International Journal For Multidisciplinary Research

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Oral Exercise as a Nursing Strategy to Enhance Oral Intake Following Endotracheal Extubation in ICU: A Narrative Review

Author(s) Mr. Nitesh Kumar, Mr. R. Velmurugan, Ms. Pavleen Kour, Mr. Manoj Singh Rawat
Country India
Abstract Background: Following endotracheal post-extubation dysphagia is a prevalent problem among critically sick intensive care unit patients. It frequently leads to delayed oral intake, aspiration, malnutrition, extended hospital stays, and poor recovery results.
The purpose of this narrative review was to assess how well oral exercise works as a nursing intervention to enhance oral intake and swallowing function in patients in intense critical care after extubation.
Methods: PubMed, Scopus, Google Scholar, and critical care nursing journals were used to do a narrative review of the literature published between 2018 and 2025. A thematic analysis and synthesis of research on oral exercises, swallowing therapy, and nurse-led treatments in adult ICU patients who had been extubated was conducted.
Findings: Research indicates that systematic oral workouts including the jaw, tongue, lips, and pharyngeal muscles greatly increase the safety of swallowing. Functional Oral Intake Scale (FOIS) scores, and early return to oral feeding. Oral exercise also reduced aspiration risk and enhanced quality of life in ICU care.
Conclusion: Oral exercise is an effective, low-cost nursing intervention that improves oral intake and swallowing recovery after endotracheal extubation. Standardized oral exercise protocols into routine ICU nursing care may improve patient outcomes and reduce post-extubation complications.
Keywords Keywords: Post-extubation dysphagia, oral exercise, swallowing rehabilitation, intensive care unit, oral intake.
Field Medical / Pharmacy
Published In Volume 8, Issue 3, May-June 2026
Published On 2026-06-28
DOI https://doi.org/10.36948/ijfmr.2026.v08i03.82381
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