Skip to main content
Erschienen in: Dysphagia 4/2007

01.10.2007 | Original Article

Compliance with Dysphagia Recommendations by Carers of Adults with Intellectual Impairment

verfasst von: Hannah Crawford, Paula Leslie, Michael J. Drinnan

Erschienen in: Dysphagia | Ausgabe 4/2007

Einloggen, um Zugang zu erhalten

Abstract

Health risks associated with dysphagia in adults with intellectual impairment are well documented. There is little research into compliance with dysphagia recommendations in environments where care is provided for adults with intellectual impairment. This is a pilot study into carer compliance with Speech-Language Pathology recommendations. We aimed to investigate the level of compliance with dysphagia recommendations in day centers and the factors that might affect compliance using a questionnaire. Twenty-seven clients were observed. Results showed an overall high level of compliance with recommendations (82%), with figures ranging from 64% compliance with appropriate utensils to 100% with direct support recommendations. Areas of noncompliance were evident, with level of dependence of clients and training of carers being key issues. Implications for practitioners are discussed.
Literatur
1.
Zurück zum Zitat Enderby P, Petheram B. Has aphasia therapy been swallowed up? Clin Rehabil 2002;16(6):604–608.PubMedCrossRef Enderby P, Petheram B. Has aphasia therapy been swallowed up? Clin Rehabil 2002;16(6):604–608.PubMedCrossRef
2.
Zurück zum Zitat van der Gaag A (editor). Communicating Quality 2: Professional Standards for Speech & Language Therapists. London: Royal College of Speech & Language Therapists, 1996. van der Gaag A (editor). Communicating Quality 2: Professional Standards for Speech & Language Therapists. London: Royal College of Speech & Language Therapists, 1996.
3.
Zurück zum Zitat National Patient Safety Agency. Understanding the patient safety issues for people with learning disabilities. London: NPSA, 2004. National Patient Safety Agency. Understanding the patient safety issues for people with learning disabilities. London: NPSA, 2004.
4.
Zurück zum Zitat Cook IJ, Kahrilas PJ. AGA technical review on management of oropharyngeal dysphagia. Gastroenterology 1999;116:455–478.PubMedCrossRef Cook IJ, Kahrilas PJ. AGA technical review on management of oropharyngeal dysphagia. Gastroenterology 1999;116:455–478.PubMedCrossRef
5.
Zurück zum Zitat Aziz SJ, Cambell-Taylor I. Neglect and abuse associated with undernutrition in long-term care in North America: Causes and solutions. J Elder Abuse Negl 1999;10:91–117.CrossRef Aziz SJ, Cambell-Taylor I. Neglect and abuse associated with undernutrition in long-term care in North America: Causes and solutions. J Elder Abuse Negl 1999;10:91–117.CrossRef
6.
Zurück zum Zitat Eyman R, Grossman H, Chaney R, Call T. The life expectancy of profoundly handicapped people with mental retardation. New Engl J Med 1990;323:584–589.PubMedCrossRef Eyman R, Grossman H, Chaney R, Call T. The life expectancy of profoundly handicapped people with mental retardation. New Engl J Med 1990;323:584–589.PubMedCrossRef
7.
Zurück zum Zitat Rogers B, Stratton P, Msall M, Andres M. Champlain M, Koerner P, Piazza J. Long term morbidity and management strategies of tracheal aspiration in adults with severe developmental disabilities. Am J Ment Retard 1994;98:490–498.PubMed Rogers B, Stratton P, Msall M, Andres M. Champlain M, Koerner P, Piazza J. Long term morbidity and management strategies of tracheal aspiration in adults with severe developmental disabilities. Am J Ment Retard 1994;98:490–498.PubMed
8.
Zurück zum Zitat Beange H, McElduff A, Baker W. Medical disorders of adults with mental retardation: a population study. Am J Ment Retard 1995;99:595–604.PubMed Beange H, McElduff A, Baker W. Medical disorders of adults with mental retardation: a population study. Am J Ment Retard 1995;99:595–604.PubMed
9.
Zurück zum Zitat Department of Health. Valuing People: A New Strategy for the 21st Century. London: Department of Health, 2001. Department of Health. Valuing People: A New Strategy for the 21st Century. London: Department of Health, 2001.
10.
Zurück zum Zitat Kerr AM, McCulloch D, Oliver K, McLean B, Coleman E, Law T, Beaton P, Wallace S, Newell E, Eccles T, Prescott RJ. Medical needs of people with intellectual disability require regular reassessment, and the provision of client- and carer-held reports. J Intellect Disabil Res 2003;47:134–145.PubMedCrossRef Kerr AM, McCulloch D, Oliver K, McLean B, Coleman E, Law T, Beaton P, Wallace S, Newell E, Eccles T, Prescott RJ. Medical needs of people with intellectual disability require regular reassessment, and the provision of client- and carer-held reports. J Intellect Disabil Res 2003;47:134–145.PubMedCrossRef
