Best Practice Recommendations for Geriatric Dysphagia Management with 5 Ws and 1H

Autor: Ebru Umay, Sibel Eyigor, Gulistan Bahat, Meltem Halil, Esra Giray, Pelin Unsal, Zeliha Unlu, Canan Tikiz, Meltem Vural, Asli Tufan Cincin, Serkan Bengisu, Eda Gurcay, Kemal Keseroglu, Banu Aydeniz, Elif Celik Karaca, Burak Karaca, Ahmet Yalcin, Cemile Ozsurekci, Dilek Seyidoglu, Ozlem Yilmaz, Sibel Alicura, Serhat Tokgoz, Barin Selcuk, Ekin Ilke Sen, Ali Yavuz Karahan, Ayse Yaliman, Serdar Ozkok, Birkan Ilhan, Merve Guner Oytun, Zeynel Abidin Ozturk, Sibel Akin, Betul Yavuz, Mazlum Serdar Akaltun, Aylin Sari, Murat Inanir, Meral Bilgilisoy, Zuhal Çaliskan, Guleser Saylam, Tugce Ozer, Yasemin Eren, Derya Hopanci Bicakli, Dilek Keskin, Zekeriya Ulger, Aylin Demirhan, Yalkin Calik, Bulent Saka, Zeynep Aykin Yigman, Erhan Arif Ozturk
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Annals of Geriatric Medicine and Research, Vol 26, Iss 2, Pp 94-124 (2022)
Druh dokumentu: article
ISSN: 2508-4798
2508-4909
DOI: 10.4235/agmr.21.0145
Popis: Background Dysphagia is a geriatric syndrome. Changes in the whole body that occur with aging also affect swallowing functions and cause presbyphagia. This condition may progress to oropharyngeal and/or esophageal dysphagia in the presence of secondary causes that increase in incidence with aging. However, no study has been published that provides recommendations for use in clinical practice that addresses in detail all aspects of the management of dysphagia in geriatric individuals. This study aimed to answer almost all potential questions and problems in the management of geriatric dysphagia in clinical practice. Methods A multidisciplinary team created this recommendation guide using the seven-step and three-round modified Delphi method via e-mail. The study included 39 experts from 29 centers in 14 cities. Results Based on the 5W and 1H method, we developed 216 detailed recommendations for older adults from the perspective of different disciplines dealing with older people. Conclusion This consensus-based recommendation is a useful guide to address practical clinical questions in the diagnosis, rehabilitation, and follow-up for the management of geriatric dysphagia and also contains detailed commentary on these issues.
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