| Theme | Nutritional care for elderly chronic kidney disease patients utilizing rehabilitation and kinestology | |
|---|---|---|
| Title | The case of a hospitalized hemodialysis patient with a subarachnoid hemorrhage where enteral nutrition and oral ingestion became possible due to swallowing rehabilitation | |
| Publish Date | 2016/11 | |
| Author | Mizuho Yasuhara | Department of Nutrition, Matsue Red Cross Hospital |
| Author | Yoshinori Urushidani | Department of Connective Tissue Diseases and Nephrology, Matsue Red Cross Hospital |
| [ Summary ] | Dialysis patients have a higher rate of cerebral hemorrhage onset and an increased susceptibility for cerebral infarction. Patients with difficulty in oral ingestion require the placement of a feeding tube during the acute stage to maintain a good nutritional status and undergo swallowing rehabilitation aimed at achieving oral ingestion. An efficient treatment for difficulty in oral ingestion is to modify the meal texture in accordance with the patients' swallowing function, for example, jellying or thickening meals to aid swallowing, or nutritional supplements to ensure that the patients receive the required nutrition. A step-by-step swallowing rehabilitation, provided by a speech therapist, improves patients' swallowing function, and many patients have recovered enough to partake regular diet. When being transferred to a different hospital, sharing the patient's medical history and treatment information is important, and continuous care by a team of specialists is necessary. |
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