NUTR 3150 Lecture Notes - Lecture 26: Comorbidity, Sarcopenia, Neurodegeneration
24 Jul 2018
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What is dysphagia: disordered swallowing, always a secondary dx (stroke, tbi, head and neck cancer, neurodegenerative disease) Ax and dx of swallowing disorders: clinical swallowing evaluation. Done by slp to look for s/s of swallow impairment. Pending pt cognitive status, slp may provide pt with food/liquids. Often, one of the only exam done (in canada), unless facility has good instrumental exams. How do we treat it: compensatory strategies, holding your breath before swallowing, postural changes. Texture modification: qol emphasized but if its there only option, the must do it, allow body to compensate; water flows fast. There is evidence that thickening helps those who aspirate thin liquids. The(cid:396)e is al o e(cid:448)ide(cid:374)(cid:272)e that the(cid:396)e is su(cid:272)h athi(cid:374)g as (cid:862)too thi(cid:272)k(cid:863), (cid:449)he(cid:396)e (cid:396)esidue (cid:271)egi(cid:374)s to accumulate. There is no specific evidence to point to particular rheological values that define the boundaries of effective thickening (either just thick enough or too thick)
