Dysphagia :: Health, Diseases

DysphagiaSurviving a severe stoke a good deal leads to a new problem. Almost half of patient affected by severe stroke develop difficulty in swallowing that is known as dysphagia. People in this condition have trouble in retentivity nutriment and tranquil in their blab out or swallowing. When food passes from the mouth into oropharynx and laryngopharynx, it enters the esophagus and muscular contraction propels it to the stomach, but when process goes wrong the food and fluids re-enter the esophagus which is known as reflux (Nozarka, 2010). There ar factors that disrupt normal swallowing. These include stroke, age-related changes, medication and neurological disease (Nozarko, 2010). Signs of dysphagia ar cough during eating, change in voice tone or timberland after swallowing, abnormal movements of the mouth, tongue or lips and slow, weak, precise, or uncoordinated speech. other(a) signs of the disease are abnormal gag, delayed swallowing, incomplete oral head or pocketing, regurgitation, pharyngeal pooling, delayed or absent trigger of swallow, and inability to speak consistently (Potter & Perry, 2009). Dysphagia drop leads to aspiration pneumonia. During aspiration, the food or fluid passes through the vocal folds and enters the airway. It can be caused by impaired laryngeal closure or overflow of food or liquids retained in pharynx. This increases the risk of choking and aspiration pneumonia. Through coughing the body tries to rationalise from aspiration that helps to clear food and fluid from lungs. However, silent aspiration is very(prenominal) dangerous because food and fluid penetrate the airway and move thick into the lungs that cause major respiratory problems. Dysphagia also results to malnutrition and dehydration. This increases the risk for pressure ulceration (Nozarko, 2010).Assessment of the gathered data leads to a care for diagnosis. A node who is a stroke survivor complains in difficulty when swallowing that is associated to deficit in oral, pharyngeal, or esophageal structure or function. In this case the nursing diagnosis is impaired swallowing related to neurological problem (Ackley & Ladwig, 2011).As a caregiver of a client in this condition, setting name and addresss and outcome is needed. The goal and outcome for a client suffering from dysphagia are the client can effectively swallow without choking within seven days, and the client depart be free from aspiration evidence by clear lung undecomposed within five days (Ackley & Ladwig, 2011).To meet the goals and outcomes for this patient first look into the severity of dysphagia. If a person has mild dysphagia, simply provide a suitable and advice about eating slowly and sitting upright composition eating may enable the person to remain well supply sic and problem free (Nozarka, 2010, para.