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Related Concept Videos

Binge Eating Disorders01:23

Binge Eating Disorders

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Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
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Gustation, or the sense of taste, is intrinsically linked to the anatomical structures located on the tongue. This organ's surface, along with the entirety of the oral cavity, is adorned with stratified squamous epithelium. Evident on the tongue are elevated structures known as papillae (singular = papilla), which house the mechanisms for the transduction of gustatory stimuli. Four distinct types of papillae exist, each identified by their unique morphological attributes: the circumvallate,...
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Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
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Deglutition01:25

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Swallowing, otherwise known as deglutition, facilitates the transport of food from the mouth to the stomach. It is a multifaceted process that involves both the tongue and the muscles of the throat and esophagus. Saliva and mucus aid in this process, which takes approximately 4 to 8 seconds for semi-solid or solid food and around 1 second for liquids or very soft food.
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Regulation of Food Intake01:30

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Short-term regulation of food intake primarily involves neural signals from the gastrointestinal (GI) tract, blood nutrient levels, and GI tract hormones. Communication between the gut and brain via vagal nerve fibers plays a significant role in evaluating the contents of the gut. Clinical studies have shown that protein ingestion produces a more prolonged response in these nerve fibers compared to an equivalent amount of glucose. Additionally, the activation of stretch receptors caused by GI...
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Gastric emptying occurs when the stomach gradually releases chyme into the duodenum. When the stomach is distended, it triggers the release of gastrin, a hormone that promotes gastric acid secretion to aid in digestion. Additionally, stomach distension contributes to peristaltic waves that propel gastric contents toward the pyloric region. The gastroenteric reflex, on the other hand, primarily stimulates peristalsis in the intestines, facilitating the movement of contents further along the...
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Articles linked to this work by shared authors, journal, and citation graph.

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Effects of Tongue-Strengthening Exercise on Tongue Strength Reserve and Detraining Effects among Healthy Adults: A Randomized Controlled Trial.

International journal of environmental research and public health·2022
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[Improve Physical Fitness and Reduce Nasogastric Tube Insertions: Working to Achieve a 'No Tube' Life].

Hu li za zhi The journal of nursing·2022
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Effects of a Multifaceted Intervention Program on the Eating Ability of Nursing Home Residents.

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[Creating Nursing Workplaces That Appropriately Manage Legal Risk].

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Age and Sex-Related Differences in the Tongue Pressure Generated during Maximum Isometric and Swallowing Tasks by Healthy Chinese Adults.

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Control of Eating Behavior Using a Novel Feedback System
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[Regaining the Dignity of Eating].

Yueh-Juen Hwu1

  • 1PhD, RN, Professor, Department of Nursing, Central Taiwan University of Science and Technology, Taiwan, ROC. yjhwu@ctust.edu.tw.

Hu Li Za Zhi the Journal of Nursing
|January 26, 2022
PubMed
Summary

Long-term nasogastric tube use can lead to chewing and swallowing decline. Interdisciplinary collaboration to improve physical fitness, nutrition, and oral care can help patients safely remove tubes and regain eating independence.

Area of Science:

  • Clinical Medicine
  • Gerontology
  • Rehabilitation Medicine

Background:

  • Nasogastric tubes are common for chewing/swallowing impairments but often indwelled longer than recommended.
  • Prolonged nasogastric tube use can impair chewing/swallowing abilities and potentially increase dementia risk.
  • Japanese regulations incentivize improving patient enablement, oral function, nutrition, and cognition.

Purpose of the Study:

  • To advocate for interdisciplinary collaboration to facilitate safe nasogastric tube removal.
  • To outline a framework for improving patient outcomes through enhanced physical fitness, nutrition, and oral care.
  • To align clinical practice with Japanese long-term care insurance payment regulations.

Main Methods:

  • Strengthening physical fitness to support posture and eating.

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  • Providing high-protein, high-calorie, texture-modified foods.
  • Implementing meticulous oral hygiene to prevent aspiration pneumonia.
  • Managing chewing and swallowing impairments to prevent dehydration.

    • Main Results:

    • Interdisciplinary collaboration enables patients to regain independent eating.
    • Successful tube removal reduces healthcare expenditures.
    • Patients experience improved quality of life and reduced reliance on medical interventions.

    Conclusions:

    • A holistic, interdisciplinary approach is crucial for weaning patients off nasogastric tubes.
    • Focusing on physical, nutritional, and oral health optimizes patient recovery and independence.
    • This collaborative model enhances patient outcomes and validates professional roles in long-term care.