Name : Peicilia . Angel.

Louhanapessy

NPM :1420117187

Class : Afthernoon ( Ambon )

Prodi / Semester : Keperawatan / VI

Assessment Nursing Diagnosis Goals and Outcomes Nursing Interventions Rationale Evaluation

Subjective : Impaired Swallowing After 5 hours of nurse – - Take and record vital - Establishes - Patient is able to
“I have trouble breathing”, as patient intervention, the signs. baseline for chewing and
verbalized by the patient. patient will be able to : assessing swallowing,
- Verbalize - Provide cognitive improvement understanding to the
Objective : understanding of cues remind patient or changes. causative factors of
- Vital Signs : causative or to chew of swallow - To enhance the problem and
T : 37˚c contributing factors. as indicated. concentration increased food
PR : 76bpm - Promote intake and intake.
RR : 26 cpm - Pass food from - Focus attention on performance of
BP : 120/80mmHg mouth to stomach feeding/swallowing swallowing
easily. activity and sequence.
- With difficulty of decreasing - To avoid
swallowing. environmental destruction
- Limitation of food stimuli. during feeding.
volume - To adequately
- Second day post - Place food midway trigger the
thyroidectomy in oral cavity and swallowing
provide medium- reflex.
sized bite