Factors affecting independence in eating among elderly with Alzheimer's disease

Edahiro, Ayako; Hirano, Hirohiko; Yamada, Ryotaro; Chiba, Yoshiaki; Watanabe, Yutaka; Tonogi, Morio; Yamane, Gen-yuki

doi:10.1111/j.1447-0594.2011.00799.x

Cited by 64 publications

(70 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Esta relación entre alzhéimer, disfagia y nutrición ha sido evidenciada por diversos estudios. Se estima que el riesgo de desarrollar este problema oscila entre el 50 y el 75% de los afectados la enfermedad de Alzheimer (14,15), tanto a nivel hospitalario como comunitario, destacando en este último ámbito los trabajos llevados a cabo en diversas residencias de ancianos a lo largo del territorio europeo (16)(17)(18). Esta relación se ha vinculado tradicionalmente a una baja ingesta calórico-proteica y a la aspiración de alimentos (19).…”

Section: Situación Actualunclassified

“…En todos los casos se debe individualizar la textura, ya que el uso de dietas modificadas sin individualizar conlleva una clara disminución de la ingesta calórica y proteica (12,15,33,34).…”

Section: Figuraunclassified

“…Es especialmente relevante individualizar la textura en función del paciente y del momento evolutivo de la enfermedad, y hacerlo de forma gradual (8,23,34,(37)(38)(39), ya que se ha evidenciado que el uso de dietas modificadas sin individualizar acarrea una clara disminución de la ingesta calórica y proteica (34,39,40), así como otras potenciales alteraciones nutricionales. En algunos pacientes puede que los requerimientos energéticos y proteicos con dietas naturales modificadas de textura sean difíciles de conseguir, por ello puede ser necesaria la utilización de productos artificiales (15). Sin lugar a dudas, las MTF se presentan como la mejor opción terapéutica, ya que el uso sistemático de suplementos nutricionales orales (SON) convencionales no aporta beneficio.…”

Section: Tratamiento De La Disfagiaunclassified

See 2 more Smart Citations

Abordaje de la disfagia en enfermos de alzhéimer

González

Molina-Recio

2016

Nutr Hosp

View full text Add to dashboard Cite

Palabras clave:Alzheimer. Disfagia. Multidisciplinar. Revisión sistemática. Key words:Alzheimer. Dysphagia. Multidisciplinary. Systematic review. AbstractIntroduction: Dysphagia is a symptom that refers to the inability to move the bolus from the mouth to the stomach. Despite its importance and the severity of possible complications it is relatively little known and studied. The prevalence of oropharyngeal dysphagia in Alzheimer patients is up to 84% and it may cause complications with great clinical signifi cance due to alterations in swallowing effi ciency and security. Aim: To know the current state of knowledge regarding the integrated approach of dysphagia in Alzheimer patients, fi nding the factors that enable an early diagnosis to facilitate the prevention of complications and to choose the pattern most appropriate action. Methodology: Systematic review of papers published English and Spanish between 2005 and 2014. Databases consulted: PubMed, Cochrane, Scopus, Elsevier, Scielo and Dialnet. Mesh terms used: disfagia, dysphagia, alzheimer, and texture modifi ed food. Results: The diagnosis of dysphagia in Alzheimer patients is performed using clinical methods and complementary examinations such as videofl uoroscopy, considered to be the gold standard for the study of oropharyngeal dysphagia, detecting from 1/3 to 1/4 of the cases, who could present no diagnosable clinically silent aspiration. There are therapeutic strategies that include changes in bolus volume and viscosity, postural changes, deglutition maneuvers, rehabilitation procedures and increase sensory techniques that have proved effective, but it is a complex task that requires a multidisciplinary approach for a correct diagnosis and treatment to improve the quality of life of these patients. Conclusions: There is a lack of scientifi c evidence in addressing dysphagia and of knowledge about the feeding and nutrition of these patients. This condition requires a multidisciplinary intervention where dietary measures play a major role.

show abstract

Section: Situación Actualunclassified

Section: Figuraunclassified

Section: Tratamiento De La Disfagiaunclassified

See 1 more Smart Citation

Abordaje de la disfagia en enfermos de alzhéimer

González

Molina-Recio

2016

Nutr Hosp

View full text Add to dashboard Cite

show abstract

“…40 It has been suggested self-feeding can be promoted by eliminating environmental factors (distractors such as noise and movement) and providing assistance promoting the commencement of a meal. 41 M. Baltes & M. Zerbe attempted to re-establish self-feeding in a single case design using an immediate continuous reinforcement program (CRF) (i.e. reinforcement was delivered directly after every instance of self-feeding).…”

Section: Eating/drinkingmentioning

confidence: 99%

A Review of Behavioural Gerontology and Dementia Related Interventions

Josling

2015

SAH

View full text Add to dashboard Cite

show abstract

“…8 Other diffi culties with eating and drinking can occur as result of psychological issues, physical restrictions, poor dentition or behavioural problems. 4,6,9,10 The consequences of diffi culties with eating and drinking can be serious and potentially life threatening. If left unrecognised or untreated, dysphagia can lead to choking and aspiration pneumonia.…”

Section: Introductionmentioning

confidence: 99%

Should they have a percutaneous endoscopic gastrostomy? The importance of assessing decision-making capacity and the central role of a multidisciplinary team

et al. 2014

View full text Add to dashboard Cite

Should they have a percutaneous endoscopic gastrostomy?The importance of assessing decision-making capacity and the central role of a multidisciplinary team Decisions about percutaneous endoscopic gastrostomy (PEG) can be clinically and ethically challenging, particularly when patients lack decision-making capacity. As the age of the UK population rises, with the associated increase in prevalence of dementias and neurodegenerative diseases, it is becoming an increasingly important issue for clinicians. The recent review and subsequent withdrawal of the Liverpool Care Pathway highlighted feeding as a particular area of concern. The authors undertook a 1-year retrospective review of individuals referred to the feeding issues multidisciplinary team (FIMDT) at Addenbrooke's Hospital, Cambridge, UK, in 2011. The majority of patients referred (n=158) had a primary diagnosis of cancer (44%). The second largest group was those who had had a stroke or brain haemorrhage (13%). Twenty-eight per cent of patients had no, or uncertain, decision-making capacity on at least one occasion during decision-making. There are refl ections on the role of a multidisciplinary team in the process of decision-making for these complex patients.

show abstract

Factors affecting independence in eating among elderly with Alzheimer's disease

Cited by 64 publications

References 30 publications

Abordaje de la disfagia en enfermos de alzhéimer

Abordaje de la disfagia en enfermos de alzhéimer

A Review of Behavioural Gerontology and Dementia Related Interventions

Should they have a percutaneous endoscopic gastrostomy? The importance of assessing decision-making capacity and the central role of a multidisciplinary team

Contact Info

Product

Resources

About