PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 11340816

Dysphagia training programmes: 'fixes that fail' or effective inter-disciplinary working?

R Miller·K Krawczyk
View original source ↗Export metadata ↓

Abstract

A number of factors influencing the development of dysphagia training programmes are identified, some of which relate to cultural issues and to the way systems operate. Lessons can be learned from current theories of relevance to effecting change in professionals' working practice. These lessons can be applied beyond dysphagia to other areas in which speech and language therapists are involved.

Explore related subjects

Deglutition DisordersEducation, Nursing, ContinuingHumansNurse PractitionersProgram EvaluationTreatment OutcomeJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

R Miller, K Krawczyk. 2001. Dysphagia training programmes: 'fixes that fail' or effective inter-disciplinary working?. https://doi.org/10.3109/13682820109177915

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2003

Anterior partial fundoplication for gastroesophageal reflux disease.

BACKGROUND: This study examined the effect of anterior partial fundoplication on reflux symptoms and dysphagia in gastroesophageal reflux disease. PATIENTS AND METHODS: Perioperative results in 249 patients were evaluated retrospectively for 93 conventional and prospectively for 156 laparoscopic procedures. The patients were followed up by standardized questionnaire. Median clinical follow-up period was 9 months (range 6-44) after laparoscopic and 88 months (range 15-194) following partial open fundoplication. RESULTS: The median operating time was 58 and 115 min for laparoscopic and open partial fundoplication. Intraoperative complications were rare (1%) for both approaches. After introduction of the laparoscopic procedure the morbidity rate was reduced (mean 3.2% vs. 1.3%) at a shorter postoperative hospital stay (10 vs. 5 days). No reflux symptoms were found in 71.4% patients after conventional and in 69% after laparoscopic partial fundoplication, dysphagia did not develop in 86% and 85%, respectively, and 66% and 82% received no medications. Among the patients with reflux symptoms 6.5% and 0.9% underwent revision surgery. Satisfaction with the surgical outcome was expressed by 78% and 85% of patients, respectively. CONCLUSIONS: Anterior partial fundoplication achieves effective medium- and long-term control of reflux symptoms. Technically easy to perform and associated with few complications, the procedure is superior to fundoplication with respect to the development of postoperative dysphagia and therefore represents a viable alternative to fundoplication.

Deglutition Disorders↗
PubMed2003

[Dysphagia].

Explore the source record for details and available documents.

Deglutition Disorders↗