2014
DOI: 10.12968/nrec.2014.16.10.561
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Interdisciplinary management of dysphagia

Abstract: Dysphagia is a condition that affects many older people and can make eating and drinking more difficult. This article reviews different ways to treat this condition and the benefits of health professionals taking a collaborative approach

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Cited by 8 publications
(6 citation statements)
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“…Anecdotally, in the South African context, a multidisciplinary (MDT) approach is typically followed in all settings. This involves team members working collaboratively in terms of communication and consultation but often independently in terms of scope and practice (Logemann 1994). This model has advantages, but considering the impact of limited resources, the need to identify patients early and the heterogeneous nature of dysphagia within this population, perhaps an alternative model to the MDT approach needs to be explored.…”
Section: Theme Eight: Practice Patternsmentioning
confidence: 99%
“…Anecdotally, in the South African context, a multidisciplinary (MDT) approach is typically followed in all settings. This involves team members working collaboratively in terms of communication and consultation but often independently in terms of scope and practice (Logemann 1994). This model has advantages, but considering the impact of limited resources, the need to identify patients early and the heterogeneous nature of dysphagia within this population, perhaps an alternative model to the MDT approach needs to be explored.…”
Section: Theme Eight: Practice Patternsmentioning
confidence: 99%
“…Assist residents with exercise (e.g. mobility interventions); this is frequently recommended with nutritional interventions with the aim to improve strength and decrease frailty (26,27) Provide specialized nutrition support as required (28,29) Perform a regular medication review, with the aim of reducing medications that can negatively impact appetite or alertness. Also perform a periodic training review for emergency situations, such as a case of aspiration and acute dyspnea due to OD Ensure that there is at least one licensed supervisor present during mealtimes to oversee mealtime care quality, monitor symptoms of OD, and respond to acute needs.…”
Section: Dietmentioning
confidence: 99%
“…Aim to provide adequate food/fluid according to individual needs and preferences, considering their wishes and safety (28).…”
Section: Tablementioning
confidence: 99%
“…There are potentially significant ethical and scope-of-practice challenges that would need to be overcome before this option would be viable, but it is something that could be considered and further researched. There have been some studies that have highlighted that a multidisciplinary team approach is possible in dysphagia care, but it requires constant monitoring and open communication (Farneti & Consolmagno, 2007;Logemann, 1994). There is a paucity of evidence that focuses on how specifically a transdisciplinary model for dysphagia assessment and management might work, especially in settings such as the ICU, but there is evidence to justify the need for early joint rehabilitation (Taito et al, 2018).…”
Section: The Role Of the Multidisciplinary Teammentioning
confidence: 99%