Zusammenfassung
Die Dysphagie (Schluckstörung) wurde in den letzten Jahren in zunehmendem Maße als eine ebenso relevante Funktionsstörung für geriatrische Patienten erkannt wie die klassischen geriatrischen Syndrome und sollte deshalb den geriatrischen „I’s“ als „Impaired swallowing“ hinzugefügt werden. In Pflegeheimen weist schon heute etwa die Hälfte aller älteren Menschen eine Dysphagie auf. Am höchsten ist die Prävalenz von Dysphagien in der Gruppe alter Patienten mit neurologischen Erkrankungen, insbesondere infolge eines Schlaganfalls, einer Demenz oder eines Parkinson-Syndroms. Schlucken ist ein hochkomplexer Vorgang, der die orale, pharyngeale und ösophageale Phase umfasst. Während auf der Organebene des ICF-Modells die Diagnostik und Therapie von Schluckstörungen in der Neurogeriatrie jüngst erhebliche Fortschritte erzielt hat, gibt es auf den Ebenen Aktivität/Mobilität, soziales Umfeld, persönliche Faktoren und Umwelt noch weitreichenden Forschungsbedarf.
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Warnecke, T., Dziewas, R. (2019). Dysphagie. In: Maetzler, W., Dodel, R., Jacobs, A. (eds) Neurogeriatrie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-57358-7_12
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