Fluxogram for the management of the elderly with altered deglutition after cerebrovascular accident

Authors

DOI:

https://doi.org/10.33448/rsd-v10i8.16978

Keywords:

Swallowing disorders; Stroke; Elderly; Deglutition; Patient care team.

Abstract

Objective: To build a flowchart for the management of elderly people with swallowing disorders after stroke. Methods: Methodological study carried out in three stages: carrying out an integrative literature review; evaluation of 38 medical records about sociodemographic and clinical variables and the prevalence of swallowing disorders in elderly people after a stroke; and construction of a flowchart for the management of elderly people with swallowing disorders after a stroke, based on the first two steps. Results: The flow starts with the reception of the elderly person after a stroke in Primary Health Care, where they will be evaluated by a health professional. When checking changes in swallowing, the elderly will be referred for treatment with a physiotherapist and speech therapist or nutritionist, psychologist and speech therapist, according to pulmonary or nutritional and dietary changes, respectively. Conclusion: The flowchart helps health professionals in referring the elderly with this condition, providing adequate treatment by the multidisciplinary team.

References

Amaya, M. (2016). Construção e validação de conteúdo de checklist para a segurança do paciente em emergência. Rev. Gaúcha Enfermagem, 37(1),687-778. http://www.scielo.br/pdf/rgenf/v37nspe/0102-6933-rgenf-1983-14472016esp2016-68778/

Celeste, L. (2017). Mapeamento da Fonoaudiologia Educacional no Brasil: formação, trabalho e experiência profissional. Rev.CoDAS, 29(1),1-12. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S231717822017000100309&lng=e/

Cunha, D. (2016). Contribuição fonoaudiológica em idosos acometidos de acidente vascular Encefálico. Rev. bras. geriatr. gerontol, 10(3), 25-28. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-905351/

Chaves, S.(2019). Disfagia em idosos pós AVC: checklist para rastreamento. Rev. Riase, 5(2),377-390. http://www.revistas.uevora.pt/index.php/saude_envelhecimento/article/view/

Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa. Editora Artes Médicas.

Ludke, M. (2013). Pesquisas em educação: uma abordagem qualitativa. Editora Artes Médicas

Magalhães, L.(2014) Avaliação de linguagem e de deglutição de pacientes hospitalizados após acidente vascular cerebral. Rev. Distúrbios da Comunicação, 16(1), 65-81. https://revistas.pucsp.br/dic/article/view/11621/

Maria, A.(2017). Implantação de fluxograma de atendimento em um Centro de Atenção Psicossocial. Rev. Bras. em Promoção da Saúde, 30(2), 288-293.São Paulo https://periodicos.unifor.br/RBPS/article/view/5819/

Mourão, A. (2016). Frequência e fatores associados à disfagia após acidente vascular cerebral. Rev. Codas, 28(1), 56-64. https://www.scielo.br/scielo.php?pid=S231717822016000100066&script=sci_arttext./

Mota, L.(2014). Sistemas de informação de enfermagem: Exploração da informação partilhada com os médicos. Rev. Enf. Ref., 4(1), 85-91. http://www.scielo.mec.pt/scielo.php?script=sci_abstract&pid=S0874-02832014000100010&lng=pt&nrm=iso/

Neumann, L. (2016). Sensibilidade gustativa de adultos e idosos.Rev bras geriatr. gerontol. 9(5),797-808. http://www.scielo.br/pdf/rbgg/v19n5/pt_1809-9823-rbgg-19-05-00797/

Organização Mundial da Saúde. (2015). Relatório mundial de envelhecimento e saúde. 2 de agosto, 2018. http://sbgg.org.br/wp-content/uploads/

Plassa, B.(2018). Fluxograma descritor no atendimento à pessoa idosa vítima de violência: uma perspectiva interdisciplinar. Revista Esc Anna Nery, 22(4), 221-236. https://www.scielo.br/j/ean/a/hnpYQRy7xzy6MtLWKS8FmWh/

Ribeiro, P. (2015). Relationship between dysphagia, national institutes of health stroke scale score, and predictors of pneumonia after ischemic stroke. J. Stroke Cerebrovasc,24(9),2088-2094. https://www.ncbi.nlm.nih.gov/pubmed/26187787. 10.1016/j.jstrokecerebrovasdis.2015.05.009.21/

Silva, L.(2016). Disfagia orofaríngea pós-acidente vascular encefálico no idoso. Rev. bras. geriatr. gerontol. 9(2),93-106. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-98232006000200093&lng=pt&nrm=iso&tlng=pt.https://dx.doi.org/10.1590/1809-9823.2006.09028/

Schettino, M.(2020). Desidratação, acidente vascular cerebral e disfagia:revisão sistemática da literatura. Rev.Audiol.Commun, 24(1), 221-235. https://www.scielo.br/scielo.php?pid=S231764312019000100508&script=sci_arttext/

Sporns, P. (2017).Atrophy of swallowing muscles is associated with severity of dysphagia and age in patients with acute stroke. J. Am. Med. Dir. Assoc., 18(7),635-647. https://www.ncbi.nlm.nih.gov/pubmed/28363443/

Sousa, I.(2018). Reabilitação fonoaudiológica da disfagia orofaríngea após acidente vascular encefálico: revisão de literatura. Journal of Specialist. 1(1), 1-11. http://journalofspecialist.com/jos/index.php/jos/article/view/65/29/

Veras, R. (2013). Modelos de atenção à saúde do idoso: repensando o sentido da prevenção. Physis Revista de Saúde Coletiva, 23(4), 1189-1213. https://www.scielo.br/j/physis/a/PNKYtHHScFWKVHpvnk7XmRf/?lang=pt/

Winstein, C.(2016). Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association.American Stroke Association, 47(1), 1224-1236. https://www.ahajournals.org/doi/full/10.1161/STR.0000000000000098/

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Published

10/07/2021

How to Cite

CHAVES, S. P. L. .; FONSÊCA, I. C. D. de A. .; CRUZ, E. C. F. de R. C.; LUCENA , N. N. N. de .; QUEIROZ, R. B. de Q.; SARMENTO , A. Q. .; FERREIRA , O. G. L. . Fluxogram for the management of the elderly with altered deglutition after cerebrovascular accident. Research, Society and Development, [S. l.], v. 10, n. 8, p. e20110816978, 2021. DOI: 10.33448/rsd-v10i8.16978. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/16978. Acesso em: 25 apr. 2024.

Issue

Vol. 10 No. 8

Section

Health Sciences

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Copyright (c) 2021 Simone Pereira Lins Chaves; Ilanna Cibele Delgado de Araújo Fonsêca; Eva Carolina F. de R. Cruz Cruz; Nyelisonn Nando Nóbrega de Lucena ; Ronaldo Bezerra de Queiroz Queiroz; Adriana Queiroga Sarmento ; Olívia Galvão Lucena Ferreira

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