PROPOSAL FOR A SCREENING INSTRUMENT FOR DYSPHAGIA IN PRIMARY HEALTH CARE
DOI:
https://doi.org/10.17564/2316-3798.2023v9n2p7-27Published
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Abstract
INTRODUCTION: Screening instruments in Primary Health Care are strategic and fundamental for health surveillance, identifying risks, preventing unwanted
outcomes and providing care in a resolute way. OBJECTIVE: To develop a screening protocol for oropharyngeal dysphagia in Primary Health Care. METHODS: Initially, a scoping review of the literature was performed, using the PPOT strategy (population, predictor, outcome and type of study) to define the eligibility criteria. Data were collected in August 2021 in the following databases: PubMed, Science Direct, Scopus and Web of Science, OATD and Google Scholar. Based on the review, the proposal for a screening instrument for dysphagia in Primary Care was constructed, through the analysis of items from existing screenings. RESULTS: Of the 7,083 articles found in the searches, 15 studies met the eligibility criteria and were included in the review, highlighting a higher prevalence of instruments aimed at the hospital environment. Among the items described in the screening instruments found, the following stand out: vocal change after swallowing; increase in the time needed to have meals; presence of cough during swallowing and/or with liquids; facial asymmetry; presence of food residues in the oral cavity. Then, the proposal of the instrument to be applied in Primary Health Care was presented. CONCLUSION: The instrument developed can help health professionals to identify individuals with dysphagia in Primary Health Care.
Keywords: Swallowing disorder; screening programs; Speech Therapy; Deglutition; Primary Health Care.