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Erschienen in: Dysphagia 1/2021

24.04.2020 | Original Article

Living with Dysphagia in the Community: Caregivers “do whatever it takes.

verfasst von: Simone R. Howells, Petrea L. Cornwell, Elizabeth C. Ward, Pim Kuipers

Erschienen in: Dysphagia | Ausgabe 1/2021

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Abstract

The psychological and psychosocial impacts of dysphagia on patients are well documented, however, caregiver perspectives have received limited attention and findings have been predominantly in the head and neck cancer population. The aim of this study was to understand the experience of supporting a person with dysphagia of varying aetiologies in the community from the caregiver perspective. Using a qualitative descriptive approach grounded in phenomenology, caregivers of a person with dysphagia living at home were interviewed (n = 15). Thematic analysis revealed an overarching theme of “You do whatever it takes,” describing the caregiver experience of supporting a family member/friend with dysphagia at home. This theme was underpinned by three subthemes where caregivers described (1) being a caregiver; (2) support networks; and (3) practicalities of living with dysphagia. Caregivers voiced a range of pertinent issues experienced when caring for a family member/friend with dysphagia including how personal attributes and life experience impact the caregiver role. Demonstrated through the practical and emotional supports caregivers provided, it was apparent they are instrumental in supporting a family member/friend with dysphagia to live at home and in the community successfully. Through understanding the caregiver experience, health professionals will be in a better position to involve and support caregivers who play a vital role in those living with dysphagia in the community. Incorporating caregivers as direct recipients of dysphagia services will ensure the practical and psychosocial needs of caregivers are addressed, enabling optimal care for people with dysphagia living at home.
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Literatur
2.
Zurück zum Zitat Altman KW, Yu G-P, Schaefer SD. Consequence of dysphagia in the hospitalized patient: impact on prognosis and hospital resources. Arch Otolaryngol Head Neck Surg. 2010;136:784.CrossRef Altman KW, Yu G-P, Schaefer SD. Consequence of dysphagia in the hospitalized patient: impact on prognosis and hospital resources. Arch Otolaryngol Head Neck Surg. 2010;136:784.CrossRef
3.
Zurück zum Zitat Marik PE, Kaplan D. Aspiration pneumonia and dysphagia in the elderly. Chest. 2003;124:328–36.CrossRef Marik PE, Kaplan D. Aspiration pneumonia and dysphagia in the elderly. Chest. 2003;124:328–36.CrossRef
4.
Zurück zum Zitat Ekberg O, Hamdy S, Woisard V, Wuttge-Hannig A, Ortega P. Social and psychological burden of dysphagia: its impact on diagnosis and treatment. Dysphagia. 2002;17:139–46.CrossRef Ekberg O, Hamdy S, Woisard V, Wuttge-Hannig A, Ortega P. Social and psychological burden of dysphagia: its impact on diagnosis and treatment. Dysphagia. 2002;17:139–46.CrossRef
5.
Zurück zum Zitat Nund RL, Ward EC, Scarinci NA, Cartmill B, Kuipers P, Porceddu SV. The lived experience of dysphagia following non-surgical treatment for head and neck cancer. Int J Speech-Lang Pathol. 2014;16:282–9.CrossRef Nund RL, Ward EC, Scarinci NA, Cartmill B, Kuipers P, Porceddu SV. The lived experience of dysphagia following non-surgical treatment for head and neck cancer. Int J Speech-Lang Pathol. 2014;16:282–9.CrossRef
6.
Zurück zum Zitat Leow LP, Huckabee M-L, Anderson T, Beckert L. The impact of dysphagia on quality of life in ageing and Parkinson’s disease as measured by the Swallowing Quality of Life (SWAL-QOL) Questionnaire. Dysphagia. 2010;25:216–20.CrossRef Leow LP, Huckabee M-L, Anderson T, Beckert L. The impact of dysphagia on quality of life in ageing and Parkinson’s disease as measured by the Swallowing Quality of Life (SWAL-QOL) Questionnaire. Dysphagia. 2010;25:216–20.CrossRef
8.
Zurück zum Zitat Nund RL, Scarinci NA, Cartmill B, Ward EC, Kuipers P, Porceddu SV. Application of the International Classification of Functioning, Disability and Health (ICF) to people with dysphagia following non-surgical head and neck cancer management. Dysphagia. 2014;29:692–703.CrossRef Nund RL, Scarinci NA, Cartmill B, Ward EC, Kuipers P, Porceddu SV. Application of the International Classification of Functioning, Disability and Health (ICF) to people with dysphagia following non-surgical head and neck cancer management. Dysphagia. 2014;29:692–703.CrossRef
