Swallowing dysphagia is a common problem that can be found among stroke patients. This problem is a crucial
problem and leads to patient’s complications, including aspirate pneumonia, recovery delay, and increased mortality rate. Nurses play a major role to prevent swallowing dysphagia in stroke patients. Therefore, nurses should correctly assess the swallowing dysphagia, which is the first step in nursing process to prepare stroke patients before starting meals with safety. Six steps of swallowing dysphagia assessment are as follows: 1) the assessment of the level of consciousness; 2) the assessment
of verbal responses; 3) the arrangement of patient position with high fowler's position (90 degrees); 4) the swallowing test; and 5) the observation of swallowing complications. After these six steps, nurses will practice nursing care for patients, including: 1) mouth washing; 2) swallowing exercises; 3) swallowing training and patients’ readiness assessments; 4) environmental management; 5) feeding techniques, and 6) the evaluation of feeding. These steps and techniques can be applied for
swallowing safety in stroke patients with dysphagia. Downloads
Download data is not yet available. References1. Edmiaston J, Connor LT, Loehr L, Nassief A. Validation of a Dysphagia Screening Tool in Acute Stroke Patients. American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses 2010;19:357-64. 2. Vose A, Nonnenmacher J, Singer ML, González-Fernández M. Dysphagia Management in Acute and Sub-acute Stroke. Current Physical Medicine and Rehabilitation Reports 2014;2:197–206. 3. Crary MA, Humphrey JL, Carnaby-Mann G, et al. Dysphagia, nutrition, and hydration in ischemicstroke patients at admission and discharge from acute care. Dysphagia 2013; 28:69–76. 4. Sivertsen J, Graverholt B, Espehaug B. Dysphagia screening after acute stroke: A Quality improvement project using criteria-based clinical audit. BMC Nursing 2017;162:27-35. 5. Hinchey JA, Shephard T, Furie K, Smith D, Wang D, Tonn S. Stroke Practice Improvement Network 6. Heart and Stroke Foundation of Ontario. An Educational manual for the dysphagia screening 7. Prasat Neurological Institute Department of Medical Services Ministry of Public Health. Dysphagia & Swallowing assessment in acute ischemic stroke. [Internet]. 2009 [cited 2018 July 5]. Available from: https://www.google.co.th/search?ei=uUwWW6fHBoa6rQG- 8. Poorjavad M, Jalaie S. Systemic review on highly qualified screening tests for swallowing disorders following stroke: Validity and reliability issues. Journal of -Research in Medical Sciences : The Official Journal of Isfahan University of Medical Sciences 2014;19:776–85. 9.
Meangthong B. The effect of enhancing swallowing program on safety swallowing ability in stroke 10. Osawa A, Maeshima S, Tanahashi N. Water-swallowing test: screening for aspiration in stroke 11. Satoshi H, Yasushi S, Screening test in evaluating swallowing function. Journal of the Japan 12. Tobe SW, Lum-Kwong MM, Perkins N, Von Sychowski S, Sebaldt RJ, Kiss A. Heart and Stroke 13. Srivilai S, Pinyopasakul W, Charoenkitkarn V. Aspiration pneumonia prevention in patients with 14.
Chobchuen R. Occupational therapy in swallowing dysphagia patient. Srinagarind Medical Journal 15. Udompanich N. The Role of the Nurse in Rehabilitation of Patients with dysphagia Srinagarind 16. Orem DE, Taylor SG, Renpenning KM. Nursing: Concepts of practice (6th ed.). St. Louis: Mosby. 17. Pasukhuntapuk N, Borisut S, Pinyopasakun W. Clinical nursing practice guidelines for stroke. Prasat 18. Thammakiat A, Hannarong T. The Effects of enhancing swallowing program on swallowing ability
 How to Cite1. บุญคง ด, พรหมสาขา ณ สกลนคร ณ, อุทัยแสง อ, บุญคง ส. Enhancing Swallowing Safety in Stroke Patients with Dysphagia: A Challenging Role for Nurses. JHNR [Internet]. 2019 Jan. 1 [cited 2022 Sep. 20];35(1):13-2. Available from: https://he01.tci-thaijo.org/index.php/bcnbangkok/article/view/189163 Academic article LicenseArticle published Is the copyright of the Journal of Health and Nursing Research (Boromarajonani College of Nursing, Bangkok) Cannot be republished in other journals Why do we assess for dysphagia in a stroke patient?The main purpose of such tests is to identify aspiration in the early stages of stroke; therefore, they are limited to the effort to initially evaluate dysphagia and set up a goal-oriented plan for later rehabilitation.
What is a severe complication of dysphagia after stroke?The most feared complication of dysphagia after stroke is aspiration pneumonia.
How does dysphagia occur after stroke?Any neurologic or muscular damage along the deglutitive axes can cause dysphagia. Thus, central causes of dysphagia in stroke patients include damage to the cortex or brain stem, and peripheral causes include damage to the nerves or muscles involved in swallowing.
What is post stroke dysphagia?Post-stroke dysphagia (PSD), defined here as difficulty in swallowing after a stroke, is a common complication affecting many patients in the first few hours and days after ictus. PSD is associated with increased mortality and morbidity due in part to aspiration, pneumonia, and malnutrition.
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For which effect should a nurse observe when assessing a patient for post stroke dysphagia?
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