Preventing Aspiration in Older Adults with Dysphagia is an evidence based article published by Janice Palmer and Norma Metheny, talented professionals and the active contributors of nursing center. com. The progressive idea of the publication is focused on practical presentation of the best practice approaches in preventing and treating the aspiration in elder adult patients with diagnosed Dysphagia and Parkinson’s disease.
As any innovative implementation in nursing practice should be approved and explored by medical personnel belonging to different spheres and scientific fields before it will become a part of daily routine; Try This approach is suggested to be used as among the normally fed patients experiencing swallowing problems and the patients, who are fed thru tube. The both groups are at high aspiration pneumonia risk. The risk of aspiration pneumonia among the elder population with Dysphagia symptoms and Parkinson’s disease is very high, it is obviously approved by Benjamin Link case.
He has been admitted to hospital with diagnosed crippling arthritis and chronic pain. Due to the necessity of surgery, he was cut off his Parkinson disease’s medication, that’s why the disease has started to progress faster, causing him the swallowing problems, which are the aspiration pneumonia predictors. The authors are concerned with the importance of preventing measures and early start of aspiration prophylactic procedures. Current article contains the detailed scope of aspiration and dysphagia symptoms; they are linked to target audience such as those, who are suffering from Parkinson’s disease, stroke’s consequences, or dementia.
It is important to eliminate the most risky groups and start to detect the symptoms of aspiration pneumonia earlier, as it is one of the key mortality reasons. Medical statistics estimates from 300,000 to 600,000 Americans, who are diagnosed with dysphagia annually. It brings the mark of importance to diagnosing the dysphagia symptoms earlier as well in order to take step in right treatment direction in time. Nurses, who are dealing with risky groups of the patients diagnosed with Parkinson or any other predictors of aspiration pneumonia should be especially attentive to their patients’ condition.
Very often they are working with the entire family on differentiating the symptoms and implementing the Try It approach, therefore target audience for this article can’t be limited by medical professionals only, as the patient’s family members appear in the situation to take care of the patient rather frequently. Aspiration suspected patients require diet modification including clinical recommendations for better swallowing, oral care and hygiene improvement, also physical therapy for swallowing promotion.
Promotion of better swallowing significantly decreases the mortality risk at various medical conditions. Cooperation of speech pathologist, physical therapist, patient’s family and a nurse helps for patient’s functional recovery faster, with higher success level. Obviously, that successful development of communication strategy and comprehending of entire swallowing training session by the family helped Mr. Link to be discharged from the hospital after his operation session sooner, thus made current case the evidential example of successful Try It approach in the nursing practice.
However the Parkinson’s, dysphagia and aspiration linkage looks logically the group risk and consequences could be detailed more carefully, as aspiration can be also caused by coma, anesthesia, by decreased or even absent gag reflex among the patients who are temporary unconscious or semi-conscious, by disorders of the esophagus such as gastro esophageal reflux, by overdose alcohol use or medications affecting conscious condition of the patient.
Most of aspiration pneumonia symptoms such as coughing during meals, hoarse voice following meals, gurgling sounds in the throat, etc, can be regarded secondary after bluish discoloring of skin because the lack of oxygen, shortness of breath and wheezing, additionally an excessive sweating. Practical therapy discussed within Mr.
Link case shouldn’t exclude antibiotic treatment as aspiration pneumonia brings a huge risk of lungs’ injury caused by breathing inner materials appeared there with food, vomit or fluids as a consequence of swallowing problem. The overall treatment success usually depends on treatment method and approach chosen and also on the severity of aspiration pneumonia, the bacteria’s type and how much lungs are involved in the process. Dr. Palmer and Dr.
Metheny operating with the fact belonged to real medical practice have tried to accomplish their argument using various theoretical approaches such as tube feeding which can’t be related to particular Mr. Link’s case. Logically, current article for better perception from the target audience side should be split for three parts, starting from diagnostic and risk groups – I would recommend separating this part as an independent chapter, so the reader will be able to estimate the risk’s probability more accurately. Evidentially, Mr.
Link’s case approves the successful indicators of Try IT method, communication strategies and complex treatment approach involving work of speech therapist, physical therapist and the nurse, therefore there should be one more case related to tube feeding preferably with a patient, whose aspiration’s predictions were different comparing to a Link’s case. All theoretical part is rather substantial, however mixed with main subject, that’s why it can’t be efficiently use for quick examination and information selection.
Dropping it as an appendix list for present article would help to increase an academic value of published information. The conclusion with recommendation list is well informing and advising part, however it is written in easy and clear manner, its disposition in the article makes it difficult to find and concentrate, thus it’s evaluation as an important prescription has been lost.
Try It Method and prevention measures of aspiration pneumonia isn’t a subject, which can leave such academic paper unnoticed because its informative value, derived thru modern technologies and social media usage. The entire scope of valuable research information used in the publication attracts attention of medical staff, patients’ families and patients to innovative and easy approaches for aspiration’s diagnostic, swallowing disorders’ prophylactics, because it is a method to avoid heavy lung and heart injures as the consequence of leaving the swallowing problem without attention.
Published material’s organizing plays a great deal in this case either it is an on line version or printed sample, it should help the reader to concentrate on the key idea, to hear the author, authors and to make a notice for the future, as we cannot be sure that tomorrow wouldn’t put us in the situation, when our relatives or ourselves wouldn’t become the patients with high aspiration pneumonia risk. References: Palmer, J. , Metheny, N. (2008). Preventing Aspiration in Older Adults with Dysphagia. AJN, Nursing Center. V. 108/2.