Relearning to eat late after a stroke by systematic nursing intervention: a case report.
Using a training programme developed by Heimlich, we have attempted to train swallowing in a 78-year-old man who had been fed by a nasogastric tube for 3 years after a stroke. The training was successful and, during a follow-up of 1 year, the patient was eating normal food. The training process is analysed as a two-level communication between the patient and his trainer; the therapeutic relationship and the training programme. The development of the patient's attitudes during training is interpreted with reference to Erikson's theory of 'eight stages of man'.
D000203:Activities of Daily Living; D000368:Aged; D002561:Cerebrovascular Disorders / Q000150:complications / Q000451:nursing / Q000503:physiopathology / Q000534:rehabilitation*; D003679:Deglutition; D003680:Deglutition Disorders / Q000209:etiology / Q000451:nursing / Q000503:physiopathology / Q000534:rehabilitation*; D004435:Eating; D006801:Humans; D008297:Male; D009723:Nurse-Patient Relations; D009730:Nursing Assessment; D009733:Nursing Diagnosis