Managing dysphagia through diet modifications

American Journal of Nursing

Volumn 110, Issue 11, 2010, Pages 26-33

  Garcia, Jane Mertz ^a   Chambers, Edgar ^b  

^a KANSAS STATE UNIVERSITY   (United States)

^b Sensory Analysis Center   (United States)

Author keywords

aspiration pneumonia; dietary modification; dysphagia; impaired swallowing; malnutrition

Indexed keywords

ARTICLE; DIET THERAPY; DYSPHAGIA; HUMAN; MALNUTRITION; NURSING;

DEGLUTITION DISORDERS; HUMANS; MALNUTRITION;

EID: 78649239878     PISSN: 0002936X     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.NAJ.0000390519.83887.02     Document Type: Article

References (45)

1. Ekberg O, et al. Social and psychological burden of dysphagia: its impact on diagnosis and treatment. Dysphagia 2002;17(2):139-46.
2. Whelan K. Inadequate fluid intakes in dysphagic acute stroke. Clin Nutr 2001;20(5):423-8.
3. Doggett DL, et al. Prevention of pneumonia in elderly stroke patients by systematic diagnosis and treatment of dysphagia: an evidence-based comprehensive analysis of the literature. Dysphagia 2001;16(4):279-95.
4. Langmore SE, et al. Predictors of aspiration pneumonia in nursing home residents. Dysphagia 2002;17(4):298-307.
5. Martino R, et al. Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke 2005;36(12):2756-63.
6. Reza Shariatzadeh M, et al. Differences in the features of as piration pneumonia according to site of acquisition: com munity or continuing care facility. J Am Geriatr Soc 2006;54(2):296-302.
7. Hinchey JA, et al. Formal dysphagia screening protocols prevent pneumonia. Stroke 2005;36(9):1972-6.
8. Wilkins T, et al. The prevalence of dysphagia in primary care patients: a HamesNet Research Network study. J Am Board Fam Med 2007;20(2):144-50.
9. Crary MA, et al. Dysphagia and nutritional status at the time of hospital admission for ischemic stroke. J Stroke Cerebrovasc Dis 2006;15(4):164-71.
10. Runions S, et al. Practice on an acute stroke unit after implementation of a decision-making algorithm for dietary management of dysphagia. J Neurosci Nurs 2004;36(4):200-7.
11. ECRI Evidence-based Practice Center. Diagnosis and treatment of swallowing disorders (dysphagia) in acutecare stroke patients. Rockville, MD: Agency for Health Care Policy and Research; 1999 Jul. AHCPR Publication No. 99-E024. Evi dence report/technology assessment No. 8. http://www.ncbi.nlm.nih. gov/bookshelf/br.fcgi?book=erta8.
12. Davis LA, Spicer MT. Nutrition and dysphagia in older adults. Top Geriatr Rehabil 2007;23(3):211-19.
13. Humbert IA, Robbins J. Dysphagia in the elderly. Phys Med Rehabil Clin N Am 2008;19(4):853-66.
14. Roy N, et al. Dysphagia in the elderly: preliminary evidence of prevalence, risk factors, and socioemotional effects. Ann Otol Rhinol Laryngol 2007;116(11):858-65.
15. Kawashima K, et al. Prevalence of dysphagia among community-dwelling elderly individuals as estimated using a questionnaire for dysphagia screening. Dysphagia 2004;19(4):266-71.
16. Vincent GK, Velkoff VA. The next four decades. The older population in the United States: 2010 to 2050. Current population reports, Series P-25. Population estimates and projections. 2010(1138). http://www.aoa.gov/AoARoot/ Aging-Statistics/future-growth/DOCS/p25-1138.pdf.
17. Mendell DA, Logemann JA. Temporal sequence of swallow events during the oropharyngeal swallow. J Speech Lang Hear Res 2007;50(5):1256-71.
18. Matsuo K, Palmer JB. Anatomy and physiology of feeding and swallowing: normal and abnormal. Phys Med Rehabil Clin N Am 2008;19(4):691-707.
19. Garon BR, et al. Silent aspiration: results of 2, 000 video fluoroscopic evaluations. J Neurosci Nurs 2009;41(4):178-85.
20. Katzan IL, et al. The cost of pneumonia after acute stroke. Neurology 2007;68(22):1938-43.