9.
Zurück zum Zitat Threats T. Use of the ICF in dysphagia management. Semin Speech Lang. 2007;28:323–33.CrossRef Threats T. Use of the ICF in dysphagia management. Semin Speech Lang. 2007;28:323–33.CrossRef
10.
Zurück zum Zitat Shune SE, Namasivayam-MacDonald AM. Swallowing impairments increase emotional burden in spousal caregivers of older adults. J Appl Gerontol. 2019;39(2):172–80.CrossRef Shune SE, Namasivayam-MacDonald AM. Swallowing impairments increase emotional burden in spousal caregivers of older adults. J Appl Gerontol. 2019;39(2):172–80.CrossRef
11.
Zurück zum Zitat Lyons KS, Lee CS. The theory of dyadic illness management. J Fam Nurs. 2018;24:8–28.CrossRef Lyons KS, Lee CS. The theory of dyadic illness management. J Fam Nurs. 2018;24:8–28.CrossRef
12.
Zurück zum Zitat Miller N, Noble E, Jones D, Burn D. Hard to swallow: dysphagia in Parkinson’s disease. Age Ageing. 2006;35:614–8.CrossRef Miller N, Noble E, Jones D, Burn D. Hard to swallow: dysphagia in Parkinson’s disease. Age Ageing. 2006;35:614–8.CrossRef
13.
Zurück zum Zitat Miller R, Hagiliassis N, Prain M, Wilson J. Dysphagia support in disability services: stakeholder perspectives. J Clin Pract Speech Lang Pathol. 2014;16:133–8. Miller R, Hagiliassis N, Prain M, Wilson J. Dysphagia support in disability services: stakeholder perspectives. J Clin Pract Speech Lang Pathol. 2014;16:133–8.
14.
Zurück zum Zitat Johansson AEM, Johansson U. Relatives’ experiences of family members’ eating difficulties. Scand J Occup Ther. 2009;16:25–322.CrossRef Johansson AEM, Johansson U. Relatives’ experiences of family members’ eating difficulties. Scand J Occup Ther. 2009;16:25–322.CrossRef
15.
Zurück zum Zitat Nund RL, Ward EC, Scarinci NA, Cartmill B, Kuipers P, Porceddu SV. Carers’ Experiences of dysphagia in people treated for head and neck cancer: a qualitative study. Dysphagia. 2014;29:450–8.CrossRef Nund RL, Ward EC, Scarinci NA, Cartmill B, Kuipers P, Porceddu SV. Carers’ Experiences of dysphagia in people treated for head and neck cancer: a qualitative study. Dysphagia. 2014;29:450–8.CrossRef
16.
Zurück zum Zitat Patterson JM, Rapley T, Carding PN, Wilson JA, McColl E. Head and neck cancer and dysphagia; caring for carers: carers’ perspective on dysphagia in head and neck cancer patients. Psycho-Oncology. 2013;22:1815–20.CrossRef Patterson JM, Rapley T, Carding PN, Wilson JA, McColl E. Head and neck cancer and dysphagia; caring for carers: carers’ perspective on dysphagia in head and neck cancer patients. Psycho-Oncology. 2013;22:1815–20.CrossRef
17.
Zurück zum Zitat Penner JL, McClement S, Lobchuk M, Daeninck P. Family members’ experiences caring for patients with advanced head and neck cancer receiving tube feeding: a descriptive phenomenological study. J Pain Symptom Manage. 2012;44:563–71.CrossRef Penner JL, McClement S, Lobchuk M, Daeninck P. Family members’ experiences caring for patients with advanced head and neck cancer receiving tube feeding: a descriptive phenomenological study. J Pain Symptom Manage. 2012;44:563–71.CrossRef
18.
Zurück zum Zitat Mayre-Chilton KM, Talwar BP, Goff LM. Different experiences and perspectives between head and neck cancer patients and their care-givers on their daily impact of a gastrostomy tube: experiences of having a gastrostomy. J Hum Nutr Dietetics. 2011;24:449–59.CrossRef Mayre-Chilton KM, Talwar BP, Goff LM. Different experiences and perspectives between head and neck cancer patients and their care-givers on their daily impact of a gastrostomy tube: experiences of having a gastrostomy. J Hum Nutr Dietetics. 2011;24:449–59.CrossRef
19.
Zurück zum Zitat Röing M, Hirsch J-M, Holmström I. Living in a state of suspension—a phenomenological approach to the spouse’s experience of oral cancer. Scan J Caring Sci. 2008;22:40–7.CrossRef Röing M, Hirsch J-M, Holmström I. Living in a state of suspension—a phenomenological approach to the spouse’s experience of oral cancer. Scan J Caring Sci. 2008;22:40–7.CrossRef
20.
Zurück zum Zitat Ottosson S, Laurell G, Olsson C. The experience of food, eating and meals following radiotherapy for head and neck cancer: a qualitative study. J Clin Nurs. 2013;22:1034–43.CrossRef Ottosson S, Laurell G, Olsson C. The experience of food, eating and meals following radiotherapy for head and neck cancer: a qualitative study. J Clin Nurs. 2013;22:1034–43.CrossRef
21.
