CUES

Objective Cues:

1. Gags or coughs when swallowing

2. Slurred speech

3. Has difficulty speaking

4. Can be hardly understood

5. Wet his pants

6. Frequent episodes overnight

Subjective Cues:

1. Weakness of the right arms and legs

2. Difficulty swallowing

Related factors: Stroke

SCIENTIFIC BASIS

Abnormal functioning of the swallowing mechanism associated with deficits in oral, pharyngeal, or
esophageal structure or function (Doenges, Moorhouse, Murr, 2016, p. 855).

A stroke occurs when blood circulation to a brain area is blocked, as by a blood clot or a ruptured blood
vessel, and vital brain tissue dies. A patient may have left-sided paralysis, damage to language areas,
damage to Broca’s area, and loss of ability to speak (Marieb, Keller, 2018, p. 277).

references:

Doenges, M. E., (2016). Nurse’s Pocket Guide Diagnoses, Prioritized Interventions, and Rationales.

Marieb, E. N., Keller, S. M., (2018). Essentials of Human Anatomy & Physiology Twelfth Edition.