연하장애 포켓매뉴얼

1. 연하장애에 대한 기초 지식 ···················· (후지시마 이치로) 1
2. 연하장애의 병태생리와 원인질환 ··········· (후지시마 이치로) 19
3. 스크리닝, 평가, 검사
······ (후지시마 이치로, 시게마츠 다카시, 카나자와 히데아끼, 쿠니에다 겐지로) 41
4. 재활의학적 접근과 치료 ·························· (후지시마 이치로) 79
5. 위험(RISK) 관리 ····················· (쿠니에다 겐지로, 니시무라 리쯔) 95
6. 훈련법 ··········································································· 115
섭식연하훈련의 실제 ··························································
(호죠 쿄코, 모리와키 모토키, 오카모토 케이시, 시게마츠 다카시, 쿠니에다 겐지로) 115
호흡물리치료 ························· (타와라 유이치, 오오마가리 마사키) 184
운동치료 ································· (모리시타 카즈유키, 하나이 사토시) 198
작업치료 ···················································· (오사카베 메구미) 202
7. 병동에서 이루어지는 섭식연하장애의 간호
····················································· (다나까 나오미, 시라이 요꼬) 211
8. 치과의 역할(노모토 아키코, 오노 토모히사, 하시즈메 모모요, 하타노 마치코) 225
9. 경관영양 ··································· (후지모리 마리코, 다나카 나오미) 253
10. 연하조정식 레시피 ·················· (이시노 토모코, 코야나기 유이치) 271
11. 신경근육질환, 외상성뇌손상, 정신질환과 섭식연하장애
························· (야구치 히로시, 카타기리 노리마사, 나카무라 토모유키) 281
12. 중증심신장애아동의 연하장애치료 ·············· (요코지 켄지) 297
13. 연하장애에 대한 구강 및 인두의 수술적 치료
······································································· (카나자와 히데아끼) 307
14. 섭식연하장애와 임상윤리 ························ (후지시마 이치로) 337

<권말－참고자료>
∙ 관련 학회 및 연구회 ···················································· 348
∙ 섭식연하장애 평가표 ····················································· 350
∙ 비디오투시연하검사(VFS) 평가용 서식 ······················· 351
∙ 섭식연하 능력 등급 ······················································ 353
∙ 섭식연하장애환자의 섭식상황 수준
(Food Intake Level Scale : FILS) ······························· 354
∙ 섭식연하장애 등급 판단기준 ········································ 355
∙ 질식, 흡인 위험 관리 매뉴얼 ······································· 356
∙ 섭식연하장애 증상과 간호계획 ···································· 357
∙ 영양 튜브 삽입 위치 확인 매뉴얼 ······························· 359
∙ 후두칩입－흡인 척도(penetration-aspiration scale) ······· 359
∙ 연하장애의 증상별 대처법 ············································ 360
∙ 세이레이미카타하라병원에서 치료한 연하장애
증례 2,552명의 치료 성적 ············································· 366

<찾아보기> ········································································ 367
컬럼 1-1 연하와 제비 ··············································· (후지시마 이치로) 16
컬럼 1-2 세이레이미카타하라병원의 연하장애 전문 클리닉 (야기 유리) 17
컬럼 6-1 초창기 섭식연하 팀의 창단과 언어재활사의 역할
······································································ (코지마 치에코) 118
Note 1-1 여러 가지 용어가 사용되고 있으므로 주의한다
··································································· (후지시마 이치로) 02
Note 1-2 연하의 기(期, stage)와 상(相, phase) ······ (후지시마 이치로) 04
Note 1-3 감각 입력과 운동 출력 ···························· (후지시마 이치로) 05
Note 1-4 뇌간 망상체 ·············································· (후지시마 이치로) 07
Note 1-5 물을 마시다가 사레가 잘 드는 이유 ······ (후지시마 이치로) 11
Note 1-6 인간의 직립과 삼킴 ·································· (후지시마 이치로) 15
Note 1-7 연하에 관한 2018년 일본의 진료수가 개정 · (후지시마 이치로) 18
Note 1-8 충분한 정보에 의한 동의(informed consent) · (후지시마 이치로) 18
Note 2-1 가성구마비에서 연구개의 움직임 ············ (후지시마 이치로) 22
Note 2-2 연하관련 근육의 특수성에 관하여 ·········· (후지시마 이치로) 34
Note 2-3 인두 이상감각 ··········································· (후지시마 이치로) 36
Note 3-1 사레 들림과 기침 ····································· (후지시마 이치로) 45
Note 3-2 구역(gag)반사에 관하여 ··························· (후지시마 이치로) 47
Note 3-3 VFS검사용 의자 ······································· (후지시마 이치로) 60
Note 3-4 VFS용 즉석 젤리 ····································· (후지시마 이치로) 65
Note 3-5 바륨볼 ························································ (후지시마 이치로) 65
Note 3-6 기침을 유발하는 네블라이저 ···· (후지시마 이치로, 다나카 나오미) 65
Note 3-7 발화명료도(5단계 평가) ··························· (후지시마 이치로) 73
Note 4-1 장해(障害)와 장애(障碍) ·························· (후지시마 이치로) 79
Note 4-2 근력강화 ···················································· (후지시마 이치로) 86
11