Profese online 2011, 4(1):16-20 | DOI: 10.5507/pol.2011.004

Impaired swallowing: a neglected nursing diagnosis?

Petra Mandysová1,2, Edvard Ehler1,2, Jana Škvrňáková1,3
1 Faculty of Health Studies, University of Pardubice, Pardubice, Czech Republic
2 Department of Neurology, Hospital in Pardubice, Pardubice, Czech Republic
3 Clinic of Otorinolaryngology and Surgery of the Head and Throat, Hospital in Pardubice, Pardubice, Czech Republic

The article focuses on the issue of identifying the nursing diagnosis "impaired swallowing". The aim of the article is to highlight the issue of swallowing disorders and to provide information about the importance of screening and about screening options that could facilitate dysphagia identification. At the same time, this type of assessment could become part of a systematic approach to patient care and it could support multidisciplinary collaboration. The mentioned screening methods were identified using three professional databases (EBSCOhost, ProQuest, Journals@Ovid). The analysis of these methods focused on the content of the method, the manner in which the validity of the method was established and thereby on their quality, and also mainly on sensitivity, specificity, and in some cases, on negative predictive value. By using quality screening methods for dysphagia, it may become easier to determine the above mentioned diagnosis "impaired swallowing" in all patients having this problem.

Keywords: dysphagia, nursing diagnosis, impaired swallowing, screening for dysphagia

Published: April 2011  Show citation

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Mandysová, P., Ehler, E., & Škvrňáková, J. (2011). Impaired swallowing: a neglected nursing diagnosis? Profese Online4(1), 16-20. doi: 10.5507/pol.2011.004
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References

  1. BRDIČKA, R. et al. 2007. Klinická validace genetického testování. Klinická biochemie a metabolismus. 2007, roč. 15, č. 1, s. 63-64. ISSN 1210-7921.
  2. Česko. Vyhláška ze dne 30. června 2004, kterou se stanoví činnosti zdravotnických pracovníků a jiných odborných pracovníků. In Sbírka zákonů České republiky. 2004, částka 139, s. 8096-8140. Dostupný také z WWW: http://aplikace.mvcr.cz/sbirka-zakonu/SearchResult.aspx?q=2004&typeLaw=zakon&what=Rok&stranka=10.
  3. EHLER, E. et al. 2001. Dysfágie u nemocných s cévní mozkovou příhodou - přínos perkutánní endoskopické gastrostomie (PEG). Neurologie pro praxi. 2001, roč. 2, č. 2, s. 85-87. ISSN 1803-5280.
  4. HINCHEY, J. A. et al. 2005. Formal dysphagia screening protocols prevent pneumonia. Stroke. 2005, no. 36, pp. 1972-1976. ISSN 1524-4628. Go to original source... Go to PubMed...
  5. LEES, L. et al. 2006. Nurse-led dysphagia screening in acute stroke patients. Nursing Standard. 2006, vol. 21, no. 6, pp. 35-42. ISSN: 0029-6570. Go to original source... Go to PubMed...
  6. LESA, R., DIXON, A. 2007. Physical assessment: implications for nurse educators and nursing practice. International Nursing Review. 2007, vol. 54, no. 2, pp. 166-172. ISSN 1466-7657. Go to original source... Go to PubMed...
  7. MANDYSOVÁ, P., ZELENÍKOVÁ, R. 2009. Ošetřovatelská péče o nemocné s poruchami polykání. In TEDLA, M. et al. Poruchy polykání. 1. vyd. Havlíčkův Brod: Tobiáš, 2009. s. 218-236. ISBN 978-80-7311-105-2.
  8. MAREČKOVÁ, J. 2006. Ošetřovatelské diagnózy v NANDA doménách. 1. vyd. Praha: Grada Publishing, 2006. 264 s. ISBN 80-247-1399-3.
  9. MARTINO, R. et al. 2009. The Toronto Bedside Swallowing Screening Test (TOR-BSST). Stroke. 2009, no. 40, pp. 555-561. ISSN 1524-4628. Go to original source... Go to PubMed...
  10. MASSEY, R., JEDLICKA, D. 2002. The Massey bedside swallowing screen. Journal of Neuroscience Nursing. 2002, vol. 34, no. 5, pp. 252-260. ISSN 0888-0395. Go to original source... Go to PubMed...
  11. MIKULÍK, R. et al. Standard pro diagnostiku a léčbu pacientů s mozkovým infarktem [online] 2006, [cit. 2009-05-01]. Dostupný z WWW: http://www.czech-neuro.cz/index.php?act=menu&idcat=4.
  12. POLIT, D. F., BECK, C. T. 2006. Essentials of nursing research: methods, appraisal, and utilization. 6th ed. Philadelphia: Lippincott, Williams, & Wilkins. 2006. 554 pp. ISBN 0-7817-4972-7.
  13. ŠKOLOUDÍK, D. et al. 2002. Následná terapie po prodělaném ischemickém iktu. Interní medicína pro praxi. 2002, roč. 4, č. 6, s. 22-34. ISSN 1803-5256.
  14. TEDLA, M. et al. 2009. Poruchy polykání. 1. vyd. Havlíčkův Brod: Tobiáš, 2009. 312 s. ISBN 978-80-7311-105-2.
  15. TRAPL, M. et al. 2007. Dysphagia bedside screening for acute-stroke patients: The Gugging Swallowing Screen. Stroke. 2007, no. 38, pp. 2948-2952. ISSN 1524-4628. Go to original source... Go to PubMed...
  16. WORKMAN, B., COOPER, N. 2006. Úvod do hodnocení nemocného. In WORKMAN, B. A., BENNET, C. L. Klíčové dovednosti sester. 1. vyd. Praha: Grada Publishing, 2006. s. 13-24. ISBN 80-247-1714-X.

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