Curriculum review : investigation and management of dysphagia

Nigam, Gaurav; Vasant, Dipesh H.; Dhar, Anjan

doi:10.1136/flgastro-2021-101917

Cited by 4 publications

(3 citation statements)

References 20 publications

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“…This theory emphasizes that change in an individual's behavior consists of three continuous processes: acquiring knowledge, establishing beliefs and producing behavior, and paying attention to their causality and progressive relationship. The diagnosis and management of dysphagia requires comprehensive knowledge of diverse etiologies, with a systematic approach for the assessment of symptoms, selection of investigations, and appropriate treatment to relieve symptoms [31]. Meanwhile, staff who provide mealtime assistance to people with dysphagia require adequate training to ensure that mealtimes are safe and enjoyable [32].…”

Section: Strengthening Relevant Training To Improve Knowledge Of Dysp...mentioning

confidence: 99%

Predictors of medical staff’s knowledge, attitudes and behavior of dysphagia assessment: A cross-sectional study

Chen,

Ye,

Zheng

et al. 2024

PLoS ONE

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Purpose This study aimed to explore the predictors of medical staff’s Knowledge, Attitudes and Behavior of dysphagia assessment, to provide reference suggestions for constructing the training program and improving the rate of dysphagia assessment. Methods This study was a cross-sectional study. A total of 353 nurses and doctors from four provinces (Guangdong, Hunan, Guangxi, and Shaanxi) who were selected by convenience sampling and invited to complete the questionnaire through WeChat, DingTalk, and Tencent instant messenger from May 23 to 31, 2022. A self-reported questionnaire was used to assess participants’ Knowledge, Attitude and Behavior regarding dysphagia assessment. Participants’ sociodemographic, training, and nursing experience were measured using the general information sheet and analyzed as potential predictors of medical staff’s Knowledge, Attitudes and Behavior of dysphagia assessment. A multiple linear regression model was used to identify the predictors. Results The mean scores for Knowledge, Attitudes and Behavior of dysphagia assessments were (15.3±2.7), (35.9±4.9) and (41.4±14.4) respectively. Knowledge and Behavior of medical staff were medium, and attitude was positive. Multiple linear regression results indicated that experience in nursing patients with dysphagia, related training for dysphagia, working years in the field of dysphagia related diseases, specialized training (geriatric, swallowing and rehabilitation) and department (Neurology, Rehabilitation, Geriatrics) were significant predictors of Behavior, accounting for 31.5% of the variance. Working years in the field of dysphagia related diseases, department (Neurology, Rehabilitation, Geriatrics) and title were significant predictors of medical staff’s knowledge, accounting for 7.8% of variance. Education, experience in nursing patients with dysphagia, department (Neurology, Rehabilitation, Geriatrics) and related training for dysphagia were significant predictors of medical staff’s attitude, accounting for 12.9% of variance. Conclusions The study findings implied that nursing experience, training, and work for patients with swallowing disorders could have positive effects on the Knowledge, Attitudes and Behavior of medical staff regarding dysphagia assessment. Hospital administrators should provide relevant resources, such as videos of dysphagia assessment, training centers for the assessment of dysphagia, and swallowing specialist nurses.

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Section: Strengthening Relevant Training To Improve Knowledge Of Dysp...mentioning

confidence: 99%

Predictors of medical staff’s knowledge, attitudes and behavior of dysphagia assessment: A cross-sectional study

Chen,

Ye,

Zheng

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…EGD is mandatory and the first diagnostic tool to be performed in the workup of a patient with esophageal dysphagia, excluding conditions that can lead to secondary esophageal motor dysfunction [ 6 , 9 ]. Certain findings during endoscopy can also be suggestive of motility disorders, such as increased esophageal diameter and difficulty passing the esophagogastric junction (EGJ) [ 6 ].…”

Section: Endoscopymentioning

confidence: 99%

Current Approach to Dysphagia: A Review Focusing on Esophageal Motility Disorders and Their Treatment

Mascarenhas

Mendo

O'Neill

et al. 2023

GE Port J Gastroenterol

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Background: Dysphagia is a prevalent condition which may severely impact the patient’s quality of life. However, there are still lacking standardized therapeutic options for esophageal motility disorders. Summary: Dysphagia is defined as a subjective sensation of difficulty swallowing which can result from oropharyngeal or esophageal etiologies. Regarding esophageal dysphagia, after excluding structural causes and esophageal mucosal lesions, high-resolution manometry (HRM) is the gold standard for the diagnosis of esophageal motility disorders. HRM has not only improved the sensitivity for detecting achalasia but has also expanded our understanding of spastic and hypomotility disorders of the esophageal body. The Chicago Classification v4.0 uses a hierarchical approach and provides a standardized diagnosis of esophageal motility disorders, allowing a tailored therapeutic approach. Dysphagia is often a long-term health problem that broadly impacts health and well-being and leads to physical and psychosocial disability, namely, malnutrition and aspiration pneumonia, as well as social isolation, depression, and anxiety. Apart from achalasia, most esophageal motility disorders tend to have a benign long-term course with symptoms of dysphagia and noncardiac chest pain that can improve significantly over time. Patient-reported outcomes (PROs) are self-assessment tools that capture the patients’ illness experience and help providers better understand symptoms from the patients’ perspective. Therefore, PROs have a critical role in providing patient-centered care. Key Messages: Motility disorders should be ruled out in the presence of nonobstructive esophageal dysphagia, and treatment options should be considered according to the severity of symptoms reported by the patient.

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“…Further studies are needed to investigate its effect in maintaining remission beyond a year. Elimination diets can have a role in the management of EoE but only in the setting of an experienced dietitian supervising the dietary restriction and should include histological assessment to confirm improvement 8 13. If left untreated, EoE can result in persistent symptoms and inflammation, leading to oesophageal remodelling, stricture formation and functional abnormalities of dysmotility 8…”

Section: Eosinophilic Oesophagitismentioning

confidence: 99%