Recognizing new perspectives in eating difficulties following stroke: a concept analysis

Klinke, Marianne E.; Wilson, Margaret E.; Hafsteinsdøttir, Thóra B.; Jónsdóttir, Helga

doi:10.3109/09638288.2012.736012

Cited by 30 publications

(28 citation statements)

References 53 publications

(189 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…7 Oropharyngeal dysphagia is also associated with poor outcomes and negatively affects the quality of life after stroke. 8,9 Severe cases of OD complicated by pneumonia often result in high mortality and morbidity. 10 Oropharyngeal dysphagia appears acutely after the stroke insult.…”

Section: Key Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Integrated non‐invasive measurements reveal swallowing and respiration coordination recovery after unilateral stroke

Wang

Chen

2015

Neurogastroenterology Motil

View full text Add to dashboard Cite

Key Messages• Oropharyngeal dysphagia (OD) is common after a stroke, and OD is a potential cause of aspiration, dehydration, malnutrition, increased length of hospital stay.• The fine coordination between oropharyngeal swallowing and respiration is essential to ensure the safety of swallowing without aspiration, and stroke insults affect swallowing and respiration coordination, but no longitudinal follow-up study of this coordination after unilateral stroke was demonstrated in a literature review.• A non-invasive swallowing assessment method was used to detect oropharyngeal swallowing parameters and respiration coordination simultaneously during the swallowing process.• Results show that oropharyngeal swallowing and respiration coordination in unilateral stroke patients deviate from normal controls after stroke insult and improved during the subacute phase poststroke. AbstractBackground Oropharyngeal dysphagia is common after a stroke. Understanding the physiology of swallowing and its coordination with respiration in stroke recovery is crucially important. Methods A noninvasive swallowing assessment method was used to detect oropharyngeal swallowing and respiration coordination simultaneously during the swallowing process. This system detected movement of the larynx, submental muscle activity, and nasal airflow. Six different sizes of water boluses (maximum of 20 mL) were swallowed and assessed for each subject. Key ResultsWe recruited 59 healthy participants and 38 first ever unilateral stroke patients completed baseline and follow-up assessments at 3, 6, and 9 months poststroke. The results showed that oropharyngeal swallowing parameters in unilateral stroke deviate from normal patterns. For respiration coordination, the unilateral stroke group had longer swallowing apnea duration but similar frequencies of preand postswallowing respiratory phase patterns compared with the healthy controls. The probability of piece-meal deglutition was higher in the stroke group than in the control group. Additionally, there were gradually decreasing piece-meal deglutition probabilities among the stroke patients at follow-up, and none differed statistically from those of the controls at 6 months poststroke. Conclusions & Inferences The non-invasive swallowing and respiration assessment method applied in this study detected the changes manifested in swallowing and respiration during the subacute phase of recovery in 6 months after a unilateral stroke. The study results serve as a baseline for

show abstract

Section: Key Resultsmentioning

confidence: 99%

“…All of these complications lead to increased lengths of hospital stays and healthcare expenditures for stroke care . Oropharyngeal dysphagia is also associated with poor outcomes and negatively affects the quality of life after stroke . Severe cases of OD complicated by pneumonia often result in high mortality and morbidity .…”

Section: Introductionmentioning

confidence: 99%

Integrated non‐invasive measurements reveal swallowing and respiration coordination recovery after unilateral stroke

Wang

Chen

2015

Neurogastroenterology Motil

View full text Add to dashboard Cite

show abstract

“…[12][13][14][15] Some patients report being fearful and not wanting to eat alone in case they choke and consequently avoid eating, reduce or alter their overall oral intake. Dysphagia results in a significant social and psychological burden for both patients and their families.…”

Section: Introductionmentioning

confidence: 99%

Dysphagia: implications for older people

Miller

Patterson

2013

Rev. Clin. Gerontol.

View full text Add to dashboard Cite

Dysphagia represents a salient concern in many conditions prevalent in older people. There are direct implications for morbidity and mortality. The importance of recognizing and managing dysphagia in hospital and the community also extends to psychosocial impact and quality of life, as well as health, economic and ethical-legal issues. This review outlines reasons for the importance of recognizing and treating dysphagia. It then proceeds to look at recent developments in our understanding of the nature, assessment and management of dysphagia in older people. Whilst there are wellestablished practices in assessment and management, ongoing work continues to challenge the validity and reliability of many methods. These concerns are covered and directions for future developments highlighted.

show abstract

“…Dysphagia has profound effects on individuals [6], and living with dysphagia is a complex phenomenon that touches essential areas of life [7] and is common during recovery from stroke in the community [8]. Individuals who experience dysphagia as a result of stroke have a complex rehabilitation journey involving the interaction of many physical, emotional, and social considerations.…”

Section: Introductionmentioning

confidence: 99%

“…Individuals who experience dysphagia as a result of stroke have a complex rehabilitation journey involving the interaction of many physical, emotional, and social considerations. Multiple affecting factors have been described, including meaning-related, functional, and contextual factors, and the consequences of non-intervention, feelings of loss, social isolation, negative sensations, and depression-all of which can potentially increase the impact of disease severity, functional outcome, and quality of life in patients with stroke [6]. Healthcare professionals should not only be aware of the physical but also the significant psychosocial consequences of living with dysphagia following a stroke [9].…”

Section: Introductionmentioning

confidence: 99%

First-Hand Experience of Severe Dysphagia Following Brainstem Stroke: Two Qualitative Cases

Kjærsgaard¹,

Pallesen²

2020

Geriatrics

View full text Add to dashboard Cite

Background: Dysphagia has profound effects on individuals, and living with dysphagia is a complex phenomenon that touches essential areas of life. Dysphagia following a brainstem stroke is often more severe and the chances of spontaneous recovery are less likely as compared with dysphagia following a hemispheric stroke. Objective: To explore how two individuals with brainstem stroke experienced severe dysphagia during their inpatient neurorehabilitation and how they experienced their recovery approximately one month following discharge. Methods: An explorative study was conducted to evaluate the first-hand perspective on severe eating difficulties. A qualitative case study was chosen to collect data during two face-to-face semi-structured interviews. Phenomenological perspectives shaped the interview-process and the processing of data. Results: Analysis of the empirical data generated the following main themes regarding experiences of: (i) the mouth and throat; (ii) shared dining; and (iii) recovery and regression related to swallowing-eating-drinking. Conclusion: Participants expressed altered sensations of the mouth and throat, which affected their oral intake and social participation in meals. Good support for managing and adapting their problems of swallowing, eating, and drinking in daily activities is essential. Knowledge and skills of professionals in relation to dysphagia is a significant requirement for recovery progress in settings within the municipality.

show abstract

Recognizing new perspectives in eating difficulties following stroke: a concept analysis

Abstract: Eating difficulties have profound effects on people. The conceptual model serves to guide health care professionals to assess and help stroke patients in facing a life with eating difficulties.

Cited by 30 publications

References 53 publications

Integrated non‐invasive measurements reveal swallowing and respiration coordination recovery after unilateral stroke

Integrated non‐invasive measurements reveal swallowing and respiration coordination recovery after unilateral stroke

Dysphagia: implications for older people

First-Hand Experience of Severe Dysphagia Following Brainstem Stroke: Two Qualitative Cases

Contact Info

Product

Resources

About