Logemann J A
Department of Communication Sciences and Disorders, Northwestern University, Evanston.
Acta Otorhinolaryngol Belg. 1994;48(2):235-8.
Multidisciplinary management of dysphagia ensures that the dysphagic patient receives careful, in-depth assessment and treatment/rehabilitation of their swallowing disorders, and of its underlying etiology. Members of the team usually include the speech-language pathologist (swallowing therapist), gastroenterologist, radiologist, otolaryngologist, neurologist, pulmonologist, pharmacist, dietitian, occupational therapist, and physical therapist. Depending upon the setting, a pediatrician, physical medicine physician (physiatrist) or gerontologist may also be on the team. Respiratory medicine and nursing are usually also involved, as is the feeding staff. Respect for each other's expertise and easy communication between members of the team are crucial to success. Team operations should be continuously monitored for their overall efficacy and cost effectiveness.
吞咽困难的多学科管理可确保吞咽困难患者接受针对其吞咽障碍及其潜在病因的仔细、深入评估和治疗/康复。团队成员通常包括言语病理学家(吞咽治疗师)、胃肠病学家、放射科医生、耳鼻喉科医生、神经科医生、肺科医生、药剂师、营养师、职业治疗师和物理治疗师。根据具体情况,团队中可能还会有儿科医生、物理医学医生(理疗医生)或老年病学家。呼吸医学和护理人员通常也会参与其中,喂养人员亦是如此。尊重彼此的专业知识以及团队成员之间的轻松沟通对成功至关重要。应持续监测团队运作的整体效果和成本效益。