Zusammenfassung
Bei der Therapieplanung und der Auswahl der geeigneten Therapieverfahren ist das Störungsprofil richtungsweisend. In diesem Kapitel werden zahlreiche Therapiemaßnahmen im Sinne einzelner Therapiebausteine vorgestellt: Praxisnah werden Indikationen, vorbereitende Maßnahmen, Instruktionen und die eigentliche Durchführung detailliert beschrieben; falls ein Wirksamkeitsnachweis der jeweiligen Intervention in der Literatur belegt ist, wird auch darauf eingegangen. Im Einzelnen werden in diesem Kapitel folgende Therapiebausteine näher beleuchtet: Notfallmaßnahmen bei Verschlucken, vorbereitende und begleitende Therapiemaßnahmen, Verbesserung sensibler Störungen und Abbau pathologischer Reflexe, tonusregulierende Maßnahmen, Verbesserung der oralen Bolusvorbereitung, des oralen Transports, der Gaumensegelfunktion, der Rachenpassage, der Kehlkopfhebung und der Öffnung des oberen Ösophagussphinkters sowie Schutz der Atemwege. Tipps zum Trachealkanülenmanagement und zur stufenweisen Steigerung der Entblockungszeiten sowie zur Optimierung der Ernährungssituation runden das Kapitel ab. Abschließend werden Aspekte einer guten Zusammenarbeit mit Patienten und Angehörigen hervorgehoben und Inhalte der Beratung exemplarisch erläutert.
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Prosiegel, M., Weber, S. (2018). Therapiebausteine. In: Dysphagie. Praxiswissen Logopädie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-56132-4_11
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