Education, Science, Technology, Innovation and Life
Open Access
Sign In
  1. Home
  2. Journals
  3. MEDS Public Health and Preventive Medicine
  4. Vol 5, Issue 2, 2025

Study on Personalized Dysphagia Prevention Strategies for the Elderly in Nursing Homes Based on Swallowing Function Assessment

Download as PDF

DOI: 10.23977/phpm.2025.050214 | Downloads: 13 | Views: 403

Author(s)

Yang Xie 1, Qingyan Chen 1, Jia Xiao 1, Chunyan Li 1

Affiliation(s)

1 School of Nursing, Hunan University of Chinese Medicine, Changsha, Hunan, China

Corresponding Author

Chunyan Li

ABSTRACT

Against the backdrop of population aging, frequent dysphagia incidents among the elderly in care facilities constitute a significant safety risk. This study systematically analyzes the definition of dysphagia in the elderly, its risk factors, and the limitations of existing risk assessment tools, proposing a personalized prevention strategy framework centered on dynamic swallowing function evaluation. This framework employs a three-tiered assessment protocol to accurately identify dysphagia and implements stratified management interventions based on severity (mild, moderate, and severe). It encompasses formulating individualized dietary plans, targeted swallowing rehabilitation training, psychological interventions, and specialized training for nursing staff, complemented by tiered emergency protocols. This strategy integrates multidimensional factors—physiological, psychological, environmental, and care-related—providing a pathway for care facilities to establish a standardized, actionable dysphagia risk management protocol, thereby reducing dysphagia incidence and enhancing the quality of life and safety assurance for the elderly.

KEYWORDS

Care Facilities; Dysphagia; Swallowing Function Evaluation; Personalized Prevention Strategies

CITE THIS PAPER

Yang Xie, Qingyan Chen, Jia Xiao, Chunyan Li, Study on Personalized Dysphagia Prevention Strategies for the Elderly in Nursing Homes Based on Swallowing Function Assessment. MEDS Public Health and Preventive Medicine (2025) Vol. 5: 95-101. DOI: http://dx.doi.org/10.23977/phpm.2025.050214.

REFERENCES

[1] Zhu H.L., Chen Y. (2016) Application of Risk Management for Elderly Choking in Nursing Institutions. *Qilu Journal of Nursing*, 22(21), 67-68.
[2] Xia Y., Xia J.Q., Guo H.H., et al. (2024) Factors Influencing Dysphagia in Elderly Residents of Nursing Institutions: A Meta-Analysis. Chinese Journal of General Practice, 22(8): 1287-1291.
[3] Sun Y. (2019) Causes and First Aid Care of Choking in the Elderly. Jiceng Yixue Luntan (Basic Medical Forum), 23(24), 3523-3524.
[4] Zhang J., Lu Y., Fan W., et al. (2017) Correlation between Oral Health Self-Efficacy and Quality of Life in Chronic Periodontitis Patients. Journal of Nursing Management, 17(10), 730-732.
[5] Boaden, E., Burnell, J., Hives, L., et al. (2021). Screening for aspiration risk associated with dysphagia in acute stroke. Cochrane Database of Systematic Reviews, 10(10), CD012679.
[6] Han, J. (2022). The Influence of Psychological Capital and Sources of Meaning in Life on the Demand for Nursing Services among Elderly in Nursing Institutions [Master's thesis, North China University of Science and Technology].
[7] Gao W.W., Zhang X.X. and Bai Y.T. (2019) Investigation on Swallowing Dysfunction in Elderly People in Ningbo Nursing Homes. Chinese Journal of Rehabilitation Theory and Practice, 25(7), 761-765.
[8] Yamaguchi T., Mikushi S. and Ayuse T. (2019) Evaluation of Swallowing Function in Patients with Oropharyngeal Secretions. Clinical and Experimental Dental Research, 5(5), 557-565.
[9] Zhao J.Q., Wang J.F., Guo H.L. et al. (2018) Optimization of Evidence-Based Practice Protocol for Identification and Management of Dysphagia after Stroke. Journal of Nursing Management, 18(7), 475-480.
[10] Liu L., Hou R., Zhang L.L. et al. (2025) Research Progress in Early Recognition and Intervention of Swallowing Disorders in Aging Population. Practical Geriatrics, 39(07), 737-741.
[11] Crary, M. A., Mann, G. D., and Groher, M. E. (2005). Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Archives of Physical Medicine and Rehabilitation, 86(8), 1516–1520.
[12] Zhang J., Li J.R. (2013) Investigation of Swallowing Function in the Elderly. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 27(02), 91-94.
[13] Chinese Society of Gerontology and Geriatrics, Nutrition and Food Safety Branch, Chinese Evidence-Based Medicine Center, Editorial Board of Chinese Journal of Evidence-Based Medicine, et al. (2018) Expert Consensus on Home Nutrition Management for Elderly Patients with Dysphagia in China (2018 Edition). Chinese Journal of Evidence-Based Medicine, 18(6), 547-559.
[14] Li Y., Lu J.R., Fang Q.F. (2022) Targeted Nursing Care for Dysphagia in Elderly Frail Patients. Contemporary Clinical Medical Journal, 35(1), 102-103.
[15] Wang, X. Y. (2025) Personalized dietary intervention strategies for elderly with swallowing dysfunction.China and Foreign Food Industry, (1), 66-68.
[16] Pi, J.J. (2024) Key Considerations in Aspiration Prevention Care for Elderly Patients. Health for Everyone , (27): 110.
[17] Chen, X.X. (2019) Prevention and Nursing Care of Choking in Psychiatric Patients. Journal of Cardiovascular Surgery (Electronic Edition), 8, 237-238.
[18] Liu W.F., Duan G.X. and Ma X.Y. (2015) Evaluation of the Effect of Nursing Intervention on Dietary Safety in Elderly Psychiatric Patients. Journal of Nurses Training, 30(07), 604-605.
[19] Chen Y., Gu Y.F., Hu H.J., et al. (2024) Analysis of Influencing Factors and Construction of a Risk Prediction Model for Dysphagia in Elderly People in Nursing Institutions. Journal of Nursing Management, 24(10), 893-898.
[20] Pang R. and Wang Y.C. (2014) Practice and Effectiveness of Emergency Drill for Choking Patients in Psychiatric Department. Journal of Qiqihar Medical University, 35(02), 283-284.
[21] Tang, T., Gong, Q., and Xu, S. L. (2019) Effect of Nursing Intervention on Preventing Choking in Elderly Patients with Mental Disorders. Electronic Journal of Practical Clinical Nursing, 4(37), 30.

Subscription
E-Mail Alert
Most popular papers
Call for Special Issue
Publication Ethics & OA Statement
Plagiarism Policy
Contact Us
Downloads: 4250
Visits: 239051

Sponsors, Associates, and Links

All published work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright © 2016 - 2031 Clausius Scientific Press Inc. All Rights Reserved.