Dysphagia: A Rare Form of Dyskinesia?

Nieves, J Edwin; Stack, Kathleen M.; Harrison, Megan; Gorman, Jack M.

doi:10.1097/01.pra.0000271663.40211.56

Cited by 7 publications

(6 citation statements)

References 5 publications

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“…In the case reports, some acknowledged ''self-report'' (Bhat et al, 2010, Chen et al, 2015, Crouse et al, 2017 but without further detail of the patient perspective. There was variation in the brief reporting of patient concerns, with the majority of descriptions reflecting patient complaints of swallowing difficulty (Bhat et al, 2010, Crouse et al, 2017, Duggal and Mendhekar, 2008, Dziewas et al, 2007, Lin et al, 2012, Nieves et al, 2007, Osman and Devadas, 2016, Varghese et al, 2006, or feeling unable to eat (Cicala et al, 2019, Lin et al, 2012. Other accounts suggested patient complaints of sialorrhea (Osman andDevadas, 2016, Sagar et al, 2005), and concerns regarding tremor (Leopold, 1996).…”

Section: Self Report Not Elaboratedmentioning

confidence: 99%

“…Other accounts suggested patient complaints of sialorrhea (Osman andDevadas, 2016, Sagar et al, 2005), and concerns regarding tremor (Leopold, 1996). Coughing was identified in several self-reports (Chen et al, 2015, Dziewas et al, 2007, Nieves et al, 2007, Tang and Hsieh, 2010. One study captured a self-report of "difficulty chewing" (Leopold, 1996)p151.…”

Section: Self Report Not Elaboratedmentioning

confidence: 99%

“…Studies suggested that specific delusions, fears, or fixed ideas may have reduced self-awareness and reporting of difficulty (Chen et al, 2015, Guthrie et al, 2012, Hwang et al, 2010, Osman and Devadas, 2016. However, authors also acknowledged the contribution of self-reporting from patients with poor mental health presentation, including reports from people with deteriorating agitation, increased psychotic symptoms, or mania (Crouse et al, 2017, Dziewas et al, 2007, Lin et al, 2012, McManus, 2001, Nieves et al, 2007, Osman and Devadas, 2016, Sagar et al, 2005. Chen et al's (2015) study included patient self-report of choking incidents: patients able to give written informed consent were asked to report any coughing or swallowing difficulties.…”

Section: Self Report Not Elaboratedmentioning

confidence: 99%

“…There was occasional mention of anxieties around choking (Gregory et al, 1992, Guthrie et al, 2015, Hemsley et al, 2019, Hsieh et al, 1986, McManus, 2001, Mendhekar and Agarwal, 2010, with patients using lay terms such as ''stuck in throat'' (Dziewas et al, 2007)p.161. ; (Duggal and Mendhekar, 2008) or ''tightness'' (Nieves et al, 2007). One study commented that ''minor incidents'' which involve coughing but not severe choking are less likely to be reported (Yim and Chong, 2009)p.149.…”

Section: Emotional Impact Reported By People Other Than the Patientmentioning

confidence: 99%

“…Duggal and Mendhekar (2008)p161 advised however that clinicians should "curtail extensive diagnostic testing and unfruitful medication trials"' and that review of medication should be prioritised. One study alone discussed supporting patient decision-making around changes to medication suggesting that it may be complex due to differing potential medication side-effects (Nieves et al, 2007).…”

Section: Clinician's Perspective On Assessment and Interventionmentioning

confidence: 99%

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Mealtime difficulties in adults with mental health conditions: an integrative review

Guthrie

Baker

Cahill

et al. 2022

Journal of Mental Health

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Background: Dysphagia and choking are highly prevalent in adults with mental health conditions. However, there is scant research considering the personal experience of dysphagia for this population.Aims: to understand the evidence-base for strategies to involve the patient in recognition, assessment and treatment of mealtime difficulties Methods: this integrative review synthesised the literature on the experience of dysphagia in patients with mental health conditions. Patient consultation led to co-designed search terms and eligibility criteria for a systematic search of five scientific databases following Prisma guidance. Quality assessment of the eligible studies and reflexive thematic analysis were completed.Results: 31 studies were included for review. These included case reports, literature reviews and cross-sectional studies. Quality of evidence was weak and no intervention studies were identified. There was scant detail regarding the personal experience of dysphagia or choking.Themes identified related to biomedical perspectives, influencing factors presented without context, and decision-making led by clinicians.Conclusions: guidance on mental healthcare calls attention to under-diagnosis of physical co-morbidities and advocates patient inclusion. However, the patient voice in this population is rarely described regarding dysphagia. Further inclusive research is indicated to explore the impact of dysphagia and choking, and implications for interventions and outcome measures 2

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Section: Self Report Not Elaboratedmentioning

confidence: 99%

Section: Self Report Not Elaboratedmentioning

confidence: 99%

Section: Self Report Not Elaboratedmentioning

confidence: 99%

Section: Emotional Impact Reported By People Other Than the Patientmentioning

confidence: 99%

Section: Clinician's Perspective On Assessment and Interventionmentioning

confidence: 99%

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Mealtime difficulties in adults with mental health conditions: an integrative review

Guthrie

Baker

Cahill

et al. 2022

Journal of Mental Health

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Swallowing Disorders in Schizophrenia

2017

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Disorders of swallowing are poorly characterized but quite common in schizophrenia. They are a source of considerable morbidity and mortality in this population, generally as a result of either acute asphyxia from airway obstruction or more insidious aspiration and pneumonia. The death rate from acute asphyxia may be as high as one hundred times that of the general population. Most swallowing disorders in schizophrenia seem to fall into one of two categories, changes in eating and swallowing due to the illness itself and changes related to psychotropic medications. Behavioral changes related to the illness are poorly understood and often involve eating too quickly or taking inappropriately large boluses of food. Iatrogenic problems are mostly related to drug-induced extrapyramidal side effects, including drug-induced parkinsonism, dystonia, and tardive dyskinesia, but may also include xerostomia, sialorrhea, and changes related to sedation. This paper will provide an overview of common swallowing problems encountered in patients with schizophrenia, their pathophysiology, and management. While there is a scarcity of quality evidence in the literature, a thorough history and examination will generally elucidate the predominant problem or problems, often leading to effective management strategies.

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