Successful Nursing Intervention on a Case of Severe Dysphagia with Progressive Intractable Neurological Disease.

VernacularTitle:えん下障害を持つ患者の経口摂取を可能とした看護介入
Author: Yukiko YOSHIZAKI ; Hiromi IWANAMI ; Hiroko FUJIOKA ; Kimiko SAKAMOTO
Publication Type:Journal Article
From:Journal of the Japanese Association of Rural Medicine 1998;47(2):116-120
CountryJapan
Language:Japanese
Abstract: We present a case in which nursing intervention could play a great role in improving the patients activity of daily living (ADL). A 81-years-old female with progressive Parkinsonian syndrome was admitted to our hospital with the chief complaint of dysphagia and weakness. As her dysphagia and weakness were very severe and drug treatment was totally in effective, tube feeding was begun. She was hardly expected to get out of the hospital. We tried to improve the ADL by helping her to conquer the difficulty in swallowing. First, oral hygiene and exercise of chewing were started to stimulate her to regain the will to eat. Second, we arranged her menu according to her ability of swallowing. The patient gradually had a desire for good, and her ADL was improved. Finally, she could eat gruel, and leave the hospital. Appetite is one of man's instinctive tendencies. We have learned that if patients got this kind of will, their ADL could be enhanced, and that nursing intervention could give the patients this will. We consider that nursing intervention is beneficial to patients with intractable neurological disease.