Essay on Literature Review - Dehydration and Dysphagia After a Stroke

3464 Words Feb 5th, 2013 14 Pages
Dysphagia and dehydration after a Stroke: A Literature Review

Background. Stroke is a major cause of mortality in the United Kingdom; it is the third biggest killer in the UK (National audit office 2005) around 53,000 people die every year from this long term condition. (Scarborough et al 2009) In people under the age of 75 it is a main cause of premature mortality with 1 in 20 dying because of an acute stroke and the complications that arise. In socially deprived areas a person is 3 times more likely to suffer from a stroke than in the least deprived areas of the UK. Dehydration is preventable but is unfortunately very common; there is a method of early identification that could stop a patient becoming increasingly unwell in a short
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(Morris 2008) Another study found that 42% of stroke survivors have choked when attempting to swallow or have shown signs of difficulty when eating or drinking. (Morris 2008) Claros (2011) similarly accounts that dehydration is increased with patients that are taking 4 or more medications. As a person ages the total body water in a person decreases alongside the thirst perception. Claros (2011) also states that patients with altered mobility are at a higher risk of dehydration because they may not be able to independently access fluids. Dehydration is possible to stop in its tracks if staff are given the time to check upon patients to see if they are managing to take water when required. But do nurses have the time, are they are able to manage, a nurse needs to place best practice and take a few moments to assist the person in their care.
Hypodermoclysis, which is a subcutaneous method of fluid infusion, this is a method of fluid replacement in older adults. Scales (2011) states that older people are more difficult to manage due to the physical effects of ageing, it is easier to manage by a subcutaneous method of fluid replacement than by an intravenous infusion method. However Slesak (2003) in his trial of ninety six patients with mild to moderate dehydration, when placed into two separate groups of forty eight with each group receiving

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