Development of nurses’ competencies in caring for patients at high risk of dysphagia
- Authors: Kasimovskaya N.A.1, Sorokin A.G.2, Peters T.V.2, Bandurina E.N.1
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Affiliations:
- FGAOU VO I.M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University)
- MNOC Lomonosov Moscow State University
- Issue: Vol 25, No 6 (2023)
- Pages: 14-18
- Section: Nursing work with palliative patients
- URL: https://bakhtiniada.ru/0025-8342/article/view/148000
- DOI: https://doi.org/10.29296/25879979-2023-06-03
- ID: 148000
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Abstract
Dysphagia is the most common cause of aspiration pneumonia in elderly and senile patients with neurodegenerative diseases, after surgical interventions and prolonged artificial lung ventilation. The article presents a study of the capabilities of nurses of surgical and neurological departments in caring for patients at risk of dysphagia. The developed Nutrition Assessment Map of a patient at risk of dysphagia with the results of approbation in the surgical and neurological department during patient care is presented. The confidence intervals of the occurrence of dysphagia symptoms in patients and the results of the coincidence of the diagnosis of dysphagia symptoms by nurses according to the Nutrition Assessment Card and the confirmation of dysphagia by doctors are presented. The use of it by nurses in the process of care can help to detect dysphagia in a timely manner and reduce the risk of secondary complications in patients with a high risk of swallowing disorders.
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##article.viewOnOriginalSite##About the authors
Natalia A. Kasimovskaya
FGAOU VO I.M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University)
Author for correspondence.
Email: kasimovskaya_n_a@staff.sechenov.ru
ORCID iD: 0000-0002-1046-4349
Candidate of Medical Sciences, Associate Professor, Head of the Department of Nursing Management and Social Work
Russian Federation, MoscowAnna G. Sorokin
MNOC Lomonosov Moscow State University
Email: bandurina.en@gmail.com
ORCID iD: 0000-0003-2310-936X
Doctor of the emergency department
Russian Federation, MoscowTatiana V. Peters
MNOC Lomonosov Moscow State University
Email: bandurina.en@gmail.com
ORCID iD: 0000-0002-2073-1797
Candidate of Medical Sciences, Head of the Neurological Department
Russian Federation, MoscowElizaveta N. Bandurina
FGAOU VO I.M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University)
Email: bandurina.en@gmail.com
ORCID iD: 0009-0000-1823-054X
Nurse of the Admission Department
Russian Federation, MoscowReferences
- Международная классификация болезней 10 пересмотра (МКБ-10). URL: https://mkb-10.com/index.php?pid=17046 (Дата обращения: февраль 2023 г.)
- Дисфагия. Практические рекомендации Всемирной гастроэнтерологической организации, 2014. URL: https://www.worldgastroenterology.org/UserFiles/file/guidelines/dysphagia-russian-2014.pdf
- Aviv J.E. Effects of aging on sensitivity of the pharyngeal and supraglottic areas. Am J Med, 1997; 103 (5A): 74–76.
- Martin J.H., Diamond B., Aviv J.E. et al. Supraglottic and pharyngeal sensory abnormalities in stroke patients with dysphagia. Ann Otol Rhinol Laryngol, 1996; 105 (2): 92–97.
- Clave P., Arreola V., Velasco M. et al. Diagnostico y tratamiento de la disfagia orofarıngea funcional. Aspectos de interes para el cirujano digestivo. Cir Esp, 2007; 82 (2): 62–76.
- Rofes L., Arreola V., Almirall J., Cabre M., Campins L., Garcıa-Peris P., Speyer R., Clave P. Diagnosis and management of oropharyngeal dysphagia and its nutritional and respiratory complications in the elderly. Gastroenterol Res Pract, 2011 (pii: 818979).
- Cabre M., Serra-Prat M., Palomera E., Almirall J., Pallares R., Clavé P. Prevalence and prognostic implications of dysphagia in elderly patients with pneumonia. Age Ageing, 2010 Jan; 39 (1): 39–45.
- Melgaard D., Westergren A., Skrubbeltrang C., and Smithard D. Interventions for Nursing Home Residents with Dysphagia — A Scoping Review. Geriatrics (Basel), 2021 Jun; 6 (2): 55.
- Lin S.C., Lin K.H., Tsai Y.C., Chiu E.C. Effects of a food preparation program on dietary well-being for stroke patients with dysphagia. Medicine (Baltimore), 2021 Jun 25; 100 (25): e26479.
- Molina L., Santos-Ruiz S., Clavé P., Gonzalez-de Paz L., Cabrera E. Nursing interventions in adult patients with oropharyngeal dysphagia: a systematic review. Eur Geriatr Med, 2018 Feb; 9 (1): 5–21.
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