Phenomenological approach to the side effects of medicines in swallowing in the elderly population
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Date
2020-07-07
Journal Title
Journal ISSN
Volume Title
Publisher
Venezuelan Society of Pharmacology and Clinical and Therapeutic Pharmacology
Abstract
Background and Objective: A review of clinical histories is carried out in a population of 39 older women who are institutionalized in a geriatric and nursing home hospital in Colombia, recording the basic diagnosis and the medications they are given, in order to identify how the side effects of these medications interfere with one or more of the swallowing stages and what risk factors they may trigger for food intake.
Materials and methods: In this study we used a descriptive exploratory method and a hermeneutic interpretation framework, based on swallowing screening, in the study population.
Results: Given the basic pathology or pathologies presented by this population, they have pre-registration of various medications, which generate side effects that affect food intake, among which are: Xerostomia, alteration of intraoral sensitivity, motor alteration of the structures involved in swallowing, among others, affecting the dynamics of swallowing and safe food intake.
Analysis: We identify the drugs that are being given to each patient, making a characterization and identification of side effects and how they can interfere in any of the phases of the swallowing, as well as risk factors arising from the alterations in any of the phases of the swallowing. The above is related to the fact that the main objective of the diet is to nourish and hydrate and any alteration in this process affects the quality of life of the elderly, even putting their lives at risk.
Description
Keywords
Adulto mayor, Faces de la deglución, Disfagia, Medicamentos, Aspiración, Nutrición, Calidad de vida
Citation
Moon HI, Kim GS & Lee, E. Is the Location of White Matter Lesions Important in the Swallowing Function of Older Patients with Mild Stroke?. Dysphagia. 2019; 34(3): 407-414. doi:10.10071s00455- 018-9955-y
Nimmons D, Michou E, Jones M, et al. A Longitudinal Study of Symptoms of Oropharyngeal Dysphagia in an Elderly Community-Dwelling Population. Dysphagia. 2016; 31(4):560-566. doi: 10.10071s00455-016-9715-9
Shin S, Shutoh N, Tonai M, et al. The Effect of Capsaicin-Containing Food on the Swallowing Response. Dysphagia. 2016; 31(2):146-153 doi: 10.10071s00455-015-9668-4
Molfenter SM, Hsu CY, Lu Y, et all. Alterations to Swallowing Physiology as the Result of Effortful Swallowing in Healthy Seniors. Disfagia. 2018; 33: 380. doi: 10.10071s00455-017-9863-6
Van Manen, M. Fenomenología de la Práctica. 2016. Popayán, Colombia: Universidad del Cauca.
Miarons M, Campins L, Palomera E, et al. Drugs Related to Oropharyngeal Dysphagia in Older People. Dysphagia. 2016; 31(5):697-705. doi: 10.10071s00455-016-9735-5
Oad MA, Miles A, Lee A, et al. Medicine Administration in People with Parkinson's Disease in New Zealand: An Interprofession¬al, Stakeholder-Driven Online Survey. Disfagia. 2019; 34:119. doi:10.10071s00455-018-9922-7
Kulkarni DP, Kamath VD & Stewart JT. Swallowing Disorders in Schizophrenia. Dysphagia. 2017; 32 (4): 467-47. doi: 10.10071 s00455-017-9802-6
Capora H & Falditi A. Deglución de la A a la Z, Fisiopatlogía1 evaluación1 tratamiento. 2015. Buenos Aires, Argentina: Ediciones
Rogus-Pulia NM, Gangnon R, Kind A, et al. A Pilot Study of Per¬ceived Mouth Dryness, Perceived Swallowing Effort, and Saliva Substitute Effects in Healthy Adults Across the Age Range. Dyspha¬gia. 2018; 33(2):200-205. doi: 10.10071s00455-017-9846-7
Sherman V, Flowers H, Kapral MK, et al. Screening for Dysphagia in Adult Patients with Stroke: Assessing the Accuracy of Informal Detection. Dysphagia. 2018; 33(5): 662-669. doi: 10.10071s00455- 018-9885-8
Organización Mundial de la salud. Conferencia de expertos sobre uso racional de los medicamentos (Nairobi, Kenia, 25-29 de noviembre de 1985) : informe del Director General. WHA39~12- Part-1~spa.pdf ( 199.4Kb)
Jiménez Herrera LG. La política nacional de medicamentos en el contexto de américa. Revista Cubana de Salud Pública. 2018; 44(2): 409.
Molfenter SM, Lenell C & Lazarus CL. Volumetric Changes to the Pharynx in Healthy Aging: Consequence for Pharyngeal Swallow Mechanics and Function. Dysphagia; 2019; 34: 129. doi: 10.10071 s00455-018-9924-5
Leder SB, Suiter DM, Agogo GO, et al. An Epidemiologic Study on Ageing and Dysphagia in the Acute Care Geriatric-Hospitalized Population: A Replication and Continuation Study. Dysphagia. 2016; 31(5): 619-625. doi: 10.10071s00455-016-9714-x
Checklin M & Pizzari, T. Impaired Tongue Function as an Indicator of Laryngeal Aspiration in Adults with Acquired Oropharyngeal Dys¬phagia: A Systematic Review. Dysphagia. 2018: 33(6): 778-788. doi: 10.10071s00455-018-9902-y
Fukuoka T, Ono T, Hori K, et al. Tongue Pressure Measurement and Videofluoroscopic Study of Swallowing in Patients with Parkinson's Disease. Dysphagia. 2019, 34(1): 80-88. doi: 10.10071s00455-018- 9916-5
Ortega O, Rofes L, Martin A, et al. A Comparative Study Between Two Sensory Stimulation Strategies After Two Weeks Treatment on Older Patients with Oropharyngeal Dysphagia. Dysphagia. 2016; 31(5):706-716. doi: 10.10071s00455-016-9736-4
Sakai K, Nakayama E, Tohara H, et al. Eating Assessment Tool-10 Predicts Aspiration in Adults with Stable Chronic Obstructive Pul¬monary Disease. Dysphagia. 2017; 32(5):714-720. doi: 10.10071 s00455-017-9822-2
Ordoñez EJ, Rojas, LA & Luna Nieto A. Exploración del Trabajo So¬cial: el estado del arte como tarea pendiente. [Con]textos. 2016; 5(18):61-68.
