Swallowing Dysfunction in Stroke: The Role of Nurses and Rehabilitation Strategies Across Recovery Phases.

BACKGROUND

Swallowing dysfunction is a common consequence of neurological disorders such as stroke, and may lead to malnutrition, aspiration, and reduced quality of life. Nurses are key members of the interdisciplinary team involved in the early detection and management of these issues.

PURPOSE: This review explores the role of nurses in swallowing rehabilitation across the acute, recovery, and chronic phases, emphasizing interdisciplinary collaboration and the integration of emerging technologies.

METHODS

A literature search was conducted using PubMed, focusing on studies involving swallowing rehabilitation in neurological patients, particularly those highlighting nursing interventions.

RESULTS

In the acute phase, nurses perform bedside screening to identify dysphagia early and coordinate timely care with other team members. During recovery, they support swallowing exercises, monitor patient progress, and provide education to patients and caregivers. In the chronic phase, nurses oversee long-term care, support nutritional management, and train family members. Technologies such as virtual reality and artificial intelligence enhance individualized rehabilitation strategies.

CONCLUSIONS

Swallowing rehabilitation requires phase-specific nursing interventions and close interdisciplinary teamwork. Strengthening the role of nurses in assessment, implementation, and patient education contributes to better patient outcomes and ensures continuity of care throughout all recovery phases.