Post-stroke dysphagia, a potentially fatal complication, affects an estimated 23-50% of all stroke survivors. It is associated with a seven fold increase in the risk for aspiration pneumonia. Aspiration pneumonia increases the catabolic demands of the body and in the settings of impaired swallowing leads to a vicious cycle of malnutrition, dehydration, and further infections (Shaker & Geenen, 2011). Dysphagia affects a significant number of patients with hemispheric stroke which is the main subtype of ischemic stroke in the general population (Kumar et al., 2011). The functions of swallowing are subserved by a vast brain network. The inferior peri-rolandic sensorimotor ...
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John Magill is a 75-year-old male with Parkinson’s disease, which he was diagnosed with five years ago. John was admitted to the hospital after falling at home. The physical examination revealed bruising on John’s hips and buttocks, as well as a tear on the right hip, but the X-ray did not reveal fractures in the lower extremities. The emergency department noted generalised tremor, decreased mobility, signs of confusion, agitation, and restlessness. The assessment of John’s vital signs showed that most measures are within expected ranges for an elderly person (temperature 37.2; respiratory rate 24; heart rate ...