Aspiration and the elderly

Feinberg, Michael J.; Knebl, Janice; Tully, Joann; Segall, Linda

doi:10.1007/bf02412646

Cited by 129 publications

(75 citation statements)

References 70 publications

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“…More than 270,000 veterans with dysphagia accounted for 350,000 visits and admissions to VA facilities annually [2]. One of the most common treatments for dysphagia is thickening liquids, thereby modifying swallowing physiology by altering fluid rheology [3].…”

Section: Introductionmentioning

confidence: 99%

“…A survey of VA acute facilities completed by the Office of Inspector General reported that speechlanguage pathologists recommended a downgrade in diet consistency 68 percent of the time and recommended that all liquids be thickened 46 percent of the time following abnormal swallowing evaluations [6]. In certain circumstances (e.g., neurodegenerative conditions such as dementia), thickened liquids are recommended as a longterm solution for safe hydration [3]. As many as 31 percent of residents in long-term care facilities receive altered diets, with an estimated 28 percent receiving thickened liquids [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of standardized bariums with varying rheological parameters on swallowing kinematics in males

Hind

Divyak²,

Zielinski³

et al. 2012

JRRD

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Abstract-This study measured dose-response of a range of commercially available liquid barium materials designed for use in videofluoroscopic oropharyngeal swallowing assessments, particularly as they relate to the necessity of adding a thickening agent for swallow safety. A group of 25 adult males representing various medical diagnoses consented to participate, with 16 qualifying to complete a videofluoroscopic swallowing assessment with liquid barium materials of three viscosities (nectar: 300 cP, thin honey: 1,500 cP, thick honey: 3,000 cP). Outcome measures included airway invasion (Penetration-Aspiration score), postswallow residue, and patient preference. Penetration-Aspiration and residue scores did not significantly differ between thin honey and thick honey bariums. Significantly more severe airway invasion was observed with nectar boluses than with two levels of honey boluses (p < 0.001). Significantly more residue was observed in the oral cavity (p < 0.002) and valleculae (p < 0.001) with thin and thick honey bariums than with nectar barium. Thin honey was rated as "easy" or "average" to drink by 67% of subjects, compared with 54% for thick honey. This study supports the use of thin honey barium over thick honey barium during videofluoroscopic swallowing assessments because the two honey bariums were comparable in terms of airway protection and postswallow residue in the oropharynx and the thin honey was preferred by patients.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of standardized bariums with varying rheological parameters on swallowing kinematics in males

Hind

Divyak²,

Zielinski³

et al. 2012

JRRD

View full text Add to dashboard Cite

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“…Studies suggest that 40% of adults aged 60 and older have dysphagia [38,39]. Stina [40] investigated the connection between swallowing functions and quality of life in patients with PD.…”

Section: Dysphagiamentioning

confidence: 99%

Speech Impairment, Phonation, Writing, Salivation, and Swallowing in Patients with Parkinson’s Disease

Savić¹

2017

Advances in Speech-Language Pathology

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Introduction Parkinson's disease (PD) can inluence the function of respiration, phonation and articulation, quality of speech, swallowing, salivation, and graphomotor skills. Aim and methodology:This chapter is based on research of the degree of impairments of speech, phonation, salivation, swallowing, and handwriting in 64 patients with PD. The results of maximal phonation time (MPT) were compared with two control groups of healthy young (N = 35) and healthy elderly (N = 35) subjects. The degree of impairment of these functions was measured by the Uniied Parkinson Disease Rating Scale (UPDRS) subtests. Results and discussion:In the group with PD, speech impairments of various degrees were present in 82.81% of patients. The problem of salivation control of diferent degrees was present in 68.75% of the sample. Swallowing diiculty of diferent degrees was present in 53.15% of the sample. Diiculty writing of various degrees had 84.38% of the sample. The average MPT in group with PD was 11.61 s, 21.39 s in the group of healthy young, and 20.52 in the group of healthy elderly subjects. Conclusion:Patients with PD on subtests UPDRS had various degrees of damages to the functions. Patients with PD had signiicantly shorter MPT than the control group.

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“…Beta agonists might contribute to gastroesophageal reflux (GER) by decreasing lower esophageal pressure (Yamaya et al, 2001). GER probably occurs more often when the patient is bedridden, and vomiting may be more frequent in patients with GER, adding to the risk of aspiration pneumonia (Feinberg et al, 1990). Aspiration pneumonia contributes to infection of the lung due to the aspiration of bacteria contained in (Barish et al, 1985) because they either aspirate smaller volumes or are able to clear bacteria rapidly.…”

Section: Elderly Patients: Dysphagia and Aspiration Pneumoniamentioning

confidence: 99%