Application of a Multidisciplinary Dysphagia and Nutrition Management System to Improve Safe Eating in Hospitalized Geriatric Patients

Guiyan Wen; Huixia Yu; Qiugui Huang; Xiulan Deng; Dongxiu Liang

doi:doi:10.11648/j.ajns.20211001.12

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Application of a Multidisciplinary Dysphagia and Nutrition Management System to Improve Safe Eating in Hospitalized Geriatric Patients

Guiyan Wen, Huixia Yu, Qiugui Huang, Xiulan Deng, Dongxiu Liang

Received: 2 December 2020 Accepted: 14 December 2020 Published: 12 January 2021

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Abstract

This study aimed to explore the value of a multidisciplinary dysphagia and nutrition management system for the improvement of safe eating in hospitalized geriatric patients. We assembled a multidisciplinary team, consisting of a geriatric care team, a medical team, a rehabilitation team, professionals from the imaging center, and dietitians. Using the dysphagia and nutrition management system, we screened and assessed swallowing and eating dysfunction in geriatric patients admitted to our inpatient department and then provided instructions and swallowing exercises for patients with dysphagia. We measured the detection rate of patients with dysphagia and incidence of aspiration pneumonia. By applying the dysphagia and nutrition management system developed by our multidisciplinary team, the detection rate of patients with dysphagia increased significantly. Interventions of patients with dysphagia significantly decreased the incidence of aspiration pneumonia (P<0.05) and improved their nutritional status. Our multidisciplinary dysphagia and nutrition management system increased the detection rate of patients with dysphagia, improved safe eating, Prevention of aspiration and effective reduction of aspiration pneumonia in elderly patients. At present, the application of multidisciplinary cooperative swallowing and eating nursing system in the feeding safety of hospitalized elderly patients is relatively few, hoping to play a certain reference or guiding role in the clinical work of nursing peers.

DOI	10.11648/j.ajns.20211001.12
Published in	American Journal of Nursing Science (Volume 10, Issue 1, February 2021)
Page(s)	8-12
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Aspiration Pneumonia, Dysphagia and Nutrition Management, Multidisciplinary Collaboration, Safe Eating

References

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[3]	Crary, M., Sura, L., Madhavan, A., et al. (Year). Dysphagia in the elderly: management and nutritional considerations. Clinical Interventions in Aging: 287.
[4]	Baijens LW, Clave P, Cras P, et al. European society for swallowing disorders-european union geriatric medicine society white paper: oropharyngeal dysphagia as a geriatric syndrome. Clin Interv Aging, 2016, 11: 1403-1428.
[5]	Lin LC, Wu SC, Chen HS, et al. Prevalence of impaired swallowing in institutionalized older people in Taiwan. J Am Geriatr Soc, 2002, 50 (6): 1118-1123.
[6]	Ja L. Evaluation and treatment of swallowing disorders. Austin, TX: College-Hill Press, 1983: 1245-1255.
[7]	Clave P, Rofes L, Carrion S, et al. Pathophysiology, relevance and natural history of oropharyngeal dysphagia among older people. Nestle Nutr Inst Workshop Ser, 2012, 72: 57-66.
[8]	Chinese expert consensus on Family Nutrition Management in elderly patients with dysphagia (2018 Edition). Chinese Journal of Evidence-based Medicine, June 2018, vol. 18, No. 6.
[9]	Chinese expert consensus group on rehabilitation assessment and treatment of dysphagia. Chinese Expert Consensus on Assessment and Treatment of Dysphagia (2017 Edition) J].] Evaluation Chinese Journal of Physical Medicine and Rehabilitation, 2017, 39 (12): 881-892.
[10]	Chinese expert consensus group on rehabilitation assessment and treatment of dysphagia. Chinese Expert Consensus on Assessment and Treatment of Dysphagia (2017 Edition) treatment and rehabilitation management [J]. articles Chinese Journal of Physical Medicine and Rehabilitation, 2018, 40 (1): 1-9.
[11]	Sciortino, K. F., Liss, J. M., Case, J. L., et al. (2003). Effects of mechanical, cold, gustatory, and combined stimulation to the human anterior faucial pillars. Dysphagia, 18 (1): 16–26.
[12]	Bhatt, A. D., Goodwin, N., Cash, E., et al. (2015). Impact of transcutaneous neuromuscular electrical stimulation on dysphagia in patients with head and neck cancer treated with definitive chemoradiation. Head and Neck Journal for the Sciences and Specialties of the Head and Neck, 37 (7): 1051–1056.
[13]	Xia, W., Bai, J., Xia, L., et al. (2009). Investigation on the status quo of incidence of aspiration in hospitalized patients. Chinese Nursing Research, 23 (31): 2848–2849.
[14]	Chang, H., Zhao, J., Zhang, S., et al. (2018). Evaluation of the effect of food consistency on the decrease of aspiration in patients with dysphagia after stroke. Chinese Journal of Nursing, 1: 32–35.
[15]	Huang Shiju Cai Youdi Li Xiaoling and others. Evaluation of screening and grading intervention in patients with dysphagia in high risk departments led by nurses [J] Chinese Journal of Nursing, November 2018, vol. 53, No. 11, 1303-1308.

