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    Checklist: Aspiration/Aspiration Pneumonia

    Uploaded by

    WienaIbunyaKevin
    This checklist evaluates risk factors for aspiration pneumonia. It addresses whether the individual has conditions like neuromuscular disorders, seizures, or impaired consciousness that increase aspiration risk. It also checks if the person experiences coughing, choking, or wheezing when eating. Recurrent pneumonia in the past year and difficulty swallowing or chewing indicate higher risk. The checklist aims to identify if special diets, feeding procedures, or a G-tube have been recommended to help prevent aspiration.

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    Download as PDF, TXT or read online from Scribd

    Checklist: Aspiration/Aspiration Pneumonia

    Uploaded by

    WienaIbunyaKevin
    61 views3 pages
    This checklist evaluates risk factors for aspiration pneumonia. It addresses whether the individual has conditions like neuromuscular disorders, seizures, or impaired consciousness that increase aspiration risk. It also checks if the person experiences coughing, choking, or wheezing when eating. Recurrent pneumonia in the past year and difficulty swallowing or chewing indicate higher risk. The checklist aims to identify if special diets, feeding procedures, or a G-tube have been recommended to help prevent aspiration.

    Original Description:

    Pnemonia

    Original Title

    Pnemonia

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    This checklist evaluates risk factors for aspiration pneumonia. It addresses whether the individual has conditions like neuromuscular disorders, seizures, or impaired consciousness that increase aspiration risk. It also checks if the person experiences coughing, choking, or wheezing when eating. Recurrent pneumonia in the past year and difficulty swallowing or chewing indicate higher risk. The checklist aims to identify if special diets, feeding procedures, or a G-tube have been recommended to help prevent aspiration.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    61 views3 pages

    Checklist: Aspiration/Aspiration Pneumonia

    Uploaded by

    WienaIbunyaKevin
    This checklist evaluates risk factors for aspiration pneumonia. It addresses whether the individual has conditions like neuromuscular disorders, seizures, or impaired consciousness that increase aspiration risk. It also checks if the person experiences coughing, choking, or wheezing when eating. Recurrent pneumonia in the past year and difficulty swallowing or chewing indicate higher risk. The checklist aims to identify if special diets, feeding procedures, or a G-tube have been recommended to help prevent aspiration.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Checklist: Aspiration/Aspiration Pneumonia

    Does this person have any of the following risk factors for aspiration? (Check all that apply.)
    Neuromuscular conditions
    Severe epilepsy
    Lower level of consciousness
    Chronic respiratory conditions
    Stuffing food
    History of addiction (drug overdose)
    Severe gastroesophageal reflux

    Does this person have unexpected or


    unexplained episodes of wheezing, coughing or
    choking?
    Yes

    No

    Recurrent wheezing, coughing and choking, especially


    after eating (feeding), can be a symptom of possible
    swallowing dysfunction and aspiration.

    Comments:

    Has he or she been diagnosed with pneumonia


    two or more times during the past year?
    Yes

    No

    Comments:

    Checklist: Aspiration/Aspiration Pneumonia

    Recurrent pneumonia is having two or more episodes of


    pneumonia in the same year and most likely indicates
    that there is an underlying medical condition. The most
    common predisposing factor is aspiration.

    Page 1 of 3

    Does this person have difficulty chewing or


    swallowing food?
    Yes

    No

    Comments:

    Does this person have difficulty getting into a


    sitting position independently?
    Yes

    No

    Comments:

    Has this person ever been hospitalized and


    diagnosed as having aspiration pneumonia?
    Yes

    No

    Comments:

    Is this person receiving a special diet such as


    ground or chopped foods to prevent choking or
    aspiration?
    Yes

    No

    When there is trouble with swallowing, eating takes


    longer and food may be retained in the mouth longer or
    food may come out of the mouth during swallowing.
    Persons with trouble swallowing can choke or cough
    during eating.

    Neuromuscular conditions prevent a person from sitting


    up independently. People with these conditions are
    more likely to have swallowing and choking problems.
    They can not change position independently, if they are
    choking. When a person is upright, gravity facilitates
    feeding and neck flexion facilitates swallowing.

    The cause of aspiration, the type of bacteria that caused


    an infection, and whether there was resultant lung
    damage needs to be determined for prognosis, as well
    as future treatment and monitoring. To determine
    whether the cause was related to swallowing dysfunction
    a swallow study should be done.

    Aspiration may be related to poor oral motor and


    swallowing function, difficulty with chewing, or stuffing
    behaviors. In this case, appropriate food texture can
    help to prevent aspiration and choking.

    Comments:

    Checklist: Aspiration/Aspiration Pneumonia

    Page 2 of 3

    Is there a special feeding and eating plan or a


    procedure to monitor this person during and
    after eating?
    Yes

    No

    Comments:

    Does this person have a care plan for managing


    increased secretions during respiratory illness?
    Yes

    No

    Comments:
    Has a physician or nurse mentioned or
    recommended a G-tube to prevent this person
    from aspirating?
    Yes

    No

    Comments:

    Unclear or concerned about an answer?

    Checklist: Aspiration/Aspiration Pneumonia

    Some individuals have severe swallowing dysfunction or


    tend to stuff their food. In such cases, it may be
    necessary to have a plan where someone observes the
    person during feeding, feeds him or her directly, or offers
    food at specific intervals, and assists the person if he or
    she begins to choke.

    Respiratory infections can result in stuffy nose, mucous


    nasal discharge, increased nasopharyngeal secretions,
    and cough. These conditions can exacerbate the risk of
    aspiration in persons with swallowing problems. During
    respiratory infections, a persons diet may need to be
    altered and he or she may need to have secretions
    suctioned.
    When a swallow study shows aspiration, a physician will
    recommend a G-tube to reduce the risk of aspiration
    pneumonia. There may be differences of opinion
    regarding the timing and severity of the aspiration
    demonstrated by the test, and the person or the family
    may resist having a G-tube. Either of these may delay
    placement of a tube.

    Please consult with your clinical staff for appropriate follow-up

    Page 3 of 3

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