| [ Summary ] |
In dialysis patients, heart failure is the number one cause of death, with infectious diseases being second.These conditoins are closely associated with dysphagia. Elderly dialysis patients are at risk of complications such as cerebrovascular disease. Therefore, we must consider the problems caused by dysphagia. Dysphagia associated with sarcopenia has received a great deal of attention recently. To detect dysphagia, a variety of screening tools and assessment methods are helpful, such as RSST, the water swallowing test, and others. However, observing patients clinically is most valuable. Videoendoscopic and videofluoroscopic examinations are needed for precise diagnosis and further management. For dysphagia treatment we use various compensatory techniques, of which postural techniques and dietary modification are most important. Resistance training for swallowing muscles and nutritional management are important for dysphagia associated with low muscle mass and low muscle strength. Oral care is essential and respiratory physical therapy is helpful as well. A transdisciplinary approach by medical staff members and collaboration with caregivers and families of patients are important for clinical management of elderly dialysis patients with dysphagia. |