Dysphagia in Chronic Obstructive Pulmonary Disease

Scelza, Livia; Greco, Catiuscia S.S.; Lopes, Agnaldo José; Melo, Pedro Lopesde

doi:10.5772/60742

Cited by 2 publications

(2 citation statements)

References 43 publications

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“…If the normal breathing pattern is disrupted, the airway is potentially exposed as a result of this uncoordinated period of apnoea, which may result in inadequate airway closure (Nishino, 2012 ). This phenomenon can be seen with the high prevalence of dysphagia in individuals with chronic obstructive pulmonary disease (COPD) (Scelza, Greco, Lopes, & De Melo, 2015 ), for example.…”

Section: Dysphagia and Covid-19: A Brief Overviewmentioning

confidence: 99%

Dysphagia services in the era of COVID-19: Are speech-language therapists essential?

Coutts

2020

South African Journal of Communication Disorders

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In the era of coronavirus disease 2019 (COVID-19), many healthcare professionals are being faced with the question of what is considered to be an essential service. This opinion paper has attempted to answer this complex question by understanding the potential relationship between dysphagia and COVID-19 and how speech-language therapists (SLTs) in South Africa should tackle this. It also aims to answer the question through the lens of a risk–benefit discussion based around practices and decision-making. Important gaps in the field relating to how SLT practices need to move forward during this challenging time have also been highlighted. Reflective questions that can assist SLTs when seeing dysphagia cases have been provided.

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Section: Dysphagia and Covid-19: A Brief Overviewmentioning

confidence: 99%

Dysphagia services in the era of COVID-19: Are speech-language therapists essential?

Coutts

2020

South African Journal of Communication Disorders

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“…This, along with the presence of the stent, can lead to swallowing problems post-surgery [ 3 ]. The interplay between airway, swallowing and voice is a key feature of LTS management, and the dyspnea caused by LTS can have a negative impact on swallowing, similarly to other respiratory conditions [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Not Just Dyspnoea: Swallowing as a Concern for Adults with Laryngotracheal Stenosis Undergoing Airway Reconstruction

et al. 2021

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Acquired laryngotracheal stenosis (LTS) is a rare condition causing dyspnea and stridor. Patients often require multiple surgical procedures with no guarantee of a definitive outcome. Difficulty swallowing is a recognised problem associated with LTS and the reconstructive surgeries required to manage the condition. The breathlessness patient’s experience impacts on swallowing, and the vulnerable structures of the larynx are implicated during complex surgeries. This leads to dysphagia post-surgery, with some patients experiencing more chronic symptoms depending on the biomechanical impact of the surgery, or a pre-existing dysphagia. Despite this there is limited observational research about the dysphagia associated with LTS, with no exploration of the patient experience. Our aim was to investigate patient experience of living with LTS focussing on dysphagia in order to guide clinical practice. A qualitative study was completed using focus groups and semi-structured interviews with 24 patients who have had reconstructive surgery for LTS. Thematic analysis was used to identify three over-arching themes: The Physical Journey, The Emotional Journey and The Medical Journey. Key sub-themes included the importance of self-management and control, presence of symptoms, benefits of therapy, living with a life-long condition, fear and anxiety, autonomy, medicalisation of normal processes and the dichotomy between staff expertise and complacency. Swallowing was connected to all themes. The results are reviewed with consideration of the wider literature of lived experience particularly in relation to other chronic conditions and those that carry a high symptom burden such as head and neck cancer. Future clinical and research recommendations have been made. Akin to other clinical groups, adults with LTS are keen that management of their swallowing is person-centred and holistic.

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Dysphagia in Chronic Obstructive Pulmonary Disease

Cited by 2 publications

References 43 publications

Dysphagia services in the era of COVID-19: Are speech-language therapists essential?

Dysphagia services in the era of COVID-19: Are speech-language therapists essential?

Not Just Dyspnoea: Swallowing as a Concern for Adults with Laryngotracheal Stenosis Undergoing Airway Reconstruction

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