Within this assignment the author has chosen the subject of Dysphasia to discuses while using the nursing model of Roper, Logan and Tierney (RLT)

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Andrew Buck P10553252

Andrew Buck 11/01

P10553252

Word Count: 1808

Within this assignment the author has chosen the subject of Dysphasia to discuses while using the nursing model of Roper, Logan and Tierney (RLT)

The author will discuss how physical, social and psychological influences impact on the health of the individuals in society, he will also demonstrate evidence of a developing knowledge of the various biological, social and psychological explanatory models of health / ill health and the evidence which underpins them and recognise their relevance of nursing, also the author will demonstrate evidence of a developing knowledge which underpins safe and effective nursing practice, finally he will recognise the relevance of the nursing contribution to the inter-professional context of health care.

Dysphasia is a medical term for a patient that has difficulty is swallowing; this condition is classified under the signs and symptoms within the ICD-10.

It is comment for some patients to have little awareness of the condition and lack of symptoms will not exclude any underlying disease. When Dysphasia goes unnoticed or untreated patients run a real risk of “pulmonary aspiration” and then may contract “aspiration pneumonia” this is caused by food or liquid going in to the lungs the wrong way, some patients will not show any signs of aspiration, this then falls under the term silent aspiration, these particular patients will show no signs of coughing or show any outward signs of aspiration, this can also lead to dehydration, malnutrition and then lead on to full renal failure.

Dysphasia falls in to two major types, these are,

1/ oropharyngeal

2/ Esophageal

There is a 3rd type of dysphasia know as function dysphasia.

The author is going to concentrate on oesophageal dysphasia; this is the most comment form of dysphasia.

 

Patients with the condition normally complain of the feeling of food getting stuck within the throat for several seconds after swallowing and they will indicate the suprasternal notch or behind the sternum as part of obstruction.

There are a number of causes for oesophageal dysphasia these can be divided in to mechanical and functional courses.

Functional causes include:

  • Achalasia
  • Myasthenia Gravis
  • Pschdobulhar Palsy

Mechanical causes can include:

  • Peptic esophagitis
  • Gastric cure
  • External compression of the esophagus, such as obstruction by lymph node and left atrial dilatation in mitral stenosis
  • Candida esophagitis
  • Pharyngeal pouch
  • Esophagel web
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Swallowing disorders can occur in all age ranges from the very young to the old, resulting from congenital abnormalities, striatal damage and/or medical conditions, including dysphagia; this is the most comment medical condition within the elderly.

Dysphagia (from the Greek word "dys" meaning difficulty and "phagia" meaning to eat) is a condition in swallowing, an impairment of the ability to safely chew and swallow food. This gives rise to the possibility of not being able to sustain life due to lack of nutritional intake (Logemann 1998).

Physical.

Some of the main symptoms of dysphagia are, chocking, aspiration, ...

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