Contribuição da fonoaudiologia na atenção interdisciplinar ao pneumopata crônico sob o prisma da deglutição

Abstract

The objective of this study was to verify swallow disorders in patients with chronic pulmonary disease with dyspnea symptoms, assisted at the Physiotherapy Ambulatory from the University Hospital of Santa Maria relating them to their life context. Four patients that had medical diagnosis of chronic lung disease, dyspnea, and that were being treated by the multidisciplinary team from the same ambulatory participated in the study. The speech clinical examination was realized through the administration of the Speech Protocol of Dysphagia Risk Evaluation (Protocolo Fonoaudiológico de Avaliação do Risco para Disfagia (PARD) and swallow videofluoroscopy. Two of the four subjects presented functional swallowing; one of them presented a mild oropharyngeal dysphagia and the other, a moderate oropharyngeal dysphagia. The data acquired confirm the literature data that relates the chronic pulmonary disease and dysphagia and demonstrates that the interdisciplinary performance makes the nuclear work potent since the subjects demand real health needs and a multidisciplinary program of pulmonary integral action that comprehends an integral vision of health. Besides that, it is possible to verify that the speech care is fundamental to these people since the results indicate that the pulmonary disease is a risk factor for the development of dysphagia.