Quality of care issues for dysphagia: modifications involving oral fluids

Garcia, Jane Mertz; Chambers, Edgar; Clark, Michael W.; Helverson, Jennifer; Matta, Ziad

doi:10.1111/j.1365-2702.2009.03009.x

Cited by 56 publications

(46 citation statements)

References 28 publications

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“…These symptoms may be attributed to a reduction in fluid intake, as four of the participants reported drinking less fluid during the thickened liquid period. These findings coincide with prior reports of a decrease in fluid intake among dysphagic patients placed on a thickened liquid diet [8][9][10]. As previously noted, urine density analyses revealed that six out of seven participants had increased urine density after the thickened liquid protocol (see Table 1).…”

Section: Discussionsupporting

confidence: 80%

“…Several reports have demonstrated that individuals who are placed on thickened liquid diets fail to meet minimum fluid intake requirements and thus are at risk for dehydration [7][8][9]. Patients often report that they don't like the thickened liquids; they refuse to drink them which mean that they reduce their overall fluid intake [10]. Other possible factors to the reduction in fluid intake include the beverage preferences of the patient and incorrect preparation of thickened liquids [1,7,11].…”

Section: Introductionmentioning

confidence: 99%

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The Effect of a Vocal Loading Task on Vocal Function Before and After 24 Hours of Thickened Liquid Use

Gorham-Rowan¹,

Berndt²,

Carter³

et al. 2016

J Speech Pathol Ther

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Objective: To determine the effect of a vocal loading task on vocal function before and after 24 hours of thickened liquid use.Methods: Seven healthy adults, ages 19 to 52 years of age, were recruited as participants. Baseline data regarding daily food/liquid intake and urine specific gravity levels (USG) as a marker of hydration were obtained. Participants then completed a vocal loading task, which consisted of 3 × 10 repetitions of a sustained vowel task at 65 dB to 75 dB SPL. Voice recordings and subjective ratings of vocal fatigue and muscle soreness were obtained prior to and following the vocal loading task for both the pre-thickened liquid and post-thickened liquid experimental session. The voice samples were analyzed for changes in fundamental frequency, loudness, and perturbation measures.Results: There was a significant main effect of vocal loading on vocal loudness as well as subjective ratings of vocal fatigue and muscle soreness; all parameters were higher post-vocal loading. There was also a significant main effect of thickened liquid use on jitter, as jitter levels were substantially lower post-thickened liquids. Conclusion:The objective and subjective changes reported by the participants' post-vocal loading are consistent with prior reports concerning normal adaptive responses to greater vocal demands and increased muscular effort. A brief period of thickened liquids does not appear to affect vocal function.

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

The Effect of a Vocal Loading Task on Vocal Function Before and After 24 Hours of Thickened Liquid Use

Gorham-Rowan¹,

Berndt²,

Carter³

et al. 2016

J Speech Pathol Ther

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show abstract

“…Many patients with dysphagia are prescribed thickened liquids by Doctors of Medicine (MDs), dieticians, registered nurses (RNs), SLPs, and other professionals as a form of compensatory treatment; however, there is variability and a lack of standardization of the preparation of thickened liquids [1][2][3]. A recent study performed by Payne et al shows a statistically significant discrepancy between the thickened liquids prepared by hospital SLPs when compared to thickened liquids prepared in the laboratory, while both groups followed the same instructions [10].…”

Section: Int J Adv Res 5(8) 1197-1216mentioning

confidence: 99%

Thickened Liquids: Are They Scientifically Accurate?

Bantley¹,

Wortkoetter²,

Ewing³

et al. 2017

IJAR

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“…Por otro lado, la prevalencia de las alteraciones de la deglución en pacientes con enfermedades neurológicas y asociadas al envejecimiento es extraordinariamente elevada, extensamente estudiada y, sin embargo, muy poco conocida e infradiagnosticada por el personal sanitario (12,13,19). En las enfermedades neurodegenerativas, las cifras de prevalencia de disfagia orofaríngea son muy altas (19).…”

Section: Algunos Datos Epidemiológicosunclassified

“…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

Abordaje de la disfagia en enfermos de alzhéimer

González

Molina-Recio

2016

Nutr Hosp

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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.

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Quality of care issues for dysphagia: modifications involving oral fluids

Abstract: The patient's nursing staff typically oversees nutritional care plans that may include modifications to oral fluids to enable their patients to safely drink by mouth. Additional consideration should be given to training procedures and possible noncompliance with preparation guidelines.

Cited by 56 publications

References 28 publications

The Effect of a Vocal Loading Task on Vocal Function Before and After 24 Hours of Thickened Liquid Use

The Effect of a Vocal Loading Task on Vocal Function Before and After 24 Hours of Thickened Liquid Use

Thickened Liquids: Are They Scientifically Accurate?

Abordaje de la disfagia en enfermos de alzhéimer

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