Purpose: to develop and validate the content and layout of an educational guide on promoting vocal health of older adults. Methods: a methodological study, conducted in two stages: 1 - Development of the guide as an educative technology; 2 - Qualification of the educative material with validation of the guide’s content, layout and suitability by 13 judges (speech-language-hearing pathologists) and legitimization of the educative material by the target population, 9 older adults. The validation of the guide by the judges and older adults was based on the content validity index. Results: the aspects of objectivity, structure, presentation and relevance of the content were considered pertinent by the judges with an approximate score average of 0.92. However, some words were substituted or removed to bring more clarity to the reader, without loss to the overall message, in addition to the suggestions that were accepted for the final version. The older adults returned a positive assessment. Conclusion: the educative guide was validated regarding the aspects of content, layout and suitability for the vocal health promotion of older adults. Their knowledge of voice health is expected to promote the quality of life and benefit active and healthy aging.

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Objetivo:Identificar nas produções científicas as alterações de deglutição em idosos pós-acidente vascular cerebral.Métodos:Revisão integrativa da literatura realizada nas seguintes bases de dados: Lilacs, Scielo, Pubmed Medline e Science Direct. Resultados: Os estudos evidenciaram diversas alterações, categorizadas em alterações alimentares, pulmonares, nutricionais, funcionais e repercussão na qualidade de vida.Conclusão: Ressalta-se a importância de novas pesquisas sobre o tema, evidenciando a importância de um efetivo direcionamento dessas pessoas para uma assistência integral e interdisciplinar, ao profissional de fonoaudiologia e à equipe multidisciplinar, pelos profissionais de saúde.

Objective: to ascertain the profile of home care service (HCS) users with speech and language complaints in João Pessoa, Paraíba (PB). Methods: a descriptive and quantitative study using an indirect documentation technique based on an analysis of primary source documents, characterized as a documentary study, conducted at a HCS, in João Pessoa, PB, that stores user information in the form of medical records. All patient records included by the HCS from June 2012 to June 2016 were analyzed. After the eligibility criteria were applied, the sample consisted of 114 medical records. The collected data were entered into a Microsoft Excel spreadsheet to generate descriptive statistics using IBM SPSS (version 21.0). Results: most patients were males (59.6%), elderly (62.3%), had been diagnosed with a stroke (57.9%),had histories of dysphagia (76.3%), speech problems (58.8%), swallowing disorders (80.7%), and abnormal chewing (77.2%). Dysphagia is often associated with stroke, predominantly among males and the elderly. Conclusion difficulty in swallowing, or dysphagia, is often associated with stroke, predominantly in the presence of the sociodemographic and clinical variables associated with men and the elderly.

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