Impaired Swallowing: A Case Study

Improved Essays
Selected Nursing diagnosis: Impaired Swallowing
The nursing diagnosis of impaired swallowing is appropriate for a patient with both myasthenia gravis (MG) and Guillain-Barre syndrome (GBS). Myasthenia gravis is an acquired autoimmune disease (Moore & Shepard, 2014, p. 21). The autoantibody attack, which takes place on the acetylcholine (ACh) receptors of nerve impulses, causing weakness of the voluntary skeletal muscles (Moore & Shepard, 2014, p. 21). Myasthenia Gravis affects approximately 20 in 100,000 people in the United States (Hinkle & Cheever, 2014, p. 2040). More women than men are affected, commonly in the second and third decades of life; however, after age 50, the gender distribution is more equal (Hinkle & Cheever, 2014, p.

Related Documents

  • Improved Essays

    Completion of an oral health assessment at the first point of contact is an important aspect of nursing care. Use of an oral health assessment tool and examination can act as an aid to treatment, guiding nurses towards a more individualised and holistic plan by providing information on the status of a patient’s mouth as a baseline for ongoing treatment and care. Identification of risk can help staff to provide the level of oral care required to prevent disease and treat any active problems. On ongoing oral assessments will reveal the possible need for referral to appropriate disciplines depending on the findings (Milligan, McGill, Sweeney & Malarkey, 2001). Huskinson & Lloyd (2009) also suggests the involvement of dental hygienists to offer…

    • 163 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Define the pathological condition, disease or syndrome. (Make sure you include a reference for your definition). “Guillain-Barré syndrome is a serious health problem that occurs when the body's defense (immune) system mistakenly attacks part of the nervous system. This leads to nerve inflammation that causes muscle weakness or paralysis and other symptoms.” (Walling 2013.)…

    • 792 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    Hospice Case Study

    • 137 Words
    • 1 Pages

    A review of the medical records indicates that the patient suffers from dysphagia-on a mechanical soft diet-great aspiration risk. He suffers from multiple medical illnesses which includes, Dementia without behavioral disturbances-he is a Fast 7D with pps 30, ADFT, chronic COPD, chronic UTI infection and chronic GERD. At today’s visit he is found in his room, lying in bed at Tiffany hall SNF. He denies pain and discomfort.…

    • 137 Words
    • 1 Pages
    Decent Essays
  • Superior Essays

    Myasthenia Gravis

    • 1604 Words
    • 7 Pages

    An English physician, Thomas Willis, described the next possible case of myasthenia gravis in 1672. He noted that his patient had “fatigable weakness” of the limbs and bulbar…

    • 1604 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    Running Head: Speech/ Language Pathologist Speech/ Language Pathology This article is about Speech and Language Pathology. Speech and language Pathologists work with people who cannot produce speech sounds or cannot produce them clearly, or those with speech rhythm and fluency problems, (such as stuttering). Also, they work with people with voice disorders, (such as wrong pitch or harsh voice).They work with those also with problems understanding and producing language, or people with cognitive communication impairments (such as attention, memory, and problem solving disorders) and they help prevent swallowing trouble. Speech/ language and swallowing troubles may happen from a couple of causes such as stroke, hearing loss, brain injury,…

    • 682 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    What Is Dysphagia?

    • 139 Words
    • 1 Pages

    Dysphagia can be described as difficulty swallowing. Dysphagia can result from either mechanical obstruction or a functional disorder. There are two obstructions, either intrinsic or extrinsic; the difference is the origin. Intrinsic obstructions begin in the esophageal lumen wall and include strictures, tumors, and outpouchings. The extrinsic mechanical obstructions originate on the outside of the esophageal lumen.…

    • 139 Words
    • 1 Pages
    Decent Essays
  • Superior Essays

    On examination, the patient has normal strength and tone. No involuntary movements are noted. Her movements appear purposeful and normal, specifically there is no tremor or shaking and they are not slow. No fasciculations are noted. Tapping muscle tendons elicits a normal…

