Related Experiment Videos
Post-Stroke Dysphagia: Moving Toward Evidence-Based, Recovery-Oriented Systems of Care
Heather Shaw Bonilha1, Brittany N Krekeler2, Janina Wilmskoetter3
1Department of Communication Sciences and Disorders, University of South Carolina, Columbia, SC, USA. hbonilha@mailbox.sc.edu.
Current Neurology and Neuroscience Reports
|July 24, 2026
Summary
Managing post-stroke dysphagia requires ongoing care, not just acute treatment. Fragmented healthcare systems hinder timely diagnosis, reassessment, and rehabilitation, impacting swallowing outcomes and recovery.
Area of Science:
- Neurology
- Gastroenterology
- Rehabilitation Medicine
Background:
- Post-stroke dysphagia is a common complication affecting swallowing function.
- Current management often treats dysphagia as a temporary issue, neglecting its dynamic nature.
Purpose of the Study:
- To review challenges in post-stroke dysphagia management.
- To evaluate the impact of healthcare systems on swallowing outcomes and stroke recovery.
Main Methods:
- Systematic review of recent literature on post-stroke dysphagia.
- Analysis of healthcare system influences on diagnosis, treatment, and rehabilitation.
Main Results:
- Post-stroke dysphagia necessitates longitudinal, dynamic management.
- Validated screening, clinical evaluation, and swallowing imaging are crucial for diagnosis.
- Fragmented care, variable feeding tube practices, and limited access to imaging impede effective management.
- Psychosocial burdens associated with oral restrictions and feeding decisions are significant.
Conclusions:
- Healthcare systems must address fragmentation to improve dysphagia diagnosis and reassessment.
- Rehabilitation pathways should prioritize recovery-oriented dysphagia management.
- Longitudinal care models are essential for optimizing swallowing function and stroke recovery.
Related Concept Videos
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
01:19Restorative Care
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
01:27Esophageal Achalasia
Esophageal achalasia is a chronic neurogenic disorder characterized by impaired relaxation of the lower esophageal sphincter (LES) and absent or ineffective peristalsis in the distal esophagus. This leads to a functional obstruction without a physical blockage, despite significant disruption of esophageal motility.EtiologyAchalasia is caused by degeneration of the myenteric (Auerbach's) plexus, specifically the loss of inhibitory ganglion cells that produce vasoactive intestinal peptide (VIP)...
01:26Enteral Nutrition I: Orogastric and Nasogastric Feeding
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
01:11Guidelines for Writing Outcome
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...