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Considering the difficulties with dysphagia: an overview for community nurses.

The term dysphagia is used when a person has difficulty eating or swallowing. Around 11% of adults living in the community have dysphagia (Holland et al, 2011). It is associated with neurological problems, chronic obstructive airways disease (COPD), ageing and frailty (Turley and Cohen, 2009). Table 1 outlines the prevalence of dysphagia associated with common conditions. To swallow normally, a person requires an intact motor and nervous system (Royal College of Speech and Language Therapists (RCSLT), 2014). There are four phases in a normal swallow (Table 2).