Japanese Clinical Practice Guidelines for Aspiration and Pharyngeal Residual Assessment during Eating and Swallowing for Nursing Care

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  • Sugama Junko
    Research Center for Implementation Nursing Science Initiative, Fujita Health University
  • Ishibashi Miyuki
    Graduate School of Nursing, Chiba University
  • Ota Erika
    Graduate School of Nursing Science, St.Luke’s International University The Tokyo Foundation for Policy Research
  • Kamakura Yayoi
    Japanese Red Cross Toyota College of Nursing
  • Saitoh Eiichi
    Fujita Health University
  • Sanada Hiromi
    School of Nursing, Ishikawa Prefectural Nursing University
  • Nakayama Takeo
    Department of Health Informatics, Graduate School of Medicine and Public Health, Kyoto University
  • Nomura Takeshi
    Department of Intensive Care Unit, Tokyo Women’s Medical University Hospital
  • Yamada Masako
    Graduate School of Nursing Science, St.Luke’s International University
  • Nakagami Gojiro
    Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo
  • Sato Naoko
    Tokyo Hikari Nursing Station
  • Shibata Seiko
    Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University
  • Hase Takeshi
    Department of Oral and Maxillofacial Surgery, Noto General Hospital
  • Fukada Junko
    School of Nursing & Health, Aichi Prefectural University
  • Mikki Tatsuto
    Department of Nursing, Fujita Health University Bantane Hospital
  • Arita Mikiko
    School of Health Sciences, college of Medical, Pharmaceutical and Health Sciences, Kanazawa University
  • Urai Tamae
    Faculty of Nursing, Toyama Prefectural University
  • Okawa Yohei
    Department of Psychosomatic Medicine, Tohoku University Graduate School of Medicine
  • Kitamura Aya
    Department of Nursing Administration and Advanced Clinical Nursing, Graduate School of Medicine, The University of Tokyo
  • Dai Misako
    Research Center for Implementation Nursing Science Initiative, Fujita Health University
  • Takahashi Toshiaki
    Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo
  • Tamai Nao
    School of Medicine Nursing Course Adult Nursing, Yokohama City University School of Medicine
  • Tobita Itoko
    Faculty of Nursing, Osaka Medical and Pharmaceutical University
  • Noguchi Hiroshi
    Graduate School of Engineering, Osaka Metropolitan University
  • Matsumoto Masaru
    School of Nursing, Ishikawa Prefectural Nursing University
  • Miura Yuka
    Research Center for Implementation Nursing Science Initiative, Fujita Health University
  • Mukai Kanae
    Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University
  • Mugita Yuko
    Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo
  • Yoshida Mikako
    Department of Women’s Health Nursing & Midwifery, Tohoku University Graduate School of Medicine
  • Kurachi Masako
    Department of Speech, Language and Hearing Sciences, International University of Health and Welfare
  • Shirasaka Takako
    Day Service Try Asu
  • Yamane Yukiko
    Department of Nursing, Asahikawa Medical University

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Other Title
  • 摂食嚥下時の誤嚥・咽頭残留アセスメントに関する看護ケアガイドライン
  • セッショクエンカジ ノ ゴエン ・ イントウ ザンリュウ アセスメント ニ カンスル カンゴ ケア ガイドライン

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Abstract

<p>Aim: The purpose of this clinical practice guideline is to provide and recommend methods of assessing aspiration and pharyngeal residue during eating and swallowing and methods of selecting and implementing nursing care for adults in order to prevent the development of aspiration pneumonia through early and appropriate management of oropharyngeal dysphagia.</p><p>Methods: In April 2018, Japan Academy of Nursing Science established the Supervisory Committee in Nursing Care Development/Standardization Committee to develop clinical practice guidelines for aspiration and pharyngeal residual assessment during eating and swallowing for nursing care. This clinical practice guideline was developed in accordance with Minds Manual for Guideline Development 2017, with the aim of providing a specific pathway for nurses to determine the policy for selecting management for oropharyngeal dysphagia based on research evidence and multifaceted factors such as the balance of benefits and harms and patients’ values.</p><p>Results: Based on 10 clinical questions related to assessment by physical assessment, the Repetitive Saliva Swallowing Test, Modified Water Swallowing Test, Food Test, cervical auscultation, observation using an ultrasound diagnostic device, and an endoscope, 10 recommendations were developed. Eight recommendations were evaluated as GRADE 2C, and the other two were evaluated as no GRADE.</p><p>Conclusion: We were able to produce the first reliable clinical practice guideline from an academic nursing organization that focuses on assessment for nursing care and incorporates the latest findings.</p>

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