Nursing assessment of dysphagia among patients with stroke
(1999) In Scandinavian Journal of Caring Sciences 13(4). p.274-282- Abstract
- The aims of this study were to investigate the frequency of dysphagia among patients with acute stroke and compare non-dysphagic and dysphagic stroke patients regarding demographic aspects, performance in activities of daily living and type of neurological deficiency and to test a bedside screening tool to identify patients with dysphagia. The frequency of dysphagia was found to be 27%, or 40% if those patients who were unconscious, terminally ill or had a previous history of dysphagia were included. Overall stroke severity seemed to be an indicator for dysphagia, i.e. being significantly more drowsy, more dependent in activities of daily living, suffering more often from dysarthria, expressive dysphasia, taking antidepressive medication,... (More)
- The aims of this study were to investigate the frequency of dysphagia among patients with acute stroke and compare non-dysphagic and dysphagic stroke patients regarding demographic aspects, performance in activities of daily living and type of neurological deficiency and to test a bedside screening tool to identify patients with dysphagia. The frequency of dysphagia was found to be 27%, or 40% if those patients who were unconscious, terminally ill or had a previous history of dysphagia were included. Overall stroke severity seemed to be an indicator for dysphagia, i.e. being significantly more drowsy, more dependent in activities of daily living, suffering more often from dysarthria, expressive dysphasia, taking antidepressive medication, staying significantly longer in hospital and being discharged to a higher level of formal care than non-dysphagic patients. The screening method proved to be useful, in that it detected 77% of those with dysphagia using a review of medical charts and continuous observations as a method to check the reliability of the bedside method. It is concluded that most patients with dysphagia can be identified through systematic interviews, observations and test swallows. These have to be repeated and included in nursing care assessment. Overall stroke severity is an indicator of dysphagia. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1115000
- author
- Westergren, Albert LU ; Rahm Hallberg, Ingalill LU and Ohlsson, O
- organization
- publishing date
- 1999
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Scandinavian Journal of Caring Sciences
- volume
- 13
- issue
- 4
- pages
- 274 - 282
- publisher
- Wiley-Blackwell
- external identifiers
-
- pmid:12032925
- scopus:0033370847
- ISSN
- 1471-6712
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: The Vårdal Institute (016540000), Caring Sciences (Closed 2012) (016514020)
- id
- b661d0d7-ff11-4a17-b028-9fdcf3144d7b (old id 1115000)
- date added to LUP
- 2016-04-01 16:16:18
- date last changed
- 2024-01-25 14:38:31
@article{b661d0d7-ff11-4a17-b028-9fdcf3144d7b,
abstract = {{The aims of this study were to investigate the frequency of dysphagia among patients with acute stroke and compare non-dysphagic and dysphagic stroke patients regarding demographic aspects, performance in activities of daily living and type of neurological deficiency and to test a bedside screening tool to identify patients with dysphagia. The frequency of dysphagia was found to be 27%, or 40% if those patients who were unconscious, terminally ill or had a previous history of dysphagia were included. Overall stroke severity seemed to be an indicator for dysphagia, i.e. being significantly more drowsy, more dependent in activities of daily living, suffering more often from dysarthria, expressive dysphasia, taking antidepressive medication, staying significantly longer in hospital and being discharged to a higher level of formal care than non-dysphagic patients. The screening method proved to be useful, in that it detected 77% of those with dysphagia using a review of medical charts and continuous observations as a method to check the reliability of the bedside method. It is concluded that most patients with dysphagia can be identified through systematic interviews, observations and test swallows. These have to be repeated and included in nursing care assessment. Overall stroke severity is an indicator of dysphagia.}},
author = {{Westergren, Albert and Rahm Hallberg, Ingalill and Ohlsson, O}},
issn = {{1471-6712}},
language = {{eng}},
number = {{4}},
pages = {{274--282}},
publisher = {{Wiley-Blackwell}},
series = {{Scandinavian Journal of Caring Sciences}},
title = {{Nursing assessment of dysphagia among patients with stroke}},
volume = {{13}},
year = {{1999}},
}