SWALLOWING STRATEGY AND ORAL MOTOR EXERCISE FOR PREVENTION OF ASPIRATION IN STROKE PATIENTS

Muhammad Ardi

Abstract


Stroke is a disorder of cerebral blood flow characterized by loss of focal and global nervous system function manifested by paralysis of one side of the body and neurological symptoms. Stroke patients also have difficulty swallowing and are at risk of experiencing aspiration. The case study method uses descriptive design and preventive aspiration exercises. The results of the case study of the 50-year-old suddenly experience weakness on the left side of the body so that they cannot walk with the mouth stuck and difficulty swallowing. Nursing intervention to prevent aspiration by adjusting the position of semi fowler when eating and maintaining the position for 30-45 minutes after eating, adjusting the head position when eating/drinking, encouraging the opportunity to swallow and cut small food, teach oral motor exercise. After five days of treatment, the patient is still coughing, the family has not yet been treated, so the patient does not choke, but has not been able to follow the whole series of oral exercises that have just been taught once. Based on this, nurses should have a swallowing screen in stroke patients, strategies for stroke patients who experience swallowing disorders to prevent aspiration.


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References


Ardi, M. (2011). Analisis hubungan ketidakmampuan fisik dan Kognitif dengan keputusasaan pada pasien stroke di Makassar. June 14, 2017, http://lib.ui.ac.id.

Ardi, M. (2012). Analisis praktik residensi keperawatan medikal bedah pada pasien dengan gangguan system persarafan dengan penerapan teori adaptasi Roy di Rumah Sakit Umum Pusat Fatmawati Jakarta. Karya Ilmiah Akhir. Depok: FKUI.

Bours, G. J. J. W., Speyer, R., Lemmens, J., Limburg, M., & De Wit, R. (2009). Bedside screening tests vs. videofluoroscopy or fibreoptic endoscopic evaluation of swallowing to detect dysphagia in patients with neurological disorders: systematic review. Journal of Advanced Nursing, 65 (3), 477-493.

Daniels, S. K., Schroeder, M. F., Corey, D. M., Foundas, A. L., & Rosenbek, J. C. (2009). Defining and measuring dysphagia following stroke. American Journal of Speech-Language Pathology, 18, 74-81.

Edmiaston J, Connor L.T., Loehr, L. & Nassief, A. (2010). Validation of a dysphagia screening tool in acute stroke patients. Am J Crit Care, 19 (4), 357-364.

Elmstahl, S., Bulow, M., Ekberg, O., Petersson, M., & Tegner, H. (1999). Treatment of dysphagia improves nutritional condition in stroke patients. Dysphagia, 14, 61-66.

Foley, N., Teasell, R., Salter, K., Kruger, E., & Martino, R. (2008). Dysphagia treatment post stroke: a systematic review of randomised controlled trials. Age and Ageing, 37, 258-264.

Hammond, C. A. S., & Goldstein, L. B. (2006). Cough and aspiration of food and liquids due to oral-pharingeal dysphagia: ACCP evidence-based clinical practice guidelines. Chest, 129, 154S-168S.

Herdman, T.H. (2015). Diagnosis keperawatan: definisi & klasifikasi (Budi Anna Keliat et al., Penerjemah). Jakarta: EGC.

Hughes, S. M. (2011).Management of dysphagia in stroke patients. Nursing Older People, 23 (3), 21-24.

Kiger, M., Brown, C. S., Watkins, L. (2006). Dysphagia management: An analysis of patient outcomes using VitalStimTM therapy compared to traditional swallow therapy. Dysphagia, 243-253.

Lin, L. C., Wang, S. C., Chen, S. H., Wang, T. G., Chen, M. Y., Wu, S. C. (2003). Efficacy of swallowing training for residents following stroke. Journal of Advanced Nursing, 44 (5), 469-478.

Mann, G., G.J., & Cameron, D. (1999). Swallowing function after acute stroke, prognosis and prognostic factors at 6 months. Stroke, Vol. 30 (4), 744-748.

MD Anderson Cancer Center. (2008). Swallowing Strategies. The University of Texas: Departmen of Head and Neck Surgery Section of Speech Pathology & Audiology.

Morris, H. (2008). Dysphagia: implications of stroke on swallowing. Nursing & Residential Care, 10 (08), 378-381.

Nazarko, L. (2007). Stroke: Bowel care. Nursing & Residential Care, 9 (6), 251- 254.

Remesso, G. C., Fukujima, M. M., Chiappetta, A. L. M., Oda, A. L., Aguiar, A. S., Oliveira, A. S. B., et al. (2011). Swallowing disorder after ischemic stroke. Arq Neuropsiquiatr, 69 (5), 785-789.

Wilkins, T., Gillies, R.A., Thomas, A.M., & Wagner, P.J. (2007). The prevalence of dysphagia in primary care patients: a HamesNet Research Network study. J Am Board Fam Med, 20 (2), 144-150.




DOI: https://doi.org/10.32382/jmk.v10i1.967

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