Accéder directement au contenu Accéder directement à la navigation
Article dans une revue

[Swallowing disorders, pneumonia and respiratory tract infectious disease in the elderly] : Troubles de la déglutition du sujet âgé et pneumopathies en 14 questions/réponses

Abstract : Swallowing disorders (or dysphagia) are common in the elderly and their prevalence is often underestimated. They may result in serious complications including dehydration, malnutrition, airway obstruction, aspiration pneumonia (infectious process) or pneumonitis (chemical injury caused by the inhalation of sterile gastric contents). Moreover the repercussions of dysphagia are not only physical but also emotional and social, leading to depression, altered quality of life, and social isolation. While some changes in swallowing may be a natural result of aging, dysphagia in the elderly is mainly due to central nervous system diseases such as stroke, parkinsonism, dementia, medications, local oral and oesophageal factors. To be effective, management requires a multidisciplinary team approach and a careful assessment of the patient's oropharyngeal anatomy and physiology, medical and nutritional status, cognition, language and behaviour. Clinical evaluation can be completed by a videofluoroscopic study which enables observation of bolus movement and movements of the oral cavity, pharynx and larynx throughout the swallow. The treatment depends on the underlying cause, extent of dysphagia and prognosis. Various categories of treatment are available, including compensatory strategies (postural changes and dietary modification), direct or indirect therapy techniques (swallow manoeuvres, medication and surgical procedures).
Type de document :
Article dans une revue
Liste complète des métadonnées

https://hal-unilim.archives-ouvertes.fr/hal-00625710
Contributeur : Florent Lachal <>
Soumis le : jeudi 22 septembre 2011 - 14:18:19
Dernière modification le : mercredi 14 octobre 2020 - 04:09:56

Identifiants

Collections

Citation

François Puisieux, Cristiano d'Andrea, P. Baconnier, D. Bui-Dinh, S. Castaings-Pelet, et al.. [Swallowing disorders, pneumonia and respiratory tract infectious disease in the elderly] : Troubles de la déglutition du sujet âgé et pneumopathies en 14 questions/réponses. Revue des Maladies Respiratoires, Elsevier Masson, 2009, 26 (6), pp.587-605. ⟨10.1019/20094092⟩. ⟨hal-00625710⟩

Partager

Métriques

Consultations de la notice

177