Sunday, August 21, 2016

Aspiration Pneumonia Prevention For The Elderly Disabled People

By Virginia Ward


Pneumonia is basically viewed as the fourth highly killing disease regardless of the accessibility of new effective antimicrobials in japan. This disease is basically a common cause of deaths especially to the elderly disabled persons. It has been viewed that this disease among the elderly people is mostly caused by in apparent swallowing disorder. There are several strategies which can be applied for aspiration pneumonia prevention amongst the elderly disabled people.

One of the strategies is basically by observing oral hygiene. Organisms that tend to have a tendency of possibly blocking the oropharynx as well pharyngeal contents have been traced on microbiologic etiology with regards to this kind of disorder. These are microorganisms which have revealed the manner in which the bacterial arrives to the lower respiratory tract.

It is therefore important to identify and put more efforts in addressing these issues so as to protect the well-being together with the health of the vulnerable generation. One of the factors greatly contributing to this infection is poor oral hygiene. Dental care has always been poorly given keen consideration especially for the LTC people.

Sitting position is also another strategy which can be possibly applied in the curving this kind of disorder. Gastroesophageal reflux has been viewed to be common generally, but most commonly found in the aged individuals. It been observed that almost one third of older people possess intermittent symptoms of gastroesophageal reflux. Additionally position of supine especially due to increased aspiration of the gastric content in the lungs can possibly lead to pneumonia to patients on mechanical ventilation.

Advanced age has been suggested to basically represent a very independent risk factor specifically for dysphagia. With healthy aging even, there is possibility of physical toll on the neck together with head as well and the changes to both neural and physiologic mechanisms that basically support swallowing. This kind of condition is mostly managed by an interdisciplinary approach that mostly involves nursing assistants and the staff, dietitians, speech language pathologists, together with physicians working in tandem.

These are some of the common behaviors which tend to be very common to those individuals whom have condition known as dementia and some other impairment. But even with this dementia condition, a major strategy which has been actually proposed to minimize the risk of hastening these kinds of behaviors is by properly enhancing communication with those residents before trying oral care.

Another strategy which can be effectively applied is basically neuroleptics avoidance. Sedative drugs can be successfully used in suppressing cough reflex. However it has been suggested that suppression of reflex cough by sedative hypnotics, analgesic narcotics or even anesthesia can be a great risk for aged people suffering from this kind of problem specifically when they are sleeping.

It has been suggested that a greater attention should be taken so as to possibly reduce the use of such agents that normally cause suppression to the reflex cough as it is one of major activities which should be incorporated in taking care of the aged. Older people swallowing reflex goes down significantly when they take benzodiazepines. But if they take neuroleptic which mostly performs as dopamine receptor antagonist then their swallowing tends to decline clearly which causes the situation to be worse hence causing pneumonia.




About the Author:



No comments:

Post a Comment