. Between Danny and h is father, there is an uneasy silence, but Reuven and his father get along perfectly. There was never any simple human kind of conversation between him and his son (184). This is talking about Reb and Danny. Danny never says he loves his father, he only prise him, but Reuven however, despises Reb Saunders.