Zurück zum Zitat Howells SR, Cornwell PL, Ward EC, Kuipers P. Understanding dysphagia care in the community setting. Dysphagia. 2019;34:681–91.CrossRef Howells SR, Cornwell PL, Ward EC, Kuipers P. Understanding dysphagia care in the community setting. Dysphagia. 2019;34:681–91.CrossRef
22.
Zurück zum Zitat Sandelowski M. Whatever happened to qualitative description? Res Nurs Health. 2000;23:334–40.CrossRef Sandelowski M. Whatever happened to qualitative description? Res Nurs Health. 2000;23:334–40.CrossRef
23.
Zurück zum Zitat Folstein MF, Folstein SE, McHugh PR. Mini-mental state. J Psychiatr Res. 1975;12:189–98.CrossRef Folstein MF, Folstein SE, McHugh PR. Mini-mental state. J Psychiatr Res. 1975;12:189–98.CrossRef
24.
Zurück zum Zitat Patton MQ. Qualitative research & evaluation methods. 4th ed. Thousand Oaks: SAGE Publications; 2015. Patton MQ. Qualitative research & evaluation methods. 4th ed. Thousand Oaks: SAGE Publications; 2015.
25.
Zurück zum Zitat Ortlipp M. Keeping and using reflective journals in the qualitative research process. Qual Rep. 2008;13:695–705. Ortlipp M. Keeping and using reflective journals in the qualitative research process. Qual Rep. 2008;13:695–705.
26.
Zurück zum Zitat Fusch P, Ness L. Are we there yet? Data saturation in qualitative research. Qual Rep. 2015;20:1408–16. Fusch P, Ness L. Are we there yet? Data saturation in qualitative research. Qual Rep. 2015;20:1408–16.
27.
Zurück zum Zitat Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77–101.CrossRef Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77–101.CrossRef
28.
Zurück zum Zitat Elliott V. Thinking about the coding process in qualitative data analysis. Qual Rep. 2018;23:2850–61. Elliott V. Thinking about the coding process in qualitative data analysis. Qual Rep. 2018;23:2850–61.
29.
Zurück zum Zitat Vaismoradi M, Jones J, Turunen H, Snelgrove S. Theme development in qualitative content analysis and thematic analysis. JNEP. 2016;6:100–10.CrossRef Vaismoradi M, Jones J, Turunen H, Snelgrove S. Theme development in qualitative content analysis and thematic analysis. JNEP. 2016;6:100–10.CrossRef
30.
Zurück zum Zitat Daniels SK, Brailey K, Priestly DH, Herrington LR, Weisberg LA, Foundas AL. Aspiration in patients with acute stroke. Arch Phys Med Rehabil. 1998;79:14–9.CrossRef Daniels SK, Brailey K, Priestly DH, Herrington LR, Weisberg LA, Foundas AL. Aspiration in patients with acute stroke. Arch Phys Med Rehabil. 1998;79:14–9.CrossRef
31.
Zurück zum Zitat Meng NH, Wang TG, Lien IN. Dysphagia in patients with brainstem stroke: incidence and outcome. Am J Phys Med Rehabil. 2000;79:170–5.CrossRef Meng NH, Wang TG, Lien IN. Dysphagia in patients with brainstem stroke: incidence and outcome. Am J Phys Med Rehabil. 2000;79:170–5.CrossRef
32.
Zurück zum Zitat Potulska A, Friedman A, Królicki L, Spychala A. Swallowing disorders in Parkinson’s disease. Parkinson Relat Disord. 2003;9:349–53.CrossRef Potulska A, Friedman A, Królicki L, Spychala A. Swallowing disorders in Parkinson’s disease. Parkinson Relat Disord. 2003;9:349–53.CrossRef
33.
Zurück zum Zitat Kalf JG, de Swart BJM, Bloem BR, Munneke M. Prevalence of oropharyngeal dysphagia in Parkinson’s disease: a meta-analysis. Parkinson Relat Disord. 2012;18:311–5.CrossRef Kalf JG, de Swart BJM, Bloem BR, Munneke M. Prevalence of oropharyngeal dysphagia in Parkinson’s disease: a meta-analysis. Parkinson Relat Disord. 2012;18:311–5.CrossRef
34.
Zurück zum Zitat Brod M, Mendelsohn GA, Roberts B. Patients’ experiences of Parkinson’s disease. J Gerontol B Psychol Sci Soc Sci. 1998;53:213–22.CrossRef Brod M, Mendelsohn GA, Roberts B. Patients’ experiences of Parkinson’s disease. J Gerontol B Psychol Sci Soc Sci. 1998;53:213–22.CrossRef
35.
Zurück zum Zitat Habermann B, Shin JY. Preferences and concerns for care needs in advanced Parkinson’s disease: a qualitative study of couples. J Clin Nurs. 2017;26:1650–6.CrossRef Habermann B, Shin JY. Preferences and concerns for care needs in advanced Parkinson’s disease: a qualitative study of couples. J Clin Nurs. 2017;26:1650–6.CrossRef
Metadaten
Titel
Living with Dysphagia in the Community: Caregivers “do whatever it takes.”
verfasst von
Simone R. Howells
Petrea L. Cornwell
Elizabeth C. Ward
Pim Kuipers
Publikationsdatum
24.04.2020
Verlag
Springer US
Erschienen in
Dysphagia / Ausgabe 1/2021
Print ISSN: 0179-051X
Elektronische ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-020-10117-y

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