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APA Style

Guiyan Wen, Huixia Yu, Qiugui Huang, Xiulan Deng, Dongxiu Liang. (2021). Application of a Multidisciplinary Dysphagia and Nutrition Management System to Improve Safe Eating in Hospitalized Geriatric Patients. American Journal of Nursing Science, 10(1), 8-12. https://doi.org/10.11648/j.ajns.20211001.12

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ACS Style

Guiyan Wen; Huixia Yu; Qiugui Huang; Xiulan Deng; Dongxiu Liang. Application of a Multidisciplinary Dysphagia and Nutrition Management System to Improve Safe Eating in Hospitalized Geriatric Patients. Am. J. Nurs. Sci. 2021, 10(1), 8-12. doi: 10.11648/j.ajns.20211001.12

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AMA Style

Guiyan Wen, Huixia Yu, Qiugui Huang, Xiulan Deng, Dongxiu Liang. Application of a Multidisciplinary Dysphagia and Nutrition Management System to Improve Safe Eating in Hospitalized Geriatric Patients. Am J Nurs Sci. 2021;10(1):8-12. doi: 10.11648/j.ajns.20211001.12

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@article{10.11648/j.ajns.20211001.12,
  author = {Guiyan Wen and Huixia Yu and Qiugui Huang and Xiulan Deng and Dongxiu Liang},
  title = {Application of a Multidisciplinary Dysphagia and Nutrition Management System to Improve Safe Eating in Hospitalized Geriatric Patients},
  journal = {American Journal of Nursing Science},
  volume = {10},
  number = {1},
  pages = {8-12},
  doi = {10.11648/j.ajns.20211001.12},
  url = {https://doi.org/10.11648/j.ajns.20211001.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20211001.12},
  abstract = {This study aimed to explore the value of a multidisciplinary dysphagia and nutrition management system for the improvement of safe eating in hospitalized geriatric patients. We assembled a multidisciplinary team, consisting of a geriatric care team, a medical team, a rehabilitation team, professionals from the imaging center, and dietitians. Using the dysphagia and nutrition management system, we screened and assessed swallowing and eating dysfunction in geriatric patients admitted to our inpatient department and then provided instructions and swallowing exercises for patients with dysphagia. We measured the detection rate of patients with dysphagia and incidence of aspiration pneumonia. By applying the dysphagia and nutrition management system developed by our multidisciplinary team, the detection rate of patients with dysphagia increased significantly. Interventions of patients with dysphagia significantly decreased the incidence of aspiration pneumonia (P<0.05) and improved their nutritional status. Our multidisciplinary dysphagia and nutrition management system increased the detection rate of patients with dysphagia, improved safe eating, Prevention of aspiration and effective reduction of aspiration pneumonia in elderly patients. At present, the application of multidisciplinary cooperative swallowing and eating nursing system in the feeding safety of hospitalized elderly patients is relatively few, hoping to play a certain reference or guiding role in the clinical work of nursing peers.},
 year = {2021}
}

