Sunday, 21 August 2016

Strategies Which Can Be Applied For Aspiration Pneumonia Prevention

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.

Some techniques can be effectively applied in addressing this kind of problem. One of the concerns to address this kind of problem is through the management of mouth care resistance behaviors. It has been viewed that most of residents display several behaviors of mouth care which are inclusive of refusal of mouth opening, toothbrush biting or insertion of fingers into or near the cavities.

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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