11.
Zurück zum Zitat Cumella S, Ransford N, Lyons J, Burnham H. Needs for oral care among people with intellectual disability not in contact with Community Dental Services. J Intellect Disabil Res 2000;44:45–52.PubMedCrossRef Cumella S, Ransford N, Lyons J, Burnham H. Needs for oral care among people with intellectual disability not in contact with Community Dental Services. J Intellect Disabil Res 2000;44:45–52.PubMedCrossRef
12.
Zurück zum Zitat Stanfield M, Scully C, Davison MF, Porter S. Oral healthcare of clients with learning disability: changes following relocation from hospital to community. Br Dent J 2003;194:271–277.PubMedCrossRef Stanfield M, Scully C, Davison MF, Porter S. Oral healthcare of clients with learning disability: changes following relocation from hospital to community. Br Dent J 2003;194:271–277.PubMedCrossRef
13.
Zurück zum Zitat Marshall D, McConkey R, Moore G. Obesity in people with intellectual disabilities: the impact of nurse-led health screenings and health promotion activities. J Adv Nurs 2003;41:147–153.PubMedCrossRef Marshall D, McConkey R, Moore G. Obesity in people with intellectual disabilities: the impact of nurse-led health screenings and health promotion activities. J Adv Nurs 2003;41:147–153.PubMedCrossRef
14.
Zurück zum Zitat Malin NA. Evaluating clinical supervision in community homes and teams serving adults with learning disabilities. J Adv Nurs 2000;31:548–557.PubMedCrossRef Malin NA. Evaluating clinical supervision in community homes and teams serving adults with learning disabilities. J Adv Nurs 2000;31:548–557.PubMedCrossRef
15.
Zurück zum Zitat de Jongste JC, Janssens HM, Van der Wouden J. Effectiveness of pharmacotherapy in asthmatic preschool children. Allergy 2002;57:42–47.PubMedCrossRef de Jongste JC, Janssens HM, Van der Wouden J. Effectiveness of pharmacotherapy in asthmatic preschool children. Allergy 2002;57:42–47.PubMedCrossRef
16.
Zurück zum Zitat Cheng NG, Browne GJ, Lam LT, Yeoh R, Oomens M. Spacer compliance after discharge following a mild to moderate asthma attack. Arch Dis Child 2002;87:302–305.PubMedCrossRef Cheng NG, Browne GJ, Lam LT, Yeoh R, Oomens M. Spacer compliance after discharge following a mild to moderate asthma attack. Arch Dis Child 2002;87:302–305.PubMedCrossRef
17.
Zurück zum Zitat Cork MJ, Britton J, Butler L, Young S, Murphy R, Keohane SG. Comparison of parent knowledge, therapy utilization and severity of atopic eczema before and after explanation and demonstration of topical therapies by a specialist dermatology nurse. Br J Dermatol 2003;149:582–589.PubMedCrossRef Cork MJ, Britton J, Butler L, Young S, Murphy R, Keohane SG. Comparison of parent knowledge, therapy utilization and severity of atopic eczema before and after explanation and demonstration of topical therapies by a specialist dermatology nurse. Br J Dermatol 2003;149:582–589.PubMedCrossRef
18.
Zurück zum Zitat Searle A, Norman P, Harrad R, Vedhara K. Psychosocial and clinical determinants of compliance with occlusion therapy for amblyopic children. Eye 2002;16:150–155.PubMedCrossRef Searle A, Norman P, Harrad R, Vedhara K. Psychosocial and clinical determinants of compliance with occlusion therapy for amblyopic children. Eye 2002;16:150–155.PubMedCrossRef
19.
Zurück zum Zitat Chadwick DD, Joliffe J, Goldbart J. Carer knowledge of dysphagia management strategies. Int J Lang Commun Disord 2002;37:345–357.PubMedCrossRef Chadwick DD, Joliffe J, Goldbart J. Carer knowledge of dysphagia management strategies. Int J Lang Commun Disord 2002;37:345–357.PubMedCrossRef
20.
Zurück zum Zitat Chadwick DD, Joliffe J, Goldbart J. Adherence to eating and drinking guidelines for adults with intellectual disabilities and dysphagia. Am J Ment Retard 2003;108:202–211.PubMedCrossRef Chadwick DD, Joliffe J, Goldbart J. Adherence to eating and drinking guidelines for adults with intellectual disabilities and dysphagia. Am J Ment Retard 2003;108:202–211.PubMedCrossRef
21.
Zurück zum Zitat Logemann J. Evaluation and Treatment of Swallowing Disorders. Austin TX: Pro-Ed, 1983. Logemann J. Evaluation and Treatment of Swallowing Disorders. Austin TX: Pro-Ed, 1983.
Metadaten
Titel
Compliance with Dysphagia Recommendations by Carers of Adults with Intellectual Impairment
verfasst von
Hannah Crawford
Paula Leslie
Michael J. Drinnan
Publikationsdatum
01.10.2007
Verlag
Springer-Verlag
Erschienen in
Dysphagia / Ausgabe 4/2007
Print ISSN: 0179-051X
Elektronische ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-007-9108-1

