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Standards Needed For Aspiration Pneumonia Prevention

Standards Needed For Aspiration Pneumonia Prevention

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By Joanna Walsh


Pneumonia is a disease of the lungs. There are different forms of this disease. One is form aspiration pneumonia. In this case, fluids or other solid materials drawn to the airway causes trauma and consequently infection of lungs. An infection results to inflammatory response causing impairment in gaseous exchange. For this kind of health risk, it is therefore necessary to observe measures of aspiration pneumonia prevention.

There are various causes of such a lung disease that need to be known and avoided at all cost. In general terms, this disease may be the result of a number of factors including inhalation of vomited substance, food or any other form of viscous fluids. The inhaled substance causes a form of trauma that finally leads to infection and consequently inflammation of lung epithelium.

Although all persons are at risk, others are more predisposed than others because of their health state. Because of this, there is dire need for due diligence in preventing any possible aspiration. Patients in coma, delirium, convulsive disorder or those fed using tubes are but a few examples of predisposed persons.

For patients who are fed with aid of nasal-gastric tubing, a keen insertion procedure is necessary to ensure that the feeding tube ends up in the stomach and not lungs. A verification assessment should be carried out to confirm the position of an inserted tube before it is finally used for the intended purpose. Better still, feeding should be carried out following provided professional standards. Such standards include flow of feeds by aid of gravity alone. This is an exemplary precaution to prevent disease occurrence.

Patients with altered state of mind are equally predisposed and therefore require precautionary measures to prevent aspirating food as well as airway secretions. Positioning is one good way of achieving this objective. Head of bed should be elevated at an angle of 45 degrees and the patient be placed on left lateral position. This limits flow back of stomach content and encourages free drainage of oral secretions.

Use of tracheal tubes is yet another risk factor. The patients involved are on mechanical ventilation and therefore unable to clear their airway of secretions. This therefore implies that healthcare professionals involved in providing services to these patients must take up this role as well. This is achieved by timely and efficient suctioning.

One other way of preventing this disease is through provision of sound oral care. Unclean oral cavity accumulates bacteria in large numbers thereby raising risk of infection in case oral content finds its way to airway. A regular and precise oral care is therefore a precautionary measure to limit infection even when patient aspirate oral fluid.

Finally, it is worth noting that prevention is far much better and acceptable that reaction measures. Whenever possible, all identified risk factors must be controlled and or eliminated to limit any chance of developing a disease.




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