    • 1545 Words
    • 6 Pages
    Superior Essays
  • Decent Essays

    Cdp Research Paper

    • 480 Words
    • 2 Pages

    Abstract Chronic inflammatory demyelinating polyneuropathy is considered an autoimmune disorder of the peripheral nervous system. It is the chronic form of Guillain-Barre syndrome, the difference between the two diseases is GBS is an acute inflammatory disease of peripheral nerves and most patients recover spontaneously while CIDP requires more attention. The cause of CIDP is unknown it is believed that it may be caused due to the immune response of the body attacking the nerve fibers causing demyelination to take place. Chronic inflammatory demyelination polyneuropathy is not curable but it is treatable, however due to variation of onset of symptoms per individual treatment methods contrast amongst on another producing a trial and error to take place.…

    • 480 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Dysphagia Research Paper

    • 293 Words
    • 2 Pages

    1.3.7. Gastrointestinal SLE can involve any part of the gastrointestinal system. Dysphagia is noted in up to 13% of patients, and manometric studies have detected abnormalities of esophageal motility. Abdominal pain, sometimes accompanied by nausea and vomiting has been reported in up to 40% of SLE patients and can be due to SLE-related causes, medication side effects, and non–SLE-related causes such as infection. (33) Pancreatitis due to SLE is uncommon and usually is associated with active SLE in other organs.…

    • 293 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    A 27-year-old electrician is describing symptoms that do not meet the full criteria for any of the disorders in the anxiety disorders diagnostic class of the Diagnostic Statistical Manual of Mental Disorders (5th ed. ; DSM-5; American Psychiatric Association [APA], 2013); therefore, a diagnosis of other specified anxiety disorder is appropriate. However, it should be noted that the symptoms described are highly characteristic of generalized anxiety disorder (GAD) and meet 5 out of the 6 criteria for GAD. More information or further development is needed to determine if the client has GAD. For one, the client claims that he has many worries—e.g., worries that involve the health of his parents and his social approval level at work.…

    • 1249 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    VIA Strengths Assessment

    • 742 Words
    • 3 Pages

    On route to hospital her symptoms fully resolved, GCS 15. While waiting in hospital, the patient complained of a sudden onset headache which was accompanied by stroke symptoms as previously experienced. By the time she was brought to the resus bay the patient had a GCS of 3. Before finishing the hand over, the doctor stated to us that he believed the patient was "faking" the episodes. In response to…

    • 742 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Since I was born I have always dealt with a speech impediment. I went to speech therapy from the age 5 to 13. As I got older started going less and less to speech therapy but I would still go at least twice a month. Th reason behind my speech impediment is because I can not breath out of nose, which is very key whenever you are talking. I have improved greatly over the years to the point where people tell that I have done my whole life that they can not even tell I had a speech impediment at one time.…

    • 1486 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    1. Identify and discuss potential factors related to the oral cavity that may impede the process of digestion of food. What dietary changes would facilitate food intake for those with oral cavity problems? A common problem that may impede this process is hyposalivation.…

    • 722 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Impaired Physical Motility r/t perceptual or cognitive impairment. I chose this diagnosis because Mildred is experiencing muscle weakness. The goal is to encourage the patient to assist with movement to strengthen the affected body part. Impaired Communication r/t loss of facial muscle control. I chose this diagnosis because Mildred is unable to talk, such as when she cannot tell the nurse that her drink is out of reach.…

    • 1122 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    T-Glottalling Case Study

    • 1537 Words
    • 7 Pages

    1. Introduction This paper reports sociolinguistic variation and change patterns of T-glottalling in Manchester comparing with other dialects of English. T-gottalling, the phonological process whereby /t/ is replaced by a glottal stop in non-initial position, has been considered as the accent all over the UK in recent years. Database (number of token, factors); the definition of T-glottalling and simple example; the characteristic of Manchester pattern; T-glottalling, in English phonology, a sound change that causes the phoneme is replaced by the glottal stop [ʔ] in certain position.…

    • 1537 Words
    • 7 Pages
    Great Essays