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Preventive Medicine 2018 Journal of Preventive Medicine
ISSN: 2572-5483 Page 50
July 16-17, 2018
London, UK
9th Edition of International Conference on
Preventive Medicine
& Public Health
Aim & Background: Oropharyngeal dysphagia increases with age
and can have devastating health implications, such as malnutrition
and aspiration pneumonia. Elderly patients admitted to the ward
E3 (mixed specialties) often have eating and swallowing problems.
Here we assessed those problems of elderly patients with
dysphagia on admission.
Subjects & Methods: Thirteen patients with dysphagia (age,
87.1±11.4 (mean±SD); body mass index (BMI), 17.8±3.1) were
assessed by the Kuchi-Kara Taberu (KT or ingesting orally in
English) index and malnutrition universal screening tool (MUST).
The KT index consists of 13 items rated 1 (worst) to 5 (best) points
by noninvasive tests, which was recently developed by Koyama et
al. in Japan to comprehensively assess and intervene in dysphagia.
Results: The elderly patients with dysphagia admitted to the ward
3E had a trait of malnutrition and poor activities on the whole
as shown in Figure 1. Out of 13 patients, 4 patients underwent
percutaneous endoscopic gastrostomy (gastrostomy feeding),
who had a significantly (p<0.05, unpaired t test) lower score of
respiratory condition and higher score of MUST compared with
those of the other patients (3.3±0.5 vs. 4.3 ±1.0 and 5.3±1.0 vs.
3.0±1.7). Continuing nursing care with the KT index enabled them
to eat orally again.
Conclusion: It was suggested that nursing care using the KT index
radar chart for elderly patientswithdysphagia could improvequality
of life, even after gastrostomy feeding is initiated. Such feeding
support using KT index may be suitable for individual patients to
live like human beings.
Biography
Yumiko Aruga is a Staff Nurse on the ward E3 of Nursing Department, Nation-
al Hospital Organization Matsumoto Medical Center. She was a certified care
worker in 2002 and got a BS degree in Nursing at Matsumoto Medical Asso-
ciation Nursing School, Matsumoto, Japan in 2006. She is mainly working in
Elder Care. Her research interest includes Nursing care, Elder care, Oral care.
Potential of nursing care using KT (Kuchi-Kara Taberu) index
radar chart for elderly patients with dysphagia to live like
human beings
Yumiko Aruga1 , Ayako Saito and Yuji Aoki
1National Hospital Organization Matsumoto Medical Center, Japan
Yumiko Aruga et al., J Prev Med 2018, Volume 3
DOI: 10.21767/2572-5483-C1-003
Figure 1: The mean values of 13 items comprising the KT index in
13 patients with dysphagia at admission are shown in a radar chart.