Question: Provide Scenario: Mrs. Gonzalez Is A 65-year-old Hispanic Woman Who Comes To The Emergency Department With Slurred Speech, Right Facial Droop, And Weakness In Her Upper And Lower Right-side Extremities. She Is Admitted To The Hospital With A Diagnosis Of Acute Stroke. She Has A Daughter And Two Teenage Grandchildren Who Live In Another Town Nearby. …

Provide Scenario: Mrs. Gonzalez is a 65-year-old Hispanic woman who comes to the emergency department with slurred speech, right facial droop, and weakness in her upper and lower right-side extremities. She is admitted to the hospital with a diagnosis of acute stroke. She has a daughter and two teenage grandchildren who live in another town nearby. Mrs. Gonzales is awake and alert in her hospital room yet is drooling from the right side of her mouth. When she tries to drink water, she starts to cough. The physician has ordered nothing by mouth (NPO). Evaluation by the speech language pathologist (SLP) indicates inadequate clearance of food and liquid from the vocal folds and aspiration of thickened liquids. Mrs. Gonzalez has trouble swallowing with oropharyngeal dysphagia. The SLP recommends enteral feedings, and speech and swallowing therapy to help her return to oral feedings. Matt is a nursing student assigned to Mrs. Gonzalez. As he prepares to assess her, he recalls information about the effects of dysphagia on nutrition and rehabilitation. He will assess Mrs. Gonzales’ weight, weight history, diet history, and cultural customs. Matt knows to consult with a registered dietitian (RD) to assess Mrs. Gonzales’s nutritional status and interventions. Matt is responsible for inserting Mrs. Gonzalez’s smallbore nasogastric feeding tube and starting her tube feedings. The RD has recommended continuous tube feeding for 12 hours during the day. Matt must keep in mind that Mrs. Gonzalez will progress to restorative care and return to oral feedings and must consider cultural preferences. Matt knows that food safety is an important issue. Matt consults the dietitian, and together they develop a teaching plan regarding food safety for the foods that Mrs. Gonzalez’s family will be preparing at home. Matt sees Mrs. Gonzalez before discharge to a restorative care facility for rehabilitation before returning home. Mrs. Gonzalez now can consume all of her required nutrients with a ground diet and nectar-thickened liquids. Matt removes the feeding tube in preparation for her transport to the new facility. Matt advises Mrs. Gonzalez to continue the care plan and emphasizes that it is important to continue speech therapy. Matt also discusses the importance of compliance with diet modifications until swallowing function returns completely