Weitere Artikel der Ausgabe 4/2007

Dysphagia 4/2007 Zur Ausgabe

Betalaktam-Allergie: praxisnahes Vorgehen beim Delabeling

16.05.2024 Pädiatrische Allergologie Nachrichten

Die große Mehrheit der vermeintlichen Penicillinallergien sind keine. Da das „Etikett“ Betalaktam-Allergie oft schon in der Kindheit erworben wird, kann ein frühzeitiges Delabeling lebenslange Vorteile bringen. Ein Team von Pädiaterinnen und Pädiatern aus Kanada stellt vor, wie sie dabei vorgehen.

Eingreifen von Umstehenden rettet vor Erstickungstod

15.05.2024 Fremdkörperaspiration Nachrichten

Wer sich an einem Essensrest verschluckt und um Luft ringt, benötigt vor allem rasche Hilfe. Dass Umstehende nur in jedem zweiten Erstickungsnotfall bereit waren, diese zu leisten, ist das ernüchternde Ergebnis einer Beobachtungsstudie aus Japan. Doch es gibt auch eine gute Nachricht.

Real-World-Daten sprechen eher für Dupilumab als für Op.

14.05.2024 Rhinosinusitis Nachrichten

Zur Behandlung schwerer Formen der chronischen Rhinosinusitis mit Nasenpolypen (CRSwNP) stehen seit Kurzem verschiedene Behandlungsmethoden zur Verfügung, darunter Biologika, wie Dupilumab, und die endoskopische Sinuschirurgie (ESS). Beim Vergleich der beiden Therapieoptionen war Dupilumab leicht im Vorteil.

Schwindelursache: Massagepistole lässt Otholiten tanzen

14.05.2024 Benigner Lagerungsschwindel Nachrichten

Wenn jüngere Menschen über ständig rezidivierenden Lagerungsschwindel klagen, könnte eine Massagepistole der Auslöser sein. In JAMA Otolaryngology warnt ein Team vor der Anwendung hochpotenter Geräte im Bereich des Nackens.

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.