[Dysphagia] Dysphagia Inpatient Referrals

[Natalie.Erevik at chs.northy.nhs.uk (Erevik Natalie (RLN) City Hospitals Sunderland - Speech & Language Therapist)]

I work for an acute hospital and currently the speech and language therapy
department here have several issues that have arisen from referrals from
wards.  Can you please offer advice on:

1.  The type of client for whom you think a nursing dysphagia screen is
appropriate

2.  Which patients should be placed nil by mouth before SLT assessment, when
dysphagia is suspected

3.  When syringe feeding is appropriate.


-----Original Message-----
From: Irene Campbell-Taylor [mailto:eripley at yahoo.com]
Sent: 11 May 2007 12:41
To: dysphagia at b9.com
Subject: [Dysphagia] Marik article


For those who didn't receive it:
  Apologies for the typo in the name:
  Aspiration Pneumonitis and Aspiration Pneumonia
  Paul E. Marik, M.B., B.Ch. 
  NEJM
            Volume 344:665-671
     
      March 1, 2001
     
    Number 9
       
     
     

   
  Aspiration is defined as the inhalation of oropharyngeal or gastric
contents into the larynx and lower respiratory tract Several pulmonary
syndromes may occur after aspiration, depending on the amount and nature of
the aspirated material, the frequency of aspiration, and the host's response
to the aspirated material.. Aspiration pneumonitis (Mendelson's syndrome) is
a chemical injury caused by the inhalation of sterile gastric contents,
whereas aspiration pneumonia is an infectious process caused by the
inhalation of oropharyngeal secretions that are colonized by pathogenic
bacteria. Although there is some overlap between these syndromes, they are
distinct clinical entities Other aspiration syndromes include airway
obstruction, lung abscess, exogenous lipoid pneumonia, chronic interstitial
fibrosis, and Mycobacterium fortuitum pneumonia. This article focuses on the
pathophysiology, clinical features, and management of aspiration pneumonia
and aspiration pneumonitis.
   


Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com
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