Measuring elderly dysphagic patients' performance in eating – a review

Hansen, Tina; Kjærsgaard, Anders; Faber, Jens

doi:10.3109/09638288.2011.553706

Cited by 35 publications

(26 citation statements)

References 48 publications

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“…The acute goal is simply to identify eating difficulties and take action on areas that may put the patient's health further in jeopardy. A sophistication of the instrument suggested by Wetergren et al (2002) [39]; the Minimal Eating Form (MEOF-II) [58] targets main functional areas of eating difficulties and have been recommended as a valid and reliable tool in establishing eating difficulties within hospital setting [59]. The items of the tool also indicate where necessary interventions should be focused in order to ease functional problems.…”

Section: Discussionmentioning

confidence: 98%

Recognizing new perspectives in eating difficulties following stroke: a concept analysis

Klinke¹,

Wilson

Hafsteinsdøttir

et al. 2012

Disability and Rehabilitation

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Section: Discussionmentioning

confidence: 98%

Recognizing new perspectives in eating difficulties following stroke: a concept analysis

Klinke¹,

Wilson

Hafsteinsdøttir

et al. 2012

Disability and Rehabilitation

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“…Residents with level 1 (nothing by mouth) up to level 6 (total oral diet with multiple consistencies without special preparation but with specific food limitations) were included in the study. Level 7 indicates a total oral diet with no restrictions and therefore no dysphagia [39, 40]. Residents with FOIS-level 7 will not be included.…”

Section: Methodsmentioning

confidence: 99%

The effect of a daily application of a 0.05% chlorhexidine oral rinse solution on the incidence of aspiration pneumonia in nursing home residents: a multicenter study

et al. 2017

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BackgroundDysphagia and potential respiratory pathogens in the oral biofilm are risk factors for aspiration pneumonia in nursing home residents. The aim of the study was to examine if the daily application of 0.05% chlorhexidine oral rinse solution is effective in reducing the incidence of aspiration pneumonia in nursing home residents with dysphagia. Associations between background variables (age, gender, dysphagia severity, care dependency, medication use, number of medical diagnoses, teeth and dental implants, and wearing removable dentures) and the incidence of aspiration pneumonia were also examined.MethodsThis study is a multicenter study in which for 1 year participants with dysphagia in the intervention group received the usual oral hygiene care with the addition of a 0.05% chlorhexidine oral rinse solution, whereas participants in the control group received only oral hygiene care.ResultsData of 103 participants in 17 nursing homes were analyzed. Survival analysis showed no significant difference in the incidence of pneumonia between both groups (Cox regression, HR = 0.800; 95% CI [0.368–1.737], p = 0.572). Cox regression analysis for Functional Oral Intake Scale (FOIS)-level showed a significant risk of the incidence of pneumonia (HR = 0.804; 95% CI [0.656–0.986], p = 0.036). After adjustment for Group and FOIS-level, Cox multivariate proportional hazard regression analysis showed that the variables age, gender, Care-dependency Scale-score (CDS) number of diseases, medication use, number of teeth, and the presence of dental implants or removable dentures were not significantly associated with the incidence of pneumonia.ConclusionsChlorhexidine oral rinse solution 0.05% as an adjunctive intervention in daily oral hygiene care was not found to reduce incidence of aspiration pneumonia. The requested number of participants to achieve sufficient power was not established and high drop-out rate and non-structural compliance was present. The power was considered to be sufficient to analyze the associations between the background variables and the incidence of pneumonia in the included nursing home residents with dysphagia. Dysphagia was found to be a risk factor for aspiration pneumonia.Trial registrationRegistration in The Netherlands National Trial Register: TC = 3515. Approval for the study was obtained from the Medical Ethical Committee of the Radboud University Medical Center (NL. nr:41,990.091.12).

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“…A recent review of the international literature on evidence-based assessment tools measuring dysphagic elders' performance during a natural meal revealed one occupational therapy assessment tool with satisfactory psychometric properties (9): the McGill Ingestive Skills Assessment (MISA) (10). The MISA, which was developed in Canada, is a relatively new method for measuring the ability of frail elders to eat and drink safely and independently during a natural meal (11).…”

Section: Introductionmentioning

confidence: 99%

Reliability of the Danish version of the McGill Ingestive Skills Assessment for observation-based measures during meals

Hansen

Lambert

Faber

2012

Scandinavian Journal of Occupational Therapy

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Measuring elderly dysphagic patients' performance in eating – a review

Cited by 35 publications

References 48 publications

Recognizing new perspectives in eating difficulties following stroke: a concept analysis

Recognizing new perspectives in eating difficulties following stroke: a concept analysis

The effect of a daily application of a 0.05% chlorhexidine oral rinse solution on the incidence of aspiration pneumonia in nursing home residents: a multicenter study

Reliability of the Danish version of the McGill Ingestive Skills Assessment for observation-based measures during meals

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