Objective: to manage the risk of bronchoaspiration in patients with oropharyngeal dysphagia through signalizing plates in the hospital bed. Methods: a descriptive, quantitative study, developed in the medical clinic I (diagnostic investigation), medical clinic II (infectology / pneumology), surgical clinics and intensive care unit of the University Hospital of the Federal University of Sergipe, from February to August 2017. It was composed of patients in the age group ≥ 18 years of age, of both sexes, diagnosed with oropharyngeal dysphagia, based on the application of the adapted protocol of clinical evaluation in the hospital bed and instrumental examination of swallowing, when pertinent. Following the clinical evaluation and identification of the risk of bronchoaspiration due to oropharyngeal dysphagia, the signs were inserted at the hospital bed by the speech therapist. Results: the study included 43 patients at risk of bronchoaspiration due to oropharyngeal dysphagia, average age of 53.7 ± 3.53 years old, with 51.1% (n = 22) females and 48.9% (n = 21) males. A predominance of neuropathies (53.4%) and severe neurogenic oropharyngeal dysphagia (37.2%) was observed. The intensive care unit stood out with 44.18% (n = 19) of the application of signs of risk of bronchoaspiration. Conclusion: the management of bronchoaspiration risk has been shown to be a promising measure to reduce adverse events, which affect the patient's safety and consequently the quality of care in the hospital environment, as well as a possible strategy for measuring respiratory complications triggered by aspiration of oropharyngeal contents.
ResumoO estudo aqui apresentado é informado teórica e metodologicamente pelo arcabouço da Sociolinguística Interacional e tem como objetivo investigar a participação da interlocutora-terapeuta na construção da história de AVE de um paciente afásico por meio de um olhar para as ações da interlocutora que penetram o turno a turno da narração. Os dados analisados foram gerados em vídeo, através do método de entrevista em profundidade, e transcritos de acordo com convenções dos analistas da conversa com algumas adaptações de autoras da área da interação. As análises qualitativas de cunho interpretativista nos permitiram observar que as ações da terapeuta contribuíram para o desenho/formatação da narrativa, para sustentação dos footings operantes na interação em curso e para a manutenção da intersubjetividade. Tais ações se configuraram como cooperativas e motivadoras, além de terem possibilitado o engajamento ativo do paciente na narração. Palavras
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