| Theme | Diseases of alimentary tract in maintenance dialysis patients -- tendency and management from a view point of symptomatology | |
|---|---|---|
| Title | Measures against dysphagia | |
| Publish Date | 2013/02 | |
| Author | Ikuko Sugiyama | Department of Rehabilitation Medicine, Seirei Hamamatsu General Hospital |
| Author | Ichiro Fujishima | Seirei Hamamatsu City Rehabilitation Hospital |
| [ Summary ] | Dysphagia may lead to anorexia, dehydration and malnutrition, as well as asphyxia and aspirational pneumonia. Out of 524 patients who were admitted to Seirei Hamamatsu General Hospital between August 2011 and July 2012 in whom remuneration for eating function therapy for dysphagia. Sixteen of these patients (3 %) were receiving maintenance hemodialysis treatment. In the future, the incidence of dysphagia is expected to rise with the aging of the general population, along with increased comorbidity due to cerebrovascular diseases associated with dialysis patients. It should be kept in mind that even if patients nominally appear to exhibit normal swallowing functions, dysphagia may occur with deterioration of their general status. Measures against dysphagia include many methods which are easy to implement at the bedside. When dysphagia is suspected, it is necessary to immediately implement these measures to prevent occurrence of malnutrition and/or aspirational pneumonia. |
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