Development of nurses’ competencies in caring for patients at high risk of dysphagia

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Abstract

Dysphagia is the most common cause of aspiration pneumonia in elderly and senile patients with neurodegenerative diseases, after surgical interventions and prolonged artificial lung ventilation. The article presents a study of the capabilities of nurses of surgical and neurological departments in caring for patients at risk of dysphagia. The developed Nutrition Assessment Map of a patient at risk of dysphagia with the results of approbation in the surgical and neurological department during patient care is presented. The confidence intervals of the occurrence of dysphagia symptoms in patients and the results of the coincidence of the diagnosis of dysphagia symptoms by nurses according to the Nutrition Assessment Card and the confirmation of dysphagia by doctors are presented. The use of it by nurses in the process of care can help to detect dysphagia in a timely manner and reduce the risk of secondary complications in patients with a high risk of swallowing disorders.

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About the authors

Natalia A. Kasimovskaya

FGAOU VO I.M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University)

Author for correspondence.
Email: kasimovskaya_n_a@staff.sechenov.ru
ORCID iD: 0000-0002-1046-4349

Candidate of Medical Sciences, Associate Professor, Head of the Department of Nursing Management and Social Work

Russian Federation, Moscow

Anna G. Sorokin

MNOC Lomonosov Moscow State University

Email: bandurina.en@gmail.com
ORCID iD: 0000-0003-2310-936X

Doctor of the emergency department

Russian Federation, Moscow

Tatiana V. Peters

MNOC Lomonosov Moscow State University

Email: bandurina.en@gmail.com
ORCID iD: 0000-0002-2073-1797

Candidate of Medical Sciences, Head of the Neurological Department

Russian Federation, Moscow

Elizaveta N. Bandurina

FGAOU VO I.M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University)

Email: bandurina.en@gmail.com
ORCID iD: 0009-0000-1823-054X

Nurse of the Admission Department

Russian Federation, Moscow

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Supplementary files

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2. Pic. 1. Common symptoms in patients at high risk for dysphagia (per 100 patients)

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3. Pic. 2. Results of concordance between diagnosis of dysphagia symptoms by nurses on the Nutrition Assessment Card and confirmation of dysphagia by physicians

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