https://nova.newcastle.edu.au/vital/access/ /manager/Index ${session.getAttribute("locale")} 5 Recognising and responding to communication and swallowing difficulties in Parkinson’s disease https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:52156 Wed 04 Oct 2023 10:50:43 AEDT ]]> Mortality reduction for fever, hyperglycemia, and swallowing nurse-initiated stroke intervention: QASC Trial (Quality in Acute Stroke Care) follow-up https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:34659 20%), but this was only statistically significant in adjusted analyses (unadjusted hazard ratio [HR], 0.79; 95% confidence interval [CI] , 0.58-1.07; P=0.13; adjusted HR, 0.77; 95% CI, 0.59-0.99; P=0.045). Older age (75-84 years; HR, 4.9; 95% CI, 2.8-8.7; P < 0.001) and increasing stroke severity (HR, 1.5; 95% CI, 1.3-1.9; P < 0.001) were associated with increased mortality, while being married (HR, 0.70; 95% CI, 0.49-0.99; P=0.042) was associated with increased likelihood of survival. Cardiovascular disease (including stroke) was listed either as the primary or secondary cause of death in 80% (211/264) of all deaths. Conclusions: Our results demonstrate the potential long-term and sustained benefit of nurse-initiated multidisciplinary protocols for management of fever, hyperglycemia, and swallowing dysfunction. These protocols should be a routine part of acute stroke care.]]> Thu 03 Feb 2022 12:20:16 AEDT ]]> Using tongue-strengthening exercise programs in dysphagia intervention https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:11084 Sat 24 Mar 2018 10:33:37 AEDT ]]> Patient perceptions of living with head and neck lymphoedema and the impacts to swallowing, voice and speech function https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:42119 3 months post HNC treatment and experiencing some form of HNL, participated in individual, semi‐structured interviews. Transcribed interviews underwent thematic analysis using an inductive approach, with subsequent member checking. Most participants felt their HNL impacted their swallowing and some had impacts on speech; although the impact on voice was less clear. Four themes emerged, including three themes relating to HNL and its impact on swallowing and speech: “it feels tight;” “it changes throughout the day;” “it requires daily self‐monitoring and management;” and a fourth general theme “it affects me in other ways.” Participants perceived direct impacts from HNL to swallowing and speech. They often experienced daily symptom fluctuations that required additional strategies during times of increased difficulty. Findings highlight the need to improve patient education regarding the functional impacts of HNL and the importance of self‐management.]]> Fri 26 Aug 2022 10:32:21 AEST ]]>