7/26/2019 bladder mr.c

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How would you respond to the family?

I would tell them that any medication changes/additions would need to occur

after a discussion with the doctor. As his nurse, I am not authorized to add any

medications to his regime. However, we should wait a few days to consider this

bladder medication because it is normal to have frequency/urgency following

 TU!. In addition, I would tal" to them about his new diet changes. He may  be

able to drin" the soda if we add thic"ener to it, but I would tell them not to bring

any more food for him.

 What actions would you take to address the problems and concerns

raised?

I would be ma"ing frequent assessments of his neuro status, and it would also be

im#ortant to ma"e sure he is not wet from his incontinence $s"in brea"down%.

&ith his stro"e, it is im#ortant to have a bed alarm on him, educate the familyabout his diet, and #ut signs on the door regarding his diet needs.

What interventions would you institute to prevent aspiration during his

hospitalization and when returning home?

&henever he is eating he needs to either be in a chair, or have the bed at a '(

degree angle. &e will have suction available and on in the case that he does

as#irate. Adherence to his diet will be im#erative to "ee#ing him safe. &hen he

gets discharged, we will #rovide education about #ro#er #ositions for eating and

which ty#es of food would be good.