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By Jose Nelson


Aspiration is basically a very common problem especially among residents of long care term commonly known as LTC. This type of problem mostly emerges when an individual inhales gastric or even oropharyngeal content down the lower tract of respiration. This tends to lead to aspiration pneumonia which in turn results to augmented risk of transfer of hospitals, mortality as well as morbidity. A greater emphasis of aspiration pneumonia prevention has been on the rise even though there exists treatment for adults with infections in the lower tract of respiration.

The main reason as to why individual in LTC have a higher risk of getting infected is simply because of the greater frequency of some kind of risky factors which are associated with this kind of a disease like poor hygiene especially the oral hygiene, using some form of medication without forgetting dysphagia.

For those patients who might be weak and maybe they are paralyzed in any of their sides or maybe they possess unilateral anatomic changes especially of the pharynx, trachea or even oral cavity then aspiration can be successfully managed by positioning that affected patient on that affected side. The head of that patient need to be rotated on that affected side and then tilted slightly to the other side which is stronger.

Recognizing and addressing these kinds of risk factors is highly recommended as a method of protecting both the well-being together with the health of the vulnerable individuals. Firstly lets figure out how dysphagia can be addressed. Dysphagia simply refers to a subjective sensation of either abnormality or even difficulty especially in swallowing.

Dysphagia typically denotes a kind of subjective sensation of difficulty or even abnormality in swallowing. This is viewed as very common problem more specifically to the elderly individuals and it is actually one of the major causes of aspiration. Aging is actually viewed to present a greater risk of having dysphagia to the aged although it has always been viewed that with healthy advancement in years there exists a physical toll on the neck and head anatomy which usually changes the physiologic together with the neural mechanisms which usually aids the swallowing.

It is also necessary if nurses are able to effectively evaluate the records of their patient majorly for sedating medications as well as those who tend to have difficulties in swallowing. This is simply because majority comorbidities in individuals suffering from cancer cannot be discontinued from their medication.

Various interventions have been successfully applied in the management of dysphagia which includes tube feeding, dietary modification as well as swallowing therapy. Another area of concern which needs to be addressed is poor oral hygiene since it greatly contributes to aspiration. In reality poor oral hygiene has great impact on the overall well-being together with risk for associated pneumonia and risk for aspiration as well.

There are several barriers which blocks proper administration of oral care to those vulnerable individual which includes resistant behaviors from patients, inadequate education for the staff and limited accountability of those practitioners administering oral care. In order to successfully overcome these kind of obstructions a multidisciplinary approach that incorporates dentists, hygienists and certified nursing subordinates is necessary.




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