The administrator at a skilled nursing facility is concerned about the rates of aspiration pneumonia. Which long-term facility factors are most likely to lead to increased rates of aspiration pneumonia? Select all that apply.
1. Prolonged nurse position vacancies
2. Reduced staffing levels for second shift
3. Bonus pay offered for working extra shifts
4. High client turnover in the morning
5. Shortage of beverage thickener
1. Prolonged nurse position vacancies
2. Reduced staffing levels for second shift
3. Bonus pay offered for working extra shifts
4. High client turnover in the morning
Explanation: 1. Inadequate nurse staffing could lead to pneumonia because of aspiration during mealtimes. Staff is rushed and may feed too quickly; clients may try to feed themselves when they should not.
2. Inadequate nurse staffing could lead to pneumonia because of aspiration during mealtimes. Staff is rushed and may feed too quickly; clients may try to feed themselves when they should not. Dinner time and evening snacks are important to the client's nutritional status.
3. Overworked staff may not provide the care required during mealtimes due to their own fatigue. Bonus pay for extra shifts can temporarily help staffing issues, but it is not a permanent solution.
4. When staff are rushed to admit, transfer, or discharge clients, feeding clients can become rushed, leading to aspiration pneumonia.
5. Foods and liquids can be safely administered to clients at risk of aspiration pneumonia without a thickening agent.
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