Eating problems and nutritional status after stroke

Eating problems and nutritional status were studied in a consecutive series of 104 stroke patients admitted to emergency hospital care. During their stay in hospital eating problems were observed in 46 patients. Certain common types of eating problems were identified: aberrant eating behaviour as re...

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Main Author: Axelsson, Karin
Format: Doctoral Thesis
Language:English
Published: Umeå universitet, Institutionen för omvårdnad 1988
Subjects:
Online Access:http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-99332
http://nbn-resolving.de/urn:isbn:91-7174-360-X
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spelling ndltd-UPSALLA1-oai-DiVA.org-umu-993322015-04-09T04:57:58ZEating problems and nutritional status after strokeengAxelsson, KarinUmeå universitet, Institutionen för omvårdnadUmeå : Umeå universitet1988eating problemsstroketraining in eatingnutritional statusundernutritiondysphagiaoral apraxiaoral agnosianursing diagnosisprognosisEating problems and nutritional status were studied in a consecutive series of 104 stroke patients admitted to emergency hospital care. During their stay in hospital eating problems were observed in 46 patients. Certain common types of eating problems were identified: aberrant eating behaviour as regards chewing,lokalization or swallowing, eating small amounts, hoarding of food in the mouth, leakage of food from the mouth and unawareness of eating problems. Poor nutritional status occurred in 16 % of the patients on admission and in 22 % on discharge from the stroke unit. A subgroup of 32 patients hospitalized for 21 days or longer was studied for three weeks. On at least one occasion during these three weeks a poor nutritional status was observed in 18 patients, of whom 17 had eating problems. All subjects who had eating problems during their hospital stay, plus those patients without eating problems but with neurological deficits and those living in a nursing home one year after the stroke (n=36) were selected for a longitudinal study 18 months after the onset of stroke. Eating problems were identified in 23 of these patients during their hospital stay while 21 had such problems when they were followed up. Two patients who could not eat due to severe dysphagia (after a stroke) for three years and 18 months respectively, were successfully trained to eat normally. One patient exhibited impaired oral and hypopharyngeal function and the other impaired hypo- pharyngeal function and a spastic crico-pharyngeal muscle. In both patients training in swallowing was the main remedical measure and one of them also had a myotomy of the spastic muscle. <p>[2] s., s. 1-45: sammanfattning, s. 49-130: Härtill 6 uppsatser</p>digitalisering@umuDoctoral thesis, comprehensive summaryinfo:eu-repo/semantics/doctoralThesistexthttp://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-99332urn:isbn:91-7174-360-XUmeå University medical dissertations, 0346-6612 ; 218application/pdfinfo:eu-repo/semantics/openAccess
collection NDLTD
language English
format Doctoral Thesis
sources NDLTD
topic eating problems
stroke
training in eating
nutritional status
undernutrition
dysphagia
oral apraxia
oral agnosia
nursing diagnosis
prognosis
spellingShingle eating problems
stroke
training in eating
nutritional status
undernutrition
dysphagia
oral apraxia
oral agnosia
nursing diagnosis
prognosis
Axelsson, Karin
Eating problems and nutritional status after stroke
description Eating problems and nutritional status were studied in a consecutive series of 104 stroke patients admitted to emergency hospital care. During their stay in hospital eating problems were observed in 46 patients. Certain common types of eating problems were identified: aberrant eating behaviour as regards chewing,lokalization or swallowing, eating small amounts, hoarding of food in the mouth, leakage of food from the mouth and unawareness of eating problems. Poor nutritional status occurred in 16 % of the patients on admission and in 22 % on discharge from the stroke unit. A subgroup of 32 patients hospitalized for 21 days or longer was studied for three weeks. On at least one occasion during these three weeks a poor nutritional status was observed in 18 patients, of whom 17 had eating problems. All subjects who had eating problems during their hospital stay, plus those patients without eating problems but with neurological deficits and those living in a nursing home one year after the stroke (n=36) were selected for a longitudinal study 18 months after the onset of stroke. Eating problems were identified in 23 of these patients during their hospital stay while 21 had such problems when they were followed up. Two patients who could not eat due to severe dysphagia (after a stroke) for three years and 18 months respectively, were successfully trained to eat normally. One patient exhibited impaired oral and hypopharyngeal function and the other impaired hypo- pharyngeal function and a spastic crico-pharyngeal muscle. In both patients training in swallowing was the main remedical measure and one of them also had a myotomy of the spastic muscle. === <p>[2] s., s. 1-45: sammanfattning, s. 49-130: Härtill 6 uppsatser</p> === digitalisering@umu
author Axelsson, Karin
author_facet Axelsson, Karin
author_sort Axelsson, Karin
title Eating problems and nutritional status after stroke
title_short Eating problems and nutritional status after stroke
title_full Eating problems and nutritional status after stroke
title_fullStr Eating problems and nutritional status after stroke
title_full_unstemmed Eating problems and nutritional status after stroke
title_sort eating problems and nutritional status after stroke
publisher Umeå universitet, Institutionen för omvårdnad
publishDate 1988
url http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-99332
http://nbn-resolving.de/urn:isbn:91-7174-360-X
work_keys_str_mv AT axelssonkarin eatingproblemsandnutritionalstatusafterstroke
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