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NCP Goiter

The patient was experiencing difficulty swallowing, an acidic smell to their breath, and repetitive swallowing. This was likely due to an enlarged thyroid gland causing a single or multinodular goiter. To address the patient's impaired swallowing, the nurse planned short term interventions within 8 hours to have the patient swallow softer foods, and long term interventions within 3-5 days to progress to bigger foods. The nurse's interventions included monitored feedings, oral care, positioning, and consistency of foods to promote swallowing.

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David Calalo
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4K views

NCP Goiter

The patient was experiencing difficulty swallowing, an acidic smell to their breath, and repetitive swallowing. This was likely due to an enlarged thyroid gland causing a single or multinodular goiter. To address the patient's impaired swallowing, the nurse planned short term interventions within 8 hours to have the patient swallow softer foods, and long term interventions within 3-5 days to progress to bigger foods. The nurse's interventions included monitored feedings, oral care, positioning, and consistency of foods to promote swallowing.

Uploaded by

David Calalo
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Assesment

S:
masakit ang
lalamunan
ko
O:
-Difficulty
in
swallowing
-Hyper
extensive of
head
-Repetitive
swallowing
-Acidic
smelling
breath

Explanation of the
Problem

Planning

There is an
increase in Thyroid
Stimulating hormone
(TSH) production,
the increase in TSH
levels leads to
single or
multinodular
goiter(s). This
not only impairs
the esophagus and
therefore also
impairs the
patients
swallowing

STO: Within 8
hours of
nursing
intervention,
the patient
will be able
to:
Swallow foods
that are of
the same
consistency

LTO: Within
3-5 days of
nursing
intervention,
the patient
will be able
to:
1)Swallow
foods that
are bigger
than what was
first given.

Nursing
Diagonosis:
Risk for
impaired
swallowing

Interventions

Rationale

> Monitor Vital


>Fed one
Signs
consistency of
food at a time

>To note
>To promote
for any
swallowing of
changes in
one type of
breathing
item
patterns

>Managed bite
sized feedings
>Evaluate ability
to swallow
>Massaged the
sides of the
neck

>To easily
swallow items
>To measure
the
>To promote
effectivene
swallowing
ss
swallowing

>Provided oral
>Monitored input,
care
output, and body
weight
>Encouraged rest
periods before
and after meals

Evaluation

STO: The
patient was
be able to
swallow food.

LTO: not yet


>For clean
>To see
achieved.
oral cavity
progession
of
>To not stress
nutritional
the patient
status

>Moved to a
sitting position
for meals and
snacks

>To prevent
aspiration

>Focused attention
on feeding and
swallowing
activites

>To remind
patient to
swallow

> Provided
consistency of
foods and liquids
that

>So that it
is easier
to swallow

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