Extract
[...] Through exercises, he will strengthen the muscles of the tongue, lips, throat, and larynx to reduce the problem related to the false route. Then he will teach postures, breathing, and swallowing techniques to optimize the patient's safety. In the case of certain pathologies, he may teach the Mendelson maneuver, maintaining certain positions, or neuromuscular stimulation. His role is also to teach good practices and recommendations - eating more slowly, taking the time to chew food - to avoid swallowing problems. [...]
[...] - Foods in small pieces : Chop the food into small pieces for smaller bites. Finally, meal or drink intake should be done according to the following recommendations: - Eat while seated, with your head slightly tilted forward if the doctor recommends it. - Chew slowly and for a long time. - Do not speak while eating. - Avoid fizzy or very cold drinks that can cause irritation or coughing and exacerbate swallowing problems. - Ensure a calm and relaxed environment. - Avoid distractions during meals to promote concentration. [...]
[...] These must be quickly addressed to restore the patient's body temperature and prevent septic shock. Checking vital signs allows for rapid identification of emergency situations, evaluation of their severity and the patient's condition, and urgent medical decisions to stabilize their condition. Thanks to constants, severity can be evaluated: the degree of dehydration, the presence of neurological or hemodynamic disorders are observed. Finally, the cause of dehydration must be searched for with the search for antecedents, associated symptoms, and ongoing treatment that may lead to dehydration. [...]
[...] Swallowing Scheme II- Swallowing troubles: what are their causes? Dysphagia, also known as swallowing trouble, can have many causes: neurological, anatomical or muscular in most cases: - Causes neurological : the strokes, neurodegenerative diseases (such as Parkinson's or Alzheimer's), multiple sclerosis are the most common examples. - Anatomical causes : cancer, surgery or trauma to the mouth, throat or oesophagus are risk factors. - Muscular causes : diseases such as myopathy or dystrophy can lead to dysphagia. - Other causes : Infections, inflammations, and psychological disorders can be the cause of a swallowing disorder. [...]
[...] We will prefer oral rehydration solutions (ORS) based on salts, glucose, and water, in small frequent quantities. The patient's tolerance will need to be monitored. - Intravenous hydration : In case of severe dehydration or if the oral route is compromised, intravenous hydration will be preferred. It will be isotonic solutions (NaCl 0.9%) or balanced solutions. The volume will be adjusted according to weight, estimated loss, and clinical response. Regular monitoring of electrolytes, urine output, blood pressure, and neurological status is necessary. [...]
