Poststroke dysphagia: implications for nurses.
It is important for nurses to increase their understanding of poststroke dysphagia because nurses are often the first to observe the signs and symptoms of dysphagia. An increased awareness of dysphagia and its complications should help prepare nurses to assess high-risk clients, advocate for prompt diagnosis, use compensatory interventions, and educate clients and their family members. Dysphagia is common after clients have had a stroke, and it places them at risk for numerous complications. Prompt assessment and intervention are required and may decrease clients' problems. This article presents an overview of the normal swallowing reflex to facilitate readers' understanding of dysphagia and discusses the assessment, diagnosis, and treatment of dysphagia as well as related nursing implications. An individualized plan of care for a dysphagic client requires input from the entire interdisciplinary team, and nurses must ensure adherence to this plan on a 24-hour-per-day basis.
Medical Rehabilitation Unit, DeGraff Memorial Hospital, CGF Health System, North Tonawanda, NY, USA. mptrav@aol.com
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D003680:Deglutition Disorders / Q000175:diagnosis / Q000209:etiology* / Q000451:nursing* / Q000503:physiopathology / Q000534:rehabilitation; D006801:Humans; D009730:Nursing Assessment / Q000379:methods; D010347:Patient Care Planning; D010348:Patient Care Team; D019145:Rehabilitation Nursing / Q000379:methods; D012307:Risk Factors; D020521:Stroke / Q000150:complications*