Patients with dysphagia after stroke Health and Social Care Essay




~ The transition experiences of patients with post-stroke dysphagia and their caregivers can be summarized in three themes: 1. The transition from onset to post-stroke dysphagia is an underdiagnosed but relevant complication, associated with poorer outcome, dependency and quality of stroke survivors' lives. ; A questionnaire was sent to clinicians in stroke services investigating current practice of screening, assessment and treatment of dysphagia within healthcare. Living with dysphagia after a stroke can be challenging, but to date knowledge about this and how people experience life with dysphagia is scarce. Poststroke dysphagia, difficulty swallowing after stroke, is a common and expensive complication of acute stroke and is associated with increased mortality, morbidity, and hospital admission. Dysphagia is common after stroke and affects ≈55 of acute stroke patients, leading to complications such as aspiration pneumonia. and mortality. 1, has been a recent effort to promote early identification of dysphagia, with screening being a crucial first step to promote better recovery. The best: Individuals with dysphagia often have suboptimal fluid intake, especially if they rely on oral fluid intake alone 1,2,3,4,5,6. This is problematic because it can put them at risk of dehydration, which increases morbidity, hospital admissions, length of stay and ultimately healthcare costs7,8,9. In acute situations 10 , 11 , as examples of problems, nurses cited limited oral care expertise and stroke‐specific skills as barriers to implementing water protocols in acute stroke care. Studies have shown that nurses do not have the adequate knowledge and skills to screen and treat dysphagia in post-stroke patients and that they: Oral hygiene is a crucial factor in maintaining the health of the mouth, teeth and gums. 1 It is a core component of self-care and rehabilitation in stroke patients, 2, 3 who have difficulty performing oral hygiene self-care. 4 Several factors can influence self-care ability and compromise oral care. Proper swallowing is a common and important complication that occurs in ~60% of stroke victims. Patients with dysphagia have difficulty swallowing solids or liquids without aspirating the contents into the bronchopulmonary tract. They may also find it difficult to chew or move their tongue,





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