Yoshimatsu, Yuki, Ohtake, Yoichi, Ukai, Mamiko, Miyagami, Taiju, Morikawa, Toru, Shimamura, Yoshinosuke, Kataoka, Yuki and Hashimoto, Tadayuki (2024) “Diagnose, Treat, and SUPPORT”. Clinical competencies in the management of older adults with aspiration pneumonia: a scoping review. European Geriatric Medicine, 15. pp. 57-66. ISSN 1878-7649 (Print), 1878-7657 (Online) (doi:10.1007/s41999-023-00898-4)

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Abstract

Background
Aspiration pneumonia in older adults is increasingly common, with a high care burden and morbidity. However, clinical competencies in its management have not been developed, and healthcare professionals struggle on how to care for these patients with multimodal treatment needs. Therefore, we conducted a scoping review to investigate what is known about the desired clinical competencies for the management of older adults with aspiration pneumonia, to utilise in clinical practice, education, and future research.
Methods
First, we defined aspiration pneumonia according to a preliminary search. We then searched the literature on MEDLINE and CINAHL, focusing on studies involving patients aged 65 years old and older diagnosed with aspiration pneumonia. All settings were included, with the exception of intensive care units. Publication dates were limited to January 2011 to July 2022 and languages to English and Japanese. The extracted data were used to refine the preliminary competency framework developed by the Japan Aspiration pneumonia inter-Professional team Educational Program (JAPEP) in preparation of this study.
Results
Ninety-nine studies were included. Following data extraction from these studies, 3 competencies were renamed, and 3 new competencies were added, to create a list of 12 competencies. These were Diagnosis, Treatment, Swallow Assessment, Underlying condition management, Nutrition, Oral management, Rehabilitation, Multidisciplinary team, Decision making, Prevention, Prognosis, and Palliative care.
Conclusions
Our scoping review identified 12 clinical competencies required in the management of older adults with aspiration pneumonia, outlined in the phrase ‘Diagnose, Treat and SUPPORT’. We encourage healthcare professionals to share these competencies as a team to identify areas of unmet need and improve their patient care, with an emphasis on supportive care.

Item Type:	Article
Uncontrolled Keywords:	dysphagia; pneumonitis; pneumonia; aspiration; geriatric; healthcare professional
Subjects:	H Social Sciences > H Social Sciences (General) R Medicine > R Medicine (General) R Medicine > RB Pathology
Faculty / School / Research Centre / Research Group:	Faculty of Education, Health & Human Sciences Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development > Centre for Exercise Activity and Rehabilitation
Last Modified:	12 Mar 2024 12:38
URI:	http://gala.gre.ac.uk/id/eprint/46240

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