Safety Concerns and Multidisciplinary Management of the Dysphagic Patient

Giammarino, Claudia; Adams, Elizabeth; Moriarty, Christina; Cristian, Adrian

doi:10.1016/j.pmr.2012.02.008

Cited by 7 publications

(4 citation statements)

References 4 publications

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“…It occurs following mechanical, neurological, or presbyphagia disorders and is particularly predominant among patients with neurological conditions, elderly people, and patients with head and/or neck diseases. Dysphagia can lead to clinically relevant complications such as malnutrition, dehydration, weight loss, pulmonary complications, pneumonia, and, in the most severe cases, death [1][2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

“…Ideally, a specialized professional would explain the risks and consequences of dysphagia to caregivers, encourage their involvement in the intervention process, and use appropriate visual references to raise their awareness and help them understand important aspects associated with this swallowing difficulty, such as the texture of the food that is to be adapted [1,7,8,15]. However, research suggests that important communication failures exist between health professionals, the patients, and their relatives, regarding the necessity of these dysphagia-related feeding changes [7,8,13].…”

Section: Introductionmentioning

confidence: 99%

“…Both patients with dysphagia and their family members have reported the need for more personalized and practical information regarding dysphagia management. Some authors have claimed that education about dysphagia should be standardized and made widely available [1,5,7,8,12]. When oral communication is insufficient or difficult to understand, visual references can contribute to filling in the gaps or even be used in place of oral information [7,[16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

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Communicating Risks and Food Procedures through a Visual Poster for Caregivers of Patients with Dysphagia in Inpatient Care: Usability and Impact

Neves,

Matos,

Carvalho

2024

Healthcare

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Food-related procedures are a part of rehabilitation interventions for dysphagia. However, studies show that professional-caregiver communication is often lacking in dysphagia, risking caregivers’ knowledge, understanding, and practice of those procedures, with negative consequences for patient safety and rehabilitation. The aim of this study was to evaluate caregivers’ perspectives about the utility of a poster designed to communicate dysphagia-related risks and food procedures for caregivers of patients in inpatient care. The impact of caregivers’ exposure to the poster on patients’ dysphagia-related health was additionally explored. The poster was placed by the beds of a randomly assigned group of patients (n = 21). Their caregivers responded to a questionnaire about the poster’s utility. In addition, to explore whether the caregiver exposure to the poster could already have some effect on patient dysphagia-related health, patient risk of aspiration, food swallowing capacity, nutritional status, and oral cavity health were assessed before and one month after placement of the poster, and the poster-exposed group was compared with a (randomly-assigned) non-exposed group (n = 21). Data were analyzed with descriptive statistics and generalized linear models based on analyses of covariance. All caregivers across various education levels reported noticing, reading, and understanding the poster (100%). Nearly all reported that the poster added new information to their knowledge (17 out of 21). In the additional analysis, the patients in the poster-exposed group showed greater improvements in the health outcomes, compared with the non-exposed group, although the effects were statistically non-significant within this study’s one-month period. A poster with pictorial information was effective in increasing awareness about dysphagia-specific information among caregivers of patients in inpatient care and can be used as an augmentative means of information, with potential benefits for patient safety and rehabilitation.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Communicating Risks and Food Procedures through a Visual Poster for Caregivers of Patients with Dysphagia in Inpatient Care: Usability and Impact

Neves,

Matos,

Carvalho

2024

Healthcare

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“…Dysphagia refers to a disorder of food or liquid transportation from the mouth to the stomach [2,4,5]. It can cause various complications, such as aspiration pneumonia, malnutrition, and even asphyxia [6].…”

Section: Introductionmentioning

confidence: 99%

Influences of Dysphagia on the Prognosis of Chinese Elderly Inpatients: a Prospective Cohort Study

Meng

Zhou

Shu

et al. 2021

Preprint

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The increasing incidence of dysphagia may pose threats to the health of older patients. The aim of this study was to investigate the adverse influences of dysphagia on the prognosis of older Chinese inpatients. A total of 290 older inpatients with different swallowing functions were involved in this study through group sampling from the geriatric centre of a 3A-level hospital in China. Among them, 125 patients (43.1%) had dysphagia at admission. Based on a cross-sectional investigation, a prospective cohort study was conducted to investigate the incidence of complications, readmission, and death during 6 months of follow-up. A total of 34 patients (11.7%) died, and the remaining 256 patients (88.3%) were investigated concerning their complications. There was a higher prevalence of death among the older patients with dysphagia (15.6% vs 7.9%, RR = 2.361). In terms of complications, older patients with dysphagia were more likely to develop malnutrition (29.8% vs 5.9%, RR = 6.747) and aspiration pneumonia (34.6% vs 11.2%, RR = 4.204). Furthermore, multi-factor analysis demonstrated that dysphagia was an independent predictor of malnutrition and aspiration pneumonia but not an independent predictor of death. In conclusion, dysphagia was proven to be an independent predictor of a poor outcome of Chinese elderly inpatients. Specific clinical management and nursing interventions are recommended to prevent the potential adverse influences of dysphagia.

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The Dietitian’s Role in Diagnosis and Treatment of Dysphagia

Macleod¹,

O’Shea²

2017

Dysphagia

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Safety Concerns and Multidisciplinary Management of the Dysphagic Patient

Cited by 7 publications

References 4 publications

Communicating Risks and Food Procedures through a Visual Poster for Caregivers of Patients with Dysphagia in Inpatient Care: Usability and Impact

Communicating Risks and Food Procedures through a Visual Poster for Caregivers of Patients with Dysphagia in Inpatient Care: Usability and Impact

Influences of Dysphagia on the Prognosis of Chinese Elderly Inpatients: a Prospective Cohort Study

The Dietitian’s Role in Diagnosis and Treatment of Dysphagia

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