Literature Review - Dehydration and Dysphagia After a Stroke
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 space of time. What is the best and safest method for the patient when replacing lost fluids? Dysphagia, a person who has problems with swallowing, is another common concern with people who have suffered a stroke. Most issues resolve themselves within a few weeks after the stoke, but for an unfortunate few problems persist and more complications arise in up to 19% of patients (Rowat 2011) including dehydration, nutritional problems because of a poor dietary intake and depression perhaps due to embarrassment of the effects of the stroke
Search Terms. The keywords used in this literature review were, ‘stroke’, ‘dehydration’, ‘nursing’ ‘dysphagia’ and ‘literature review’. The keywords were used in a variety of ways to see as many different articles of interest. The databases used were Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, Scorpus and Google Scholar. The search has included worldwide journals and papers with the date limitations of 2001 to 2012 to ensure that all evidence and information is current. Only those articles published in English and available through the University of Dundee library were considered for inclusion.
Findings. Morris (2008) states a stroke has a far greater effect on a
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 space of time. What is the best and safest method for the patient when replacing lost fluids? Dysphagia, a person who has problems with swallowing, is another common concern with people who have suffered a stroke. Most issues resolve themselves within a few weeks after the stoke, but for an unfortunate few problems persist and more complications arise in up to 19% of patients (Rowat 2011) including dehydration, nutritional problems because of a poor dietary intake and depression perhaps due to embarrassment of the effects of the stroke
Search Terms. The keywords used in this literature review were, ‘stroke’, ‘dehydration’, ‘nursing’ ‘dysphagia’ and ‘literature review’. The keywords were used in a variety of ways to see as many different articles of interest. The databases used were Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, Scorpus and Google Scholar. The search has included worldwide journals and papers with the date limitations of 2001 to 2012 to ensure that all evidence and information is current. Only those articles published in English and available through the University of Dundee library were considered for inclusion.
Findings. Morris (2008) states a stroke has a far greater effect on a
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