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Dysphagia a challenge for rehabilitation in Palliative Care patients: clinical and psychosocial perspectives

By
Carlos Oscar Lepez ,
Carlos Oscar Lepez

Universidad de Buenos Aires, Facultad de Medicina, Carrera de Licenciatura en Enfermería, Ciudad Autónoma de Buenos Aires, Argentina

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Anibal Espinosa Aguilar ,
Anibal Espinosa Aguilar

Instituto Superior en Ciencias de la Salud "Juan Pablo II". Caacupé, Paraguay

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Michel Oria Saavedra ,
Michel Oria Saavedra

Instituto Superior en Ciencias de la Salud "Juan Pablo II". Caacupé, Paraguay

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Abstract

Comprehensive nursing care in situations of health vulnerability implies a complete analysis from clinical and psychosocial references. Dysphagia, difficulty in swallowing, is an important risk, caused by organic lesions or neuromuscular dysfunctions. Normal swallowing is divided into four phases, any of which can be affected and lead to dysphagia. Dysphagia is associated with diseases such as Parkinson's disease, esophageal cancer, and pulmonary disorders. Its prevalence is high in older patients, with 30% in those over 65 years of age and up to 86% in older adults hospitalized with pneumonia. Its early detection is crucial, as it can lead to comorbidities such as dehydration, malnutrition and aspiration pneumonia. Tolerance tests with foods of different textures and liquids of various viscosities are used to assess dysphagia. Results may indicate impaired chewing, oral storage of food, reduced laryngeal elevation, and more. In addition, instrumental tests such as videofluoroscopy and endoscopic examination are used to detect aspiration and other abnormalities. The goal of comprehensive diagnosis is to find solutions and early oral rehabilitation, adopt appropriate therapeutic measures, improve posture and ergonomics, strengthen the oropharyngeal musculature and prevent associated risks. Quality of life in people with chronic dysphagia is addressed in the context of advanced chronic diseases or palliative care.

How to Cite

1.
Lepez CO, Espinosa Aguilar A, Oria Saavedra M. Dysphagia a challenge for rehabilitation in Palliative Care patients: clinical and psychosocial perspectives. Interdisciplinary Rehabilitation / Rehabilitacion Interdisciplinaria [Internet]. 2023 Nov. 20 [cited 2024 Jul. 15];3:68. Available from: https://ri.saludcyt.ar/index.php/ri/article/view/68

The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.

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