Článek představuje hlavní specifika logopedické intervence u pacientů s poruchami polykání v prostředí následné péče. Pacienti hospitalizovaní na lůžkách následné a dlouhodobé péče jsou často polymorbidní, geriatricky křehcí, mnozí s kognitivním deficitem. Těžiště logopedické terapie dysfagie u těchto pacientů tkví především v pasivních rehabilitačních technikách a režimových opatřeních, pro jejichž úspěšnou realizaci je klíčová mezioborová spolupráce s lékaři, fyzioterapeuty a především s ošetřovatelským personálem, mnohdy i s rodinnými příslušníky. Hlavním cílem příspěvku je na základě osobní profesní zkušenosti autorky podrobněji analyzovat již zmiňovaná specifika a představit hlavní osvědčené postupy logopedické intervence u pacientů s dysfagií v následné péči.
The article presents main specifics of speech and language therapy for patients with dysphagia at post-acute care. Patients hospitalized at post-acute and long-term care often suffer from polymorbidity, geriatric frailty, many have cognitive deficit. The core of speech and language therapy of dysphagia for these patients is mainly passive rehabilitation techniques and treatment measures. The interdisciplinary cooperation with physicians, physiotherapists and mainly nurses and attendants and often also family members is crucial for successful implementation of the measures. The main aim of the article is to analyse more in detail, on the grounds of personal professional experience of the author, the above mentioned specifics and introduce main time-tested methods of speech and language therapy for patients with dysphagia at post-acute care.
- MeSH
- křehký senior MeSH
- lidé MeSH
- následná péče MeSH
- poruchy polykání * diagnóza rehabilitace terapie MeSH
- řečová terapie * MeSH
- senioři MeSH
- Check Tag
- lidé MeSH
- senioři MeSH
- Publikační typ
- přehledy MeSH
- Publikační typ
- abstrakt z konference MeSH
The ongoing social reform has brought change in the long-term assessment of adverse health and its medical implications by the Medical Assessment Service (MAS) for the purposes of the Act on social services since 1 January 2012. The first phase of social reform is based on the medical service. Part of the second phase of the social reform is forthcoming proposals for substantive intentions of long-term care and coordinated rehabilitation. The Ministry of Labour and Social Affairs of the Czech Republic is preparing, in cooperation with the Ministry of Health of the Czech Republic, the intent of the law on long-term care. Long-term care is a complex of services that is required by people with long-term reduced self-sufficiency. The guiding principles of the proposed resolution should be to ensure high-quality long-term care services for the clients, and to link the network of health and social services. The Advisory category in the system of social services – the degree of dependence – should be assessed for a system of long-term care. MAS would decide on assessement for the purposes of dependency allowance at the same time. Therefore, the role of MAS in the second phase of the social reform appears to be similarly crucial for the fulfilment of its objectives as in the first phase of social reform.
