Establishment of a post stroke dysphagia rehabilitation service in a lower middle income nation.

[Background and aims] From a preliminary six-month survey carried out amongst stroke patients in our center, dysphagia is a common complication affecting 57% of survivors and puts them at higher risk of morbidity and increased mortality. To date, there is no uniform approach for early post stroke dy...

Full description

Saved in:
Bibliographic Details
Main Author: Abu Hassan, Salmah Anim
Format: Conference or Workshop Item
Language:English
English
English
Published: 2021
Subjects:
Online Access:http://irep.iium.edu.my/95952/19/95952_%20Establishment%20of%20a%20post%20stroke%20dysphagia%20rehabilitation%20service%20in%20a%20lower%20middle%20income%20nation.pdf
http://irep.iium.edu.my/95952/20/95952_%20Establishment%20of%20a%20post%20stroke%20dysphagia%20rehabilitation%20service%20in%20a%20lower%20middle%20income%20nation_slides.pdf
http://irep.iium.edu.my/95952/21/95952_%20Establishment%20of%20a%20post%20stroke%20dysphagia%20rehabilitation%20service%20in%20a%20lower%20middle%20income%20nation_WDS2021.pdf
http://irep.iium.edu.my/95952/
Tags: Add Tag
No Tags, Be the first to tag this record!
Institution: Universiti Islam Antarabangsa Malaysia
Language: English
English
English
id my.iium.irep.95952
record_format dspace
spelling my.iium.irep.959522022-01-26T02:57:22Z http://irep.iium.edu.my/95952/ Establishment of a post stroke dysphagia rehabilitation service in a lower middle income nation. Abu Hassan, Salmah Anim RZ Other systems of medicine [Background and aims] From a preliminary six-month survey carried out amongst stroke patients in our center, dysphagia is a common complication affecting 57% of survivors and puts them at higher risk of morbidity and increased mortality. To date, there is no uniform approach for early post stroke dysphagia evaluation and management at our centre. Hereby, we describe our efforts in setting up a structured service for dysphagia rehabilitation in the acute hospital setting led by the rehabilitation physician. [Methods] The formation of a multidisciplinary team was tailored according to the limited human resources at our centre. Echoing the scenario throughout the country, scarcity of speech-language therapists (SLT) required delegation of responsibilities to the rehabilitation medicine team. Other key collaborators included nurses, visiting speech language therapists,otorhinolaryngologists, dentists and also dieticians. We seek to establish a post stroke dysphagia evaluation and rehabilitation protocol that may be applicable in establishments with similar resources. [Results] The multidisciplinary collaboration allowed a holistic approach in patient management ranging from good oral hygiene practice to routes of adjunctive enteral nutrition for patients who needed time for transition to full oral feeding. The involvement of a diverse group of healthcare professionals also allowed a wider dissemination of post stroke-dysphagia awareness amongst other clinicians. [Conclusions] In conclusion, countries with limited resources need to make necessary investments and pool resources to form a structured dysphagia rehabilitation team in the acute hospital setting to improve patient outcome. 2021-08-19 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/95952/19/95952_%20Establishment%20of%20a%20post%20stroke%20dysphagia%20rehabilitation%20service%20in%20a%20lower%20middle%20income%20nation.pdf application/pdf en http://irep.iium.edu.my/95952/20/95952_%20Establishment%20of%20a%20post%20stroke%20dysphagia%20rehabilitation%20service%20in%20a%20lower%20middle%20income%20nation_slides.pdf application/pdf en http://irep.iium.edu.my/95952/21/95952_%20Establishment%20of%20a%20post%20stroke%20dysphagia%20rehabilitation%20service%20in%20a%20lower%20middle%20income%20nation_WDS2021.pdf Abu Hassan, Salmah Anim (2021) Establishment of a post stroke dysphagia rehabilitation service in a lower middle income nation. In: World Dysphagia Summit 2021, 19-22 August 2021, Virtual. (Unpublished)
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
English
English
topic RZ Other systems of medicine
spellingShingle RZ Other systems of medicine
Abu Hassan, Salmah Anim
Establishment of a post stroke dysphagia rehabilitation service in a lower middle income nation.
description [Background and aims] From a preliminary six-month survey carried out amongst stroke patients in our center, dysphagia is a common complication affecting 57% of survivors and puts them at higher risk of morbidity and increased mortality. To date, there is no uniform approach for early post stroke dysphagia evaluation and management at our centre. Hereby, we describe our efforts in setting up a structured service for dysphagia rehabilitation in the acute hospital setting led by the rehabilitation physician. [Methods] The formation of a multidisciplinary team was tailored according to the limited human resources at our centre. Echoing the scenario throughout the country, scarcity of speech-language therapists (SLT) required delegation of responsibilities to the rehabilitation medicine team. Other key collaborators included nurses, visiting speech language therapists,otorhinolaryngologists, dentists and also dieticians. We seek to establish a post stroke dysphagia evaluation and rehabilitation protocol that may be applicable in establishments with similar resources. [Results] The multidisciplinary collaboration allowed a holistic approach in patient management ranging from good oral hygiene practice to routes of adjunctive enteral nutrition for patients who needed time for transition to full oral feeding. The involvement of a diverse group of healthcare professionals also allowed a wider dissemination of post stroke-dysphagia awareness amongst other clinicians. [Conclusions] In conclusion, countries with limited resources need to make necessary investments and pool resources to form a structured dysphagia rehabilitation team in the acute hospital setting to improve patient outcome.
format Conference or Workshop Item
author Abu Hassan, Salmah Anim
author_facet Abu Hassan, Salmah Anim
author_sort Abu Hassan, Salmah Anim
title Establishment of a post stroke dysphagia rehabilitation service in a lower middle income nation.
title_short Establishment of a post stroke dysphagia rehabilitation service in a lower middle income nation.
title_full Establishment of a post stroke dysphagia rehabilitation service in a lower middle income nation.
title_fullStr Establishment of a post stroke dysphagia rehabilitation service in a lower middle income nation.
title_full_unstemmed Establishment of a post stroke dysphagia rehabilitation service in a lower middle income nation.
title_sort establishment of a post stroke dysphagia rehabilitation service in a lower middle income nation.
publishDate 2021
url http://irep.iium.edu.my/95952/19/95952_%20Establishment%20of%20a%20post%20stroke%20dysphagia%20rehabilitation%20service%20in%20a%20lower%20middle%20income%20nation.pdf
http://irep.iium.edu.my/95952/20/95952_%20Establishment%20of%20a%20post%20stroke%20dysphagia%20rehabilitation%20service%20in%20a%20lower%20middle%20income%20nation_slides.pdf
http://irep.iium.edu.my/95952/21/95952_%20Establishment%20of%20a%20post%20stroke%20dysphagia%20rehabilitation%20service%20in%20a%20lower%20middle%20income%20nation_WDS2021.pdf
http://irep.iium.edu.my/95952/
_version_ 1724072813841612800