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TY  - JOUR
T1  - Application of a Multidisciplinary Dysphagia and Nutrition Management System to Improve Safe Eating in Hospitalized Geriatric Patients
AU  - Guiyan Wen
AU  - Huixia Yu
AU  - Qiugui Huang
AU  - Xiulan Deng
AU  - Dongxiu Liang
Y1  - 2021/01/12
PY  - 2021
N1  - https://doi.org/10.11648/j.ajns.20211001.12
DO  - 10.11648/j.ajns.20211001.12
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
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EP  - 12
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20211001.12
AB  - This study aimed to explore the value of a multidisciplinary dysphagia and nutrition management system for the improvement of safe eating in hospitalized geriatric patients. We assembled a multidisciplinary team, consisting of a geriatric care team, a medical team, a rehabilitation team, professionals from the imaging center, and dietitians. Using the dysphagia and nutrition management system, we screened and assessed swallowing and eating dysfunction in geriatric patients admitted to our inpatient department and then provided instructions and swallowing exercises for patients with dysphagia. We measured the detection rate of patients with dysphagia and incidence of aspiration pneumonia. By applying the dysphagia and nutrition management system developed by our multidisciplinary team, the detection rate of patients with dysphagia increased significantly. Interventions of patients with dysphagia significantly decreased the incidence of aspiration pneumonia (P<0.05) and improved their nutritional status. Our multidisciplinary dysphagia and nutrition management system increased the detection rate of patients with dysphagia, improved safe eating, Prevention of aspiration and effective reduction of aspiration pneumonia in elderly patients. At present, the application of multidisciplinary cooperative swallowing and eating nursing system in the feeding safety of hospitalized elderly patients is relatively few, hoping to play a certain reference or guiding role in the clinical work of nursing peers.
VL  - 10
IS  - 1
ER  -

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Author Information

Guiyan Wen

Department of Gastroenterology, the First Affiliated Hospital of Jinan University, Guangzhou, China; School of Nursing, Jinan University, Guangzhou, China
Huixia Yu

Department of Gastroenterology, the First Affiliated Hospital of Jinan University, Guangzhou, China; School of Nursing, Jinan University, Guangzhou, China
Qiugui Huang

Department of Gastroenterology, the First Affiliated Hospital of Jinan University, Guangzhou, China; School of Nursing, Jinan University, Guangzhou, China
Xiulan Deng

Department of Gastroenterology, the First Affiliated Hospital of Jinan University, Guangzhou, China; School of Nursing, Jinan University, Guangzhou, China
Dongxiu Liang

Department of Gastroenterology, the First Affiliated Hospital of Jinan University, Guangzhou, China; School of Nursing, Jinan University, Guangzhou, China

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APA Style

Guiyan Wen, Huixia Yu, Qiugui Huang, Xiulan Deng, Dongxiu Liang. (2021). Application of a Multidisciplinary Dysphagia and Nutrition Management System to Improve Safe Eating in Hospitalized Geriatric Patients. American Journal of Nursing Science, 10(1), 8-12. https://doi.org/10.11648/j.ajns.20211001.12

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ACS Style

Guiyan Wen; Huixia Yu; Qiugui Huang; Xiulan Deng; Dongxiu Liang. Application of a Multidisciplinary Dysphagia and Nutrition Management System to Improve Safe Eating in Hospitalized Geriatric Patients. Am. J. Nurs. Sci. 2021, 10(1), 8-12. doi: 10.11648/j.ajns.20211001.12

