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Résumé En cas de difficultés pour avaler, l’écrasement ou l’ouverture des médicaments est une pratique courante. Si l’administration nécessite une modification de la forme galénique, il convient de (ré)évaluer le traitement. La Société française de pharmacie clinique a réalisé un guide informant sur la possibilité d’écraser ou d’ouvrir un médicament à partir d’éléments pharmacocinétiques et galéniques et/ou de proposer des alternatives. Summary When patients have difficulty in swallowing, the crushing or opening of medication is common practice. If a modification of the dosage form is required, it is important to (re)assess the treatment. The French Society of Clinical Pharmacy has produced a guide to whether a medication can be crushed or opened depending on pharmacokinetic and galenic elements and suggests alternatives where appropriate [ABSTRACT FROM AUTHOR]

In geriatrics, swallowing disorders are frequent, representing a daily source of anxiety for the nursing teams. Training in this area, aimed at caregivers in a long-stay care unit, has been developed based on an assessment of professional practices., (Copyright © 2019 Elsevier Masson SAS. All rights reserved.)

Swallowing disorders in neurological rehabilitation are common and important as they can have harmful consequences. A multi-disciplinary hospital team was created to study ways of preventing their occurrence. This article presents the areas to focus on and the main orientations of patient management., (Copyright © 2015 Elsevier Masson SAS. All rights reserved.)

Introduction: Interest in studying swallowing disorders in patients with altered consciousness has increased over the past decade. Swallowing deficit is frequently encountered in severe brain-injured patients., State of Art: Results of studies have highlighted different factors such as the delay between the injury and the treatment and the level of consciousness of these patients, as well as the presence or not of tracheotomy, which will determine the feasibility of resuming oral feeding. Nowadays, very few valid and sensitive scales can be used to assess swallowing deficit in patients with disorders of consciousness. The Facial Oral Tract Therapy (FOTT) scale is an inter-professional multidisciplinary approach offering a structured way to evaluate and treat patients with swallowing disorders. In contrast with other scales, patients do not have to follow verbal instructions for the FOTT., Perspectives: This paper presents a review of existing literature on the assessment and management of swallowing disorders in patients with altered state of consciousness, and a description of the FOTT method., Conclusion: The FOTT seems to be an interesting assessment and rehabilitation tool for patients with disorders of consciousness. However, clinical studies are needed to confirm the validity and sensitivity of this technique., (Copyright © 2014 Elsevier Masson SAS. All rights reserved.)