[Seamless community coordination of rehabilitation nutrition care management in patients with Dysphagia].

Community coordination is necessary in nutrition care management and dysphagia rehabilitation, because they are not completed in one hospital or facility. For seamless community coordination of rehabilitation nutrition care management in patients with dysphagia, it is useful to define why, who, when, where, what, and how. Common communication materials of nutrition support team and dysphagia rehabilitation made by Kanagawa society of dysphagia rehabilitation is effective in promoting community coordination. In qualitative research for participants in community nutrition support team at Yokohama south area, two issues were emerged: strengthening collaboration of the community nutrition support team including visiting medical staffs and offering opportunity to learn clinical nutrition and dysphagia rehabilitation. Concept of rehabilitation nutrition is also useful for community coordination. Rehabilitation nutrition is to assess with the International Classification of Functioning, Disability and Health including nutrition status and to practice rehabilitation nutrition care plan under adequate prognosis prediction. It is not enough for patients with dysphagia to coordinate only clinical nutrition or rehabilitation. Seamless community coordination of rehabilitation nutrition care management is important for patients with dysphagia to improve their activities of daily living and quality of life.