Stepping Stones to Living Well with Dysphagia
72nd Nestlé Nutrition Institute Workshop, Barcelona, