With the terms Dysphagy or Deglutitive desease, reports us to any uneasiness in to swallow or to any deglutitive dysfunction objectively noticed directly or indirectly for its consequences. Different types of dysphagy exist, each of which it requires of you determine evaluations, treatments and precautions. The anamnesis and the general and neurological objective examination, are the more important diagnostic tools. In the protocol of evaluation is put besides: the direct observation or "Bedside Examination" and the instrumentai evaluation of thè swallowing. To the direct observation and the instrumental evaluation of the swallowing, it will follow the specific evaluation of thè fit deglutitory through of thè specific tests of swallowing, which however they ask for thè well definéd optimal requi¬site, first among everybody: you condition stable clinics, deprived cairn environment of distracting stimuli, absence of encumbrance of secretions in the tall aerial streets. Besides, in the management of this trouble it is important to underline thè importance represented by the family ones, from the nurses and from possible other operators that they takes care of thè patient for aspects that concern the assistance in practical sense and for the support of the emotional aspect and relationship.
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