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الأحد، 21 أغسطس 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.

A study carried out among the aged people shown that among the aged people who had a mean of eighty three years of age most of them had not visited a dentist in duration of about five years. Reduced dental hygiene offers a huge impact on the health of aged people which encompasses both risk for aspiration and pneumonia.

It has also been viewed that nasogastric tubes tend to stimulate aspiration of such gastric content especially by damaging swallowing. This causes stagnation of the oropharyngeal secretions and thus limiting the tone of lower esophageal sphincter. All these problems may be possibly curved by elevating the head of an individual to bed.

The main goal of this is to basically increase the safety conditions for oral feeding especially if it has been compromised. Some of the methods which have been successfully applied in the management of this condition include swallowing therapy and posture changes, tube feeding and dietary modification.

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.




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