Stroke-induced dysphagia in hospital: the nutritional perspective

Negus, Elizabeth

doi:10.12968/bjon.1994.3.6.263

Cited by 9 publications

(4 citation statements)

References 6 publications

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“…8,9 Dysphagia teams aim to restore or maximize swallow function. These teams are well described across a spectrum of settings, including dysphagia clinics, 10 inpatient nutrition teams, 11 head and neck cancer programs, 12 and nursing home care teams. They enlist the input and perspective of multiple health disciplines along with the patient and family members.…”

Section: Team Approach To Carementioning

confidence: 99%

How Should Dysphagia Care of Older Adults Differ? Establishing Optimal Practice Patterns

Barczi

Sullivan²,

Robbins³

2000

Semin Speech Lang

175

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An unprecedented demographic transformation is occurring as our population ages. Those older than age 65 represent the fastest growing segment of the population. Within this older group, approximately 10% to 30% of adults are estimated to have dysphagia, but true incidence and prevalence are unknown. They make up a heterogeneous mix of both healthy and disabled individuals that reside across a spectrum of living settings. As clinicians approach older adults with dysphagia, general geriatric principles should be followed to optimize care for this diverse group. Likewise, practitioners need to appreciate the physiology that distinguishes a healthy old swallow from dysphagia and acknowledge the wide array of causes that contribute to dysphagia in older people. Clinicians need to recognize the heterogeneity in health, functional abilities, social supports, and resources among the elderly and understand how these factors may influence approaches to dysphagia in different care settings. Standard outcome measures of pneumonia, malnutrition, and mortality must be blended with other quality of life indices. Advanced directives are essential in caring for elderly patients with dysphagia irrespective of their health acuity or care setting. Ultimately, patient and family preferences should dictate the swallowing and feeding interventions offered.

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Section: Team Approach To Carementioning

confidence: 99%

How Should Dysphagia Care of Older Adults Differ? Establishing Optimal Practice Patterns

Barczi

Sullivan²,

Robbins³

2000

Semin Speech Lang

175

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“…PEM, also called protein-calorie malnutrition (PCM), may be defined as unintentional loss of greater than 10% of usual weight in less than 6 months and/or a serum albumin level of less than 3.5 g/dl [26]. There have been numerous studies detailing the association of PEM and dysphagia that delineate both the increased incidence of morbidity and mortality [27][28][29][30][31]. Acquired immune dysfunction, respiratory and cardiac insufficiency, decubitus ulcer formation, and impaired gastrointestinal function have all been described as consequences [27].…”

Section: The Dysphagia and Malnutrition Correlationmentioning

confidence: 99%

The Interdependency of Protein-Energy Malnutrition, Aging, and Dysphagia

Hudson

Daubert

Mills³

2000

Dysphagia

135

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Advancing age is increasingly associated with confounding chronic and acute ailments, predisposing elderly individuals to conditions such as malnutrition and swallowing dysfunction. This enhanced susceptibility to malnutrition and dysphagia in this aging demographic lends itself to exacerbating, disabling conditions that may result in increased morbidity and mortality in the event of an aspiration episode. Early identification of substandard nutritional status and subsequent interventiion in the elderly dysphagic population may circumvent the deleterious effects of malnutrition.

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“…Although the examples cited here are of disease processes that directly affect the swallowing mechanism, other swallowing problems may result from various pathological conditions that indirectly affect swallow-ing functions. Conditions known to adversely affect swallowing include cerebrovascular infarcts (Buchholz, 1994;Lugger, 1994;Negus, 1994), tetanus (Chao et al, 1991), Sjogren's syndrome (Caruso, Sonies, Atkinson, & Fox, 1989;Erlichman, 1990), Parkinson's disease (Athlin, Norberg, Axelsson, Moller, & Nordstrom, 1989;Bird, Woodward, Gibson, Phyiand, & Fonda, 1994;Blonsky et al, 1975), Alzheimer's disease (Horner, Alberts, Dawson, & Cook, 1994), and "unexplained" neurogenic dysphagia (Buchholz, 1994).…”

Section: Swallowing Problems and Difficulties In The Elderlymentioning

confidence: 99%

Effects of Aging on Neuromotor Processes of Swallowing

Caruso

Max

1997

Semin Speech Lang

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Isolated swallowing difficulties are present in a substantial percentage of elderly adults. Most have no known medical basis, although some may be caused by underlying, but undetected, medical conditions. Others may result from conditions that indirectly affect swallowing. After an overview of the neuroanatomy and neurophysiology of swallowing, this article reviews findings on changes in swallowing that accompany aging. Some of the differences reported have failed to be replicated consistently, and other changes are subtle, their significance unknown. Most studies, however, have found decreased sensitivity in both the oral and pharyngeal cavities. It is concluded that additional objective clinical measures are needed to isolate changes in swallowing due to age from those resulting from other causes. Clearly, further research is needed.

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Stroke-induced dysphagia in hospital: the nutritional perspective

Cited by 9 publications

References 6 publications

How Should Dysphagia Care of Older Adults Differ? Establishing Optimal Practice Patterns

How Should Dysphagia Care of Older Adults Differ? Establishing Optimal Practice Patterns

The Interdependency of Protein-Energy Malnutrition, Aging, and Dysphagia

Effects of Aging on Neuromotor Processes of Swallowing

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