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AMA Style

Guiyan Wen, Huixia Yu, Qiugui Huang, Xiulan Deng, Dongxiu Liang. Application of a Multidisciplinary Dysphagia and Nutrition Management System to Improve Safe Eating in Hospitalized Geriatric Patients. Am J Nurs Sci. 2021;10(1):8-12. doi: 10.11648/j.ajns.20211001.12

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@article{10.11648/j.ajns.20211001.12,
  author = {Guiyan Wen and Huixia Yu and Qiugui Huang and Xiulan Deng and Dongxiu Liang},
  title = {Application of a Multidisciplinary Dysphagia and Nutrition Management System to Improve Safe Eating in Hospitalized Geriatric Patients},
  journal = {American Journal of Nursing Science},
  volume = {10},
  number = {1},
  pages = {8-12},
  doi = {10.11648/j.ajns.20211001.12},
  url = {https://doi.org/10.11648/j.ajns.20211001.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20211001.12},
  abstract = {This study aimed to explore the value of a multidisciplinary dysphagia and nutrition management system for the improvement of safe eating in hospitalized geriatric patients. We assembled a multidisciplinary team, consisting of a geriatric care team, a medical team, a rehabilitation team, professionals from the imaging center, and dietitians. Using the dysphagia and nutrition management system, we screened and assessed swallowing and eating dysfunction in geriatric patients admitted to our inpatient department and then provided instructions and swallowing exercises for patients with dysphagia. We measured the detection rate of patients with dysphagia and incidence of aspiration pneumonia. By applying the dysphagia and nutrition management system developed by our multidisciplinary team, the detection rate of patients with dysphagia increased significantly. Interventions of patients with dysphagia significantly decreased the incidence of aspiration pneumonia (P<0.05) and improved their nutritional status. Our multidisciplinary dysphagia and nutrition management system increased the detection rate of patients with dysphagia, improved safe eating, Prevention of aspiration and effective reduction of aspiration pneumonia in elderly patients. At present, the application of multidisciplinary cooperative swallowing and eating nursing system in the feeding safety of hospitalized elderly patients is relatively few, hoping to play a certain reference or guiding role in the clinical work of nursing peers.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Application of a Multidisciplinary Dysphagia and Nutrition Management System to Improve Safe Eating in Hospitalized Geriatric Patients
AU  - Guiyan Wen
AU  - Huixia Yu
AU  - Qiugui Huang
AU  - Xiulan Deng
AU  - Dongxiu Liang
Y1  - 2021/01/12
PY  - 2021
N1  - https://doi.org/10.11648/j.ajns.20211001.12
DO  - 10.11648/j.ajns.20211001.12
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 8
EP  - 12
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20211001.12
AB  - This study aimed to explore the value of a multidisciplinary dysphagia and nutrition management system for the improvement of safe eating in hospitalized geriatric patients. We assembled a multidisciplinary team, consisting of a geriatric care team, a medical team, a rehabilitation team, professionals from the imaging center, and dietitians. Using the dysphagia and nutrition management system, we screened and assessed swallowing and eating dysfunction in geriatric patients admitted to our inpatient department and then provided instructions and swallowing exercises for patients with dysphagia. We measured the detection rate of patients with dysphagia and incidence of aspiration pneumonia. By applying the dysphagia and nutrition management system developed by our multidisciplinary team, the detection rate of patients with dysphagia increased significantly. Interventions of patients with dysphagia significantly decreased the incidence of aspiration pneumonia (P<0.05) and improved their nutritional status. Our multidisciplinary dysphagia and nutrition management system increased the detection rate of patients with dysphagia, improved safe eating, Prevention of aspiration and effective reduction of aspiration pneumonia in elderly patients. At present, the application of multidisciplinary cooperative swallowing and eating nursing system in the feeding safety of hospitalized elderly patients is relatively few, hoping to play a certain reference or guiding role in the clinical work of nursing peers.
VL  - 10
IS  - 1
ER  -

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