[Role of acute phase hospital, community coordination, and home rehabilitation in dysphagia and nutrition support team for a joy of eating].
Role of acute phase hospital in dysphagia rehabilitation and a nutrition support team is to support and achieve a higher QOL and a joy of eating at home. Dysphagia assessment admission is a 5-day admission including video fluoroscopic examination of swallowing, video endoscopic evaluation of swallowing, transdisciplinary team evaluation, and give an advice on dysphagia and nutrition to patients, families, family physicians, visiting nurses and care managers at discharge. I have set up a community nutrition support team at Yokohama south area and the Kanagawa society of dysphagia rehabilitation for community coordination. To facilitate community coordination, an original referral form of dysphagia and nutrition is operated in this area. Information on hospitals which have a nutrition support team, or a swallowing support team, and visiting speech therapists, or visiting dieticians who can manage dysphagia in this area is gathered and shared by the community nutrition support team. Home rehabilitation service for people with disabilities is available at Rainbow Kawasaki and Kawasaki north rehabilitation center. Physiatrist, case worker, and physical therapist or occupational therapist will visit the home of people with disabilities, and evaluate physical and mental functions including swallowing, nutrition condition, activities, social participation, personal factors and environmental factors. Then, a comprehensive rehabilitation plan is drawn up and implemented to achieve a higher quality of life and a joy of eating.
Wakabayashi
Hidetaka
H
Dept. of Rehabilitation Medicine, Yokohama City University Medical Center.
D019058:Community Networks; D003680:Deglutition Disorders / Q000534:rehabilitation*; D004435:Eating; D006699:Home Care Services; D006761:Hospitals; D006801:Humans; D018529:Nutritional Support; D010348:Patient Care Team