Food Culture, Preferences and Ethics in Dysphagia Management
Adults with dysphagia experience difficulties swallowing food and fluids with potentially harmful health and psychosocial consequences. Speech pathologists who manage patients with dysphagia are frequently required to address ethical issues when patients' food culture and/ or preferences are in...
| Κύριος συγγραφέας: | |
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| Τύπος μέσου: | Ηλεκτρονική πηγή Άρθρο |
| Γλώσσα: | Αγγλικά |
| Έλεγχος διαθεσιμότητας: | HBZ Gateway |
| Journals Online & Print: | Φόρτωση...
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| Fernleihe: | Fernleihe für die Fachinformationsdienste |
| Έκδοση: |
Wiley-Blackwell
[2015]
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| Στο/Στη: |
Bioethics
Έτος: 2015, Τόμος: 29, Τεύχος: 9, Σελίδες: 646-652 |
| Σημειογραφίες IxTheo: | KBS Αυστραλία, Ωκεανία NCH Ιατρική Ηθική |
| Άλλες λέξεις-κλειδιά: | B
shared decision-making
B Clinical B dysphagia B food culture and preferences B speech pathology |
| Διαθέσιμο Online: |
Volltext (Verlag) Volltext (doi) |
| Σύνοψη: | Adults with dysphagia experience difficulties swallowing food and fluids with potentially harmful health and psychosocial consequences. Speech pathologists who manage patients with dysphagia are frequently required to address ethical issues when patients' food culture and/ or preferences are inconsistent with recommended diets. These issues incorporate complex links between food, identity and social participation. A composite case has been developed to reflect ethical issues identified by practising speech pathologists for the purposes of illustrating ethical concerns in dysphagia management. The case examines a speech pathologist's role in supporting patient autonomy when patients and carers express different goals and values. The case presents a 68-year-old man of Australian/Italian heritage with severe swallowing impairment and strong values attached to food preferences. The case is examined through application of the dysphagia algorithm, a tool for shared decision-making when patients refuse dietary modifications. Case analysis revealed the benefits and challenges of shared decision-making processes in dysphagia management. Four health professional skills and attributes were identified as synonymous with shared decision making: communication, imagination, courage and reflection. |
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| ISSN: | 1467-8519 |
| Περιλαμβάνει: | Enthalten in: Bioethics
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| Persistent identifiers: | DOI: 10.1111/bioe.12189 |