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학습 자료 둘러보기 →Position the client strictly upright at 90 degrees (high Fowler’s) to utilize gravity for bolus transit and airway protection. The nurse must remain at the bedside throughout the entire meal.
Monitor for subtle signs of silent aspiration: a wet, gurgly voice quality, watery eyes, or a change in respiratory rate. Do not rely solely on a cough reflex, which is often blunted in ALS.
Modify diet textures per speech-language pathology (SLP) recommendations. Thin liquids are typically the highest risk; use nectar-thick or honey-thick consistencies as prescribed.
A chin-tuck maneuver alone does not replace upright positioning. Keep emergency suction equipment set up and functional at the bedside. Stop feeding immediately if the client exhibits fatigue or respiratory distress.
학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.