Nimmons D, Michou E, Jones M, et al. A Longitudinal Study of Symptoms of Oropharyngeal Dysphagia in an Elderly Community-Dwelling Population. Dysphagia. 2016; 31(4):560-566. doi: 10.10071s00455-016-9715-9
Shin S, Shutoh N, Tonai M, et al. The Effect of Capsaicin-Containing Food on the Swallowing Response. Dysphagia. 2016; 31(2):146-153 doi: 10.10071s00455-015-9668-4
Molfenter SM, Hsu CY, Lu Y, et all. Alterations to Swallowing Physiology as the Result of Effortful Swallowing in Healthy Seniors. Disfagia. 2018; 33: 380. doi: 10.10071s00455-017-9863-6
Van Manen, M. Fenomenología de la Práctica. 2016. Popayán, Colombia: Universidad del Cauca.
Miarons M, Campins L, Palomera E, et al. Drugs Related to Oropharyngeal Dysphagia in Older People. Dysphagia. 2016; 31(5):697-705. doi: 10.10071s00455-016-9735-5
Oad MA, Miles A, Lee A, et al. Medicine Administration in People with Parkinson's Disease in New Zealand: An Interprofession¬al, Stakeholder-Driven Online Survey. Disfagia. 2019; 34:119. doi:10.10071s00455-018-9922-7
Kulkarni DP, Kamath VD & Stewart JT. Swallowing Disorders in Schizophrenia. Dysphagia. 2017; 32 (4): 467-47. doi: 10.10071 s00455-017-9802-6
Capora H & Falditi A. Deglución de la A a la Z, Fisiopatlogía1 evaluación1 tratamiento. 2015. Buenos Aires, Argentina: Ediciones
Rogus-Pulia NM, Gangnon R, Kind A, et al. A Pilot Study of Per¬ceived Mouth Dryness, Perceived Swallowing Effort, and Saliva Substitute Effects in Healthy Adults Across the Age Range. Dyspha¬gia. 2018; 33(2):200-205. doi: 10.10071s00455-017-9846-7
Sherman V, Flowers H, Kapral MK, et al. Screening for Dysphagia in Adult Patients with Stroke: Assessing the Accuracy of Informal Detection. Dysphagia. 2018; 33(5): 662-669. doi: 10.10071s00455- 018-9885-8
Organización Mundial de la salud. Conferencia de expertos sobre uso racional de los medicamentos (Nairobi, Kenia, 25-29 de noviembre de 1985) : informe del Director General. WHA39~12- Part-1~spa.pdf ( 199.4Kb)
Jiménez Herrera LG. La política nacional de medicamentos en el contexto de américa. Revista Cubana de Salud Pública. 2018; 44(2): 409.
Molfenter SM, Lenell C & Lazarus CL. Volumetric Changes to the Pharynx in Healthy Aging: Consequence for Pharyngeal Swallow Mechanics and Function. Dysphagia; 2019; 34: 129. doi: 10.10071 s00455-018-9924-5
Leder SB, Suiter DM, Agogo GO, et al. An Epidemiologic Study on Ageing and Dysphagia in the Acute Care Geriatric-Hospitalized Population: A Replication and Continuation Study. Dysphagia. 2016; 31(5): 619-625. doi: 10.10071s00455-016-9714-x
Checklin M & Pizzari, T. Impaired Tongue Function as an Indicator of Laryngeal Aspiration in Adults with Acquired Oropharyngeal Dys¬phagia: A Systematic Review. Dysphagia. 2018: 33(6): 778-788. doi: 10.10071s00455-018-9902-y
Fukuoka T, Ono T, Hori K, et al. Tongue Pressure Measurement and Videofluoroscopic Study of Swallowing in Patients with Parkinson's Disease. Dysphagia. 2019, 34(1): 80-88. doi: 10.10071s00455-018- 9916-5
Ortega O, Rofes L, Martin A, et al. A Comparative Study Between Two Sensory Stimulation Strategies After Two Weeks Treatment on Older Patients with Oropharyngeal Dysphagia. Dysphagia. 2016; 31(5):706-716. doi: 10.10071s00455-016-9736-4
Sakai K, Nakayama E, Tohara H, et al. Eating Assessment Tool-10 Predicts Aspiration in Adults with Stable Chronic Obstructive Pul¬monary Disease. Dysphagia. 2017; 32(5):714-720. doi: 10.10071 s00455-017-9822-2
Ordoñez EJ, Rojas, LA & Luna Nieto A. Exploración del Trabajo So¬cial: el estado del arte como tarea pendiente. [Con]textos. 2016; 5(18):61-68.