Banca de DEFESA: DANIELA DANTAS GALVAO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : DANIELA DANTAS GALVAO
DATE: 25/02/2021
TIME: 09:00
LOCAL: Sala Virtual da Plataforma Zoom
TITLE:

PHONOAUDIOLOGICAL  ACTION WITH HOSPITALIZED DYSPHAGIC PATIENTS IN REFERENCE EMERGENCY HOSPITAL

KEY WORDS:

Phonoaudiology; swallowing, swallowing disorders; hospital bed; Adult; hospital; emergency hospital.

PAGES: 39
BIG AREA: Ciências da Saúde
AREA: Fonoaudiologia
SUMMARY:

Introduction: As phonoaudiology gains ground inside the hospital, the necessity for specific knowledge also grows. In this scenario, the phonoaudiologist is a professional capable of assessing, diagnosing, and treating dysphagic patients early in emergency rooms. The presence of a phonoaudiologist is of great importance as early intervention allows for a better prognostic, reduces hospitalization time, and consequently reduces hospital costs with medications, enteral nutrition, human resources, besides improving quality of life. Objectives: Study 1: 1) it aims to characterize phonoaudiological care for hospitalized dysphagic patients, 2) correlate swallowing characteristics with basic pathologies. Study 2: it aims to analyze scientific production on the phonoaudiological action inside the hospital with adult patients with oropharyngeal dysphagia. Methods: study 1 was retrospective study, organizational, transversal, with 36 patients with a dysphagia diagnosis who were hospitalized at the wards and Intensive Care Units of Hospital Monsenhor Walfredo Gurgel in the city of Natal. Demographic and clinical data from de assessment and phonoaudiological therapy were collected and correlated to the characteristics of swallowing to verify if there was a difference between basic pathologies, using the form for Phonoaudiological Assessment and Evolution Ward and ICU from the rehabilitation sector. Study 2 was an integrative revision. Searches were done on databases for the following descriptors: “Speech-Language and Hearing Sciences”; “Swallowing”; “Swallowing disorders”; “Adult”; “Bed Capacity Hospital” and “Hospital”; in a ten-years’ time frame (2010-2020). Results: Study 1 found that the majority of patients was in average 60,78 years old, male, diagnosed with EVA, in regular clinical state, was making use of nasoenteral feeding tubes, in ambient air, adequate laryngeal elevation, they had no drooling, were on a thick liquified diet, with adequate capitation and preparation, functional swallowing and they received passive therapy, half of the patients were phonoaudiological discharged. Study 2 found 137 articles and selected 24. They approached several kinds of patients, assessment descriptions, dysphagia risk indicators and indicators for quality of dysphagia management. Also, emphasizing specific therapeutical resources on the rehabilitation of a dysphagic patient. Conclusion: In study 1, phonoaudiological treatment involved clinical assessment of the swallowing and the aspects of phonoaudiological therapy. It was also shown that half the patients under phonoaudiological intervention had their swallowing function rehabilitated and had had a diagnosis of stroke. There were significative correlations between some swallowing characteristics, however, there was no significative difference between groups of pathologies and the swallowing characteristics. In study 2, there was a heterogeneity among studies. Thus, a lack of studies was perceived regarding the whole therapeutical process, from the assessment to the complete rehabilitation of swallowing function.

 

BANKING MEMBERS:
Externa à Instituição - EDNA PEREIRA GOMES DE MORAIS - UNCISAL
Externa à Instituição - ANA CAROLINA ROCHA GOMES FERREIRA - UNCISAL
Presidente - 011.018.964-77 - GIORVAN ANDERSON DOS SANTOS ALVES - UFPB
Interno - 859.099.124-53 - SILVIA DAMASCENO BENEVIDES - UFBA