The Japanese Journal of Clinical Dialysis Vol.24 No.8(4-3)

Theme Complications of Respiratory Organs in Dialysis Patients
Title Preventive measures for aspiration pneumonia
Publish Date 2008/07
Author Shingo Ishitobi Department of Special Care Dentistry, Nagasaki University Hospital of Medicine and Dentistry
[ Summary ] Aspiration pneumonia occurs as a result of the loss of eating and swallowing functions. However, the frequency of occurrence and severity of the pneumonia varies depending on the degree of aspiration and immunity. In many cases, the loss of eating and swallowing functions is related to a specific underlying disease. However, it is also caused by a decline in activity or a reduction of functionality with age. When aspiration pneumonia occurs, it is not simply a problem of pneumonia alone, but rather, a combination of various problems such as low functional capacity due to disuse during treatment periods. In order to prevent aspiration pneumonia, evaluations of swallowing function, such as a repetitive saliva-swallowing test or a water-swallowing test are important. If a disorder is suspected as a result of these tests, then it is desirable for the patient to visit a specialist. Oral care, maintenance of physical activity and the prevention of malnutrition, are important daily preventive measures to guard against aspiration pneumonia.
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