21. Suiter DM, Easterling CS. Update on current treatment and practice patterns for dysphagia. Top Geriatr Rehabil 2007;23(3):197-210.
22. Logemann JA, et al. What information do clinicians use in recommending oral versus nonoral feeding in oropharyngeal dysphagic patients? Dysphagia 2008;23(4):378-84.
23. Bourne M. Food texture and viscosity: concept and measurement. 2nd ed. San Diego: Academic Press; 2002.
24. Groher ME, McKaig TN. Dysphagia and dietary levels in skilled nursing facilities. J Am Geriatr Soc 1995;43(5):528-32.
25. Steele CM, et al. Mealtime difficulties in a home for the aged: not just dysphagia. Dysphagia 1997;12(1):43-50.
26. National Dysphagia Diet Task Force. National dysphagia diet: standardization for optimal care. Chicago: American Dietetic Association; 2002.
27. Cassens D, et al. Enhancing taste, texture, appearance, and presentation of pureed food improved resident quality of life and weight status. Nutr Rev 1996;54(1 Pt 2): S51-S54.
28. Germain I, et al. A novel dysphagia diet improves the nutrient intake of institutionalized elders. J Am Diet Assoc 2006;106(10):1614-23.
29. Ballou Stahlman L, et al. Comparison ratings of pureed versus molded fruits: preliminary results. Dysphagia 2000;15(1):2-5.
30. Stahlman LB, et al. Perceptual ratings for pureed and molded peaches for individuals with and without im paired swallowing. Dysphagia 2001;16(4):254-62.
31. Garcia JM, et al. Thickened liquids: practice patterns of speech-language pathologists. Am J Speech Lang Pathol 2005;14(1):4-13.
32. Adeleye B, Rachal C. Comparison of the rheological properties of ready-to-serve and powdered instant foodthickened beverages at different temperatures for dysphagic patients. J Am Diet Assoc 2007;107(7):1176-82.
33. Garcia JM, et al. Viscosity measurements of nectar-and honey-thick liquids: product, liquid, and time compar isons. Dysphagia 2005;20(4):325-35.
34. Garcia JM, et al. Serving temperature viscosity measurements of nectar-and honey-thick liquids. Dysphagia 2008;23(1):65-75.
35. Dewar RJ, Joyce MJ. Time-dependent rheology of starch thickeners and the clinical implications for dysphagia therapy. Dysphagia 2006;21(4):264-9.
36. Steele CM, et al. The rheology of liquids: a comparison of clinicians' subjective impressions and objective measurement. Dysphagia 2003;18(3):182-95.
37. Garcia JM, et al. Quality of care issues for dysphagia: modifications involving oral fluids. J Clin Nurs 2010;19(11-12): 1618-24.
38. Robbins J, et al. Comparison of 2 interventions for liquid aspiration on pneumonia incidence: a randomized trial. Ann Intern Med 2008;148(7):509-18.
39. Lotong V, et al. Texture and flavor characteristics of beverages containing commercial thickening agents for dysphagia diets. J Food Sci 2003;68(4):1537-41.
40. Matta Z, et al. Sensory characteristics of beverages prepared with commercial thickeners used for dysphagia diets. J Am Diet Assoc 2006;106(7):1049-54.
41. Niedert KC. Position of the American Dietetic Association: Liberalization of the diet prescription improves quality of life for older adults in long-term care. J Am Diet Assoc 2005;105(12):1955-65.
42. Panther K. The Frazier Free Water Protocol. Perspectives on Swallowing and Swallowing Disorders (Dysphagia) 2005;14(1):4-9.
43. Wagner LCB. Ethical and legal implications of the Frazier Free Water Protocol. Perspectives on Swallowing and Swallowing Disorders (Dysphagia) 2005;14(1):21-4.
44. Castellanos VH, et al. Use of thickened liquids in skilled nursing facilities. J Am Diet Assoc 2004;104(8):1222-6.
45. McCallum SL. The National Dysphagia Diet: implementation at a regional rehabilitation center and hospital system. J Am Diet Assoc 2003;103(3):381-4.