student #9253792. 1 ‘An ancl review and implication of the management of dysphagis in stoke patients Aahor: Hogbes, SM. Management of dysphagia in stroke paints, Nursing Ole People, 2011 ‘Name: Mahlet Absham Yizengxw Student number 825 370 92 Date submited: March $2015 ‘Nursing Theory: NURS 150 ONC Professor Humber College ITALstudent #825 370982? ‘A review of article on the management of dysphagia in stroke patients Globally, around 15 million people suffer from stroke, and each year nearly six milion die and nother five million are let permanently disabled (World Heart Foundation, 2014). In Canada, according to Statistics Canada stroke is found to be asthe third leading cause of death following cancer “tot sod de Sain Cae sic ets 2008), tn the article oh ih Seok pes? Hughes inshore explains tht in UK, ‘each year around 150,000 people will have stroke. These figures indicate the serioumess of stroke allover the world, Asa result ott global impact, stoke is stated asa medical emergency based upon the physical, psychosocial, and financial expense spent on the publi for prevention, and researches. Fount att st SRT Ra en ee “of yogi Stroke pations” by Hu ause of stroke's immense physical, ‘psychosocial and emotional impact all over the world. ‘Some common effects of stroke such as i ap aTE TE eng cof these completions isan important aspect in the recovery process. In adition, World Heart Federation in t's The global burden of stroke article sates that stroke is anked asthe second cane of death shove te g¢ 60 yey (Wor He Founda, 2012S inet of pea nd stroke increases with the aging of the population believe having the proper musing skill wil assist sve to provide quality ear in such casein the above metioned aici, Hughes explains the global impact of dysphegia, the pathophysiology ‘of dysphagia in stroke patients, and how to maintaining their nt da egrets Ae i ail Sesh and Hardy (2006) Gyo nso tet ilo used fora beter derstanding onthe mangement of seh 1a addition, sscitons such s Heart and Stoke Foundation and Dietitians of Canad are refered in ee ea gles (do4) moles Kad fs ewotlo 4 op StokStudent #825 370992 3 am discussing tree relevant nursing implications: how to maintaining dysphagic patient nuitional, ‘sid and elctrelyte requirements, interventions to prevent aspiration pnoumonia and the relovance of oral hygiene. ie Aerie inthe the disease condition ‘Heart and Stroke Foundation defined stroke as "sudden loss of brain fenton” (Heart and ‘woke Foundation, 2015). Te bran ells (neurons) are highly dependent on glucose end oxygen for their proper functining (Lewis, Sharon I, 2004). However, when thee i a problem duct occlusion or rupture of blood vessels that supply essential materials, neurons would be deprived of essential satrials, and consequently they die (Hughes, 2011) Depending on the duration, location and extent of ae brain ae, et op he aly ao vars (Leis, Sto L204). om he many effets of stroke, Hughes in herartiele focused on dysphagia and its managements. Dysphegia in stroke patients ‘Dysphasia is an eating, drinking and swallowing difficulties caused by problems in the ctl couce Leva ic, a, Pee wen pc eet See a ene eee pee rE = eee ee ee Sst nina ante ceci dn pne on e pecige (eee eee me at repegeug nce nina ad Ee TER ore the obvious indicators of dysphagia include: difficult and painful chewing or swallowing, difficultystudent #625370992 4 contoing fd or igi in the mouth, choking when eating, droog, egugitaton, and eeuent pneumonia (Lewis, Sher 2014, Ina hospital and community stings, spesch and language plhologits can acively participle in th assessment and care plan ofa stroke patent with vephagi. Thorough examination of he srengih and movement ofthe muscles invelved in cewing and sallwing process sist to have a beter interventions and outcomes (American Speech-Language Heating Association, 2015)Te goa of intervention for dysphapeptens sboald focus on meeting ther eutitional and fi requirements and minimizing weight los, Por the safety ofthe patient, moifceion of fod text i ria. Alematve interventions such as tube feating mst be considered ifthe lent has inadequate oo orl intake Trough ehhilittion therapy, exercises tengtien the msces that re invoved in wallowing can also sss to gun permanent recovery (Lewis, Sharon, 2014) Because of epitory muscles weakness end svallowing impainent, paints with ysbagi are a greater sk fo aspiration preumonia (Singh and Handy, 2006). Nurses mst bservedysphagi aoke pain orsign and symptoms of espirtion poeimoni. Such signs and symptoms include coughing, tote in swallowing, fever and shores of breath. In order to minimize the sk of apiraon, rope postoning fowler or siting at 90 degree) ofthe pet whenever he ose is eating raking, consming smaller portion tine, not rushing while feeding, undistrod feeding time, Nexng he neck, and feeding inthe nonafeted part the mouth is rca Lewis Sham, 2014), Another important aspect of using cae fr dyspagic patie isthe assessment and proper cal eae. The purpote of goed eral hypene isto prevet plague fomaton, gum disease, infection and baltosis Dysphagie patients will havea better oral intake if good oral bypien i maintainedStudent #825 370902 5 ‘Hughes, 2011). In addition, maintain good oral hygiene have a postive impact in patient's social ‘interaction alleviate stress and depression, Conclusion Swoke and dysphagia are affecting the ifeof millions of people all ove the world ‘Therefore, nurses must be well eware of the nursing skills for earl diagnosis and beer clent- centered interventions. In order o accelerate the recovery process of dysphagia in stoke patents, complication prevention ions potent wet fnuring ca. rm Hughes nd sila asics, (leiden tnt cls with apg beet mos if mmerous ah are eam ‘members are working together, therefore nurses must develop good communication and team work 3985 An fly health edveation i the most crucial aspect of musing care, terefre ures ‘should use al the opportunities in order to promote the health of population. en For maleStudent #2537092 6 Reference ‘Hughes, Sah Michelle Management of Dyphagia in Stroke patients, 2011 ‘Hamdy and Singh Dysphagia in stroke patients, November 2005 ‘World Heart Foundation. the globe burden of stroke, ww. heartaudtroke cam, 2014. ‘Statins Canada, statistical fae, hp: won statean ge ca, 2009 “Heart ani stroke foundation itp: /svwn heartandsroke.cal, 2015 ‘American Speech-Language-Hoaring Association, iip/wnww ashe org, 2015, Lewis, Sharon Lewis, Sharon L. Medical Surgical Nursing In Canada, rd Edition, Mosby Canada, 2014. ‘American speech and language, hearing association, Dysphagia in adult tp:/Aowreavha.org/publie/speach/nwallowing/Swallowing Disorders in Adulldsep a wet “worsens uimounn: hie | sop wg were a semmowpagusams | Semon cone ments Sousa emauap/monmo wes | an sounaas/siopeiceon! | wou amucy oct, oat manta we) saueyai/ wane | PRN eck pe ca eee yexwtong peusaioigeaing | ypmmvetig wansée | apsawarnava:| Ama rows ewes euodiot| | iaseRGoMTeND wees |" wnsccrensan es inepveveeemosfon | panapaiputpamshveonet| datpenyaiperprie hsepet | _ panama: picsuaripaas bong one “petiong ce ene} wemuseis | pp oauora oh uae 4 sou ype amit sree | vonnuioal ieun eam | Keunag pearing | ones ary pases Samm “sonre| wsepasmaedieans top | gmp incapmomas | upmicae petra, aeaaieuoon | Remnants pei! | nse pred an spas | sone pause vhs oworsteo oe ‘usyo get awosn | eleersOR saraseupunt | hens pave ed serie poe wenweat nao ostooreaawrmmeyort —s00 man, same apace sue ne ‘omitares | p9:coua tee sous —saie 7 (| “pmamoag | nena ena ‘wore uous tapes | Pt wid ous Rages “vous tapecoupue | por sopeeig eer Thuouneos | smusemuued nmeeyy |" pwamenaremeaertst | enon lemused tag | wopeuues seme weiss vous yo or) seumpvavnors | | waues paca, ‘sommes ees sxaus| vavertopee chutunaoe | saunuruwciver | vaviextumorsnmbopy | “TINE twain vayoors | ow tunes veyweteon |" paunasts