scholarly journals Swallowing disorders in tracheostomised patients: a multidisciplinary/multiprofessional approach in decannulation protocols

2014 ◽  
Vol 9 ◽  
Author(s):  
Giancarlo Garuti ◽  
Cristina Reverberi ◽  
Angelo Briganti ◽  
Monica Massobrio ◽  
Francesco Lombardi ◽  
...  
Keyword(s):  
Scientific Literature ◽  
Swallowing Disorders ◽  
Major Goal ◽  
Respiratory Complications ◽  
Rehabilitation Team ◽  
Good Patient ◽  
Tracheal Cannula ◽  
Assessment And Treatment ◽  
Nutritional Complications ◽  
Multiprofessional Approach

Safe removal of tracheal cannula is a major goal in the rehabilitation of tracheostomised patients to achieve progressive independence from mechanical support and reduce the risk of respiratory complications. A tracheal cannula may also cause significant discomfort to the patient, making verbal communication difficult. Particularly when cuffed, tracheal cannula reduces the normal movement of the larynx which can further compromise the basic swallowing defect. A close connection between respiratory, phonating, swallowing and feeding abilities to be recovered, implies a strict integration among different professionals of the rehabilitation team. An appropriate management of tracheostomy cannula is closely connected with assessment and treatment of swallowing disorders in order to limit the development of severe pulmonary and nutritional complications, but at present there are no uniform protocols in the scientific literature. Furthermore, several studies report as an essential criterion for decannulation the presence of good patient consciousness, which is often altered in patients with tracheostomy, but a general agreement is lacking.

scholarly journals Dysphagia bedside evaluatation in adults with nasogastric tube

2021 ◽  
Vol 2 (5 (293)) ◽  
pp. 1-7
Author(s):  
Saulė Grigaliūnaitė ◽  
Rita Kantanavičiūtė-Petružė
Keyword(s):  
Theoretical Analysis ◽  
Nasogastric Tube ◽  
Scientific Literature ◽  
Early Stage ◽  
Voice Quality ◽  
Swallowing Disorders ◽  
Assessment Tools ◽  
Swallowing Function ◽  
Oral Control ◽  
Adult Swallowing

The theoretical analysis of scientific literature sources and practice show that standardized adult assessment tools for the evaluation of adult swallowing disorders and readiness for withdrawal of the nasogastric tube (NGZ) are not uniformly used in Lithuanian health care institutions. The theoretical analysis of the assessment of swallowing disorders in adults fed by NGZ in the article showed that in the early stage of the disorder, examinations that are performed in the patient's ward and do not require radiological evaluation are sufficiently accurate. The aim of the study is to reveal the tools and methodologies for the evaluation of swallowing disorders in adults fed by NGZ in the patient's ward during the acute period of the disease. After the theoretical analysis of scientific literature sources, it can be stated that: enteral feeding improves feeding quality, but it restricts patient's movements, complicates communication, induces isolation; accurate assessment of dysphagia can be made by performing a swallowing sample in the patient’s ward; assessment of swallowing function takes into account masticatory muscle function, movements of lips, tongue and soft palate, swallowing, cough and gag reflex, oral control, oral residue, voice quality after swallowing and aspiration risk.

scholarly journals Swallowing disorders in tracheostomised patients: a multidisciplinary/multiprofessional approach in decannulation protocols

2014 ◽  
Vol 9 (1) ◽  
Author(s):  
Giancarlo Garuti ◽  
Cristina Reverberi ◽  
Angelo Briganti ◽  
Monica Massobrio ◽  
Francesco Lombardi ◽  
...  
Keyword(s):  
Swallowing Disorders ◽  
Multiprofessional Approach

scholarly journals Nasogastric/nasoenteric tube-related adverse events: an integrative review

2021 ◽  
Vol 29 ◽  
Author(s):  
Ana Paula Gobbo Motta ◽  
Mayara Carvalho Godinho Rigobello ◽  
Renata Cristina de Campos Pereira Silveira ◽  
Fernanda Raphael Escobar Gimenes
Keyword(s):  
Adverse Events ◽  
Healthcare Professionals ◽  
Scientific Literature ◽  
Adult Patients ◽  
Respiratory Complications ◽  
Tube Obstruction ◽  
Tube Removal ◽  
Pressure Injury ◽  
The Usa ◽  
Evidence Based Guideline

Objective: to analyze in the scientific literature the evidence on nasogastric/nasoenteric tube related adverse events in adult patients. Method: integrative literature review through the search of publications in journals indexed in PubMed/MEDLINE, CINAHL, LILACS, EMBASE and Scopus, and hand searching, was undertaken up to April 2017. Results: the sample consisted of 69 primary studies, mainly in English and published in the USA and UK. They were divided in two main categories and subcategories: the first category refers to Mechanical Adverse Events (respiratory complications; esophageal or pharyngeal complications; tube obstruction; intestinal perforation; intracranial perforation and unplanned tube removal) and the second alludes to Others (pressure injury related to fixation and misconnections). Death was reported in 16 articles. Conclusion: nasogastric/nasoenteric tube related adverse events are relatively common and the majority involved respiratory harm that resulted in increased hospitalization and/or death. The results may contribute to healthcare professionals, especially nurses, to develop an evidence-based guideline for insertion and correct positioning of bedside enteral tubes in adult patients.

Food For Thought: Self-Criticism and Raising the Bar of Dysphagia Practice

2009 ◽  
Vol 18 (2) ◽  
pp. 68-77 ◽  
Author(s):  
Joe Murray
Keyword(s):  
Quality Of Life ◽  
Skills Training ◽  
Swallowing Disorders ◽  
Assessment Protocol ◽  
Practice Recommendations ◽  
Speech Language Pathologist ◽  
Assessment And Treatment ◽  
Swallowing Assessment ◽  
Critical Overview

Abstract The assessment and treatment of swallowing disorders have become central to the practice of the medical speech-language pathologist. The outcomes associated with swallowing and swallowing disorders are severe with aspiration pneumonia, malnutrition and dehydration, and reduced quality of life among the most concerning. Clinicians practicing in this area possess unequal skills, training, and experience, and there is considerable variation in practice in the field. This article focuses on variation and error in swallowing assessment with attention to reliability and accuracy of the videofluoroscopic swallowing assessment. In this self-critical overview of the practice, recommendations are made for developing a standardized assessment protocol, shared lexicon, and specialty recognition in the area of swallowing and swallowing disorders.

Facial feminisation: an overview of the role of the surgeon and orthodontist

2019 ◽  
Vol 46 (2) ◽  
pp. 148-154 ◽  
Author(s):  
Kate Parker ◽  
Farhad B Naini ◽  
Daljit S Gill ◽  
Keith Altman
Keyword(s):  
Facial Features ◽  
Facial Appearance ◽  
Patient Assessment ◽  
Detailed Understanding ◽  
Good Patient ◽  
Assessment And Treatment ◽  
The Face ◽  
The Common ◽  
Male To Female

Facial feminisation surgery (FFS) aims to feminise the face by changing masculine facial features to feminine ones. It is commonly undertaken for transsexual individuals who are transitioning from male to female or for women who wish to further feminise their facial appearance. Assessment and treatment planning by a multidisciplinary team is essential for any patient considering FFS. Orthodontists have an important role within this team as patients may first present to an orthodontist expressing concerns about the appearance of their jaws. Therefore, it is important that orthodontists have a detailed understanding of FFS procedures, to enable good patient communication, thorough patient assessment and onwards referral where required. This article reviews the common FFS procedures, their indications, and the benefits and risks of each procedure and highlights the role of the orthodontist.

scholarly journals Subcortical dementia

2002 ◽  
Vol 180 (2) ◽  
pp. 148-151 ◽  
Author(s):  
Mark A. Turner ◽  
Nicholas F. Moran ◽  
Michael D. Kopelman
Keyword(s):  
Alzheimer’S Disease ◽  
Scientific Literature ◽  
Clinical Manifestations ◽  
Executive Dysfunction ◽  
Memory Deficits ◽  
Subcortical Dementia ◽  
Assessment And Treatment ◽  
Cast Doubt ◽  
Motor Difficulties ◽  
The Relationship

BackgroundDrawing a distinction between cortical and subcortical dementias seems both useful and justified. Recent research has, however, cast doubt on the clinical, neuropsychological, neuroimaging and neuroanatomical basis of the distinction.AimsTo arrive at a reasoned conclusion about the relationship between the two types of dementia and the validity of distinguishing between them.MethodThe historical and recent clinical and scientific literature on subcortical dementia was reviewed.ResultsThe traditional claim that subcortical dementia has distinct clinical manifestations, neuroimaging findings and a neuropathological profile is not altogether borne out by the literature. Some studies show that frontal executive dysfunction and the profile of memory deficits are not significantly different from those seen in Alzheimer's disease. Neuropathological findings also overlap.ConclusionsThe category of subcortical dementia may be clinically useful in highlighting the likelihood that an individual with dementia is more likely to suffer from bradyphrenia and motor difficulties. As neuroscience advances a preoccupation with the distinction may hinder the assessment and treatment of individual cases.

Clinical Neurorehabilitation: Using Principles of Neurological Diagnosis, Prognosis, and Neuroplasticity in Assessment and Treatment Planning

2021 ◽  
Author(s):  
Douglas I. Katz ◽  
Brigid Dwyer
Keyword(s):  
Natural History ◽  
Treatment Planning ◽  
Functional Disability ◽  
Medical Rehabilitation ◽  
Neurological Dysfunction ◽  
Rehabilitation Team ◽  
Rehabilitative Treatment ◽  
Assessment And Treatment ◽  
Treatment Plans ◽  
Brain Reorganization

AbstractNeurorehabilitation aspires to restore a person to his or her fullest potential after incurring neurological dysfunction. In medical rehabilitation, diagnosis involves assessment of medical conditions and their effects on functioning. It is usually a team effort that involves an amalgam of diagnostic assessments by multiple disciplines, leading to a collection of rehabilitative treatment plans and goals. This article discusses a clinical neurological paradigm, using rigorous clinical assessment of neuropathological and clinical diagnosis, along with prognostication of natural history and recovery. In the context of the role of neuroplasticity in recovery, this paradigm can add significant value to rehabilitation team management and planning. It contributes to enhanced understanding of neurological impairments and syndromes as they relate to functional disability, aiding in targeting deficits and setting treatment goals. Rehabilitation strategies and goals should be informed by natural history and prognosis, and viewed in the framework of the stage of recovery. Prognostic formulations should suggest an emphasis on restorative versus compensatory strategies for functional problems. Treatment planning should be informed by evidence on how interventions modulate brain reorganization in promoting recovery. Strategies that promote adaptive neuroplasticity should be favored, especially with restorative efforts, and evidence supporting optimal techniques, timing, and dosing of rehabilitation should be considered in treatment planning.

The Role of Speech-Language Pathologists in Otolaryngology Resident Education

2020 ◽  
pp. 000348942095487
Author(s):  
Yassmeen Abdel-Aty ◽  
Sara Charney ◽  
David G. Lott
Keyword(s):  
Resident Education ◽  
Training Programs ◽  
Positive Impact ◽  
Resident Training ◽  
Swallowing Disorders ◽  
Speech Language Pathologists ◽  
Cross Sectional ◽  
Exact Test ◽  
Assessment And Treatment ◽  
Specialized Care

Objectives/Introduction: Laryngology is an expanding field that has been increasingly incorporated into otolaryngology resident training programs nationwide. The exposure to the field is variable across training programs, despite the fact that laryngological complaints comprise a large proportion of consultations to otolaryngologists. Laryngology education is vital for the care of patients with voice, swallowing, and airway complaints as well as for the appropriate referral of patients to the laryngology team for specialized care. Speech-language pathologists (SLPs) specialized in voice and swallowing disorders are well-trained in the assessment and treatment for these populations. This team recently published a paper regarding the experience of laryngology education in residency. During analysis of the results, an interesting beneficial trend developed regarding the positive impact of exposure to SLPs. This appeared to be distinct and deserved further analysis and discussion. We propose that involving SLPs in resident education may greatly enhance their training in laryngology. Methods: As per our previous paper, a cross sectional, multi-institutional study was designed to assess the exposure of residents to laryngology. Descriptive statistics were obtained for questions involving exposure to SLPs. Fisher’s exact test was used to compare differences between groups. Results: Most respondents (135/151, 89.4%) indicated having SLPs specializing in voice and swallowing disorders in their departments, although only half (77/151, 51.0%) stated that they spent formal time with them during training. Results show that residents with formal training with SLPs were more comfortable interpreting videofluoroscopic swallow studies (VFSS) ( P = .0032). Residents with SLPs in their departments were also more likely to feel confident in terminology to describe different dysphonic voices ( P = .0213). Conclusion: Formal time with SLPs within otolaryngology residency programs varies across the country. Speech-language pathologists are a useful resource for laryngology resident training and should be included in their education.

Sign in / Sign up

Export Citation Format

Share Document