Definition of the NANDA label
Situation in which the individual runs the risk of oropharyngeal or gastrointestinal secretions, solid or liquid foods, entering the tracheobronchial tract, due to a dysfunction or an absence of normal protection mechanisms.
Susceptible to entry of gastrointestinal secretions, oropharyngeal secretions, solids, or fluids to the tracheobronchial passages, which may compromise health.
• Decreased level of consciousness.
• Swallowing disorders.
• Depression of the cough center.
• Depression of the vomiting center.
• Incompetence of the esophageal sphincter.
• Tracheostomy or endotracheal intubation.
• Inadequate inflation of the safety balloon of the tracheostomy tube or endotracheal tube.
• Use of gastrointestinal tubes.
• Feeding or administration of medications by nasogastric tube.
• Situations that affect mobility and prevent the incorporation of the upper body.
• Increased endogastric pressure.
• Increase in residual gastric volume.
• Decrease in gastrointestinal peristalsis.
• Surgery or trauma to the face, mouth or neck.
• Mandibular fixation.
• Decrease in level of consciousness
• Delayed gastric emptying
• Depressed gag reflex
• Enteral feedings
• Facial surgery
• Facial trauma
• Impaired ability to swallow
• Incompetent lower esophageal sphincter
• Increase in gastric residual
• Increase in intragastric pressure
• Neck surgery
• Neck trauma
• Oral surgery
• Oral trauma
• Presence of oral/nasal tube
• Treatment regimen
• Wired jaw
• Prevention of aspiration.
• Suction control.
• State of swallowing.
• Precautions to avoid aspiration.
• Management of vomiting.
• Swallowing therapy.
• Individual teaching.
• Aspiration of the airways.
• Change of position.
• Airway management.
• Nutritional management.
• Teaching therapeutic regimen.
This diagnosis will retire from the NANDA-I Taxonomy in the 2021-2023 edition unless additional work is completed to bring it up to a level of evidence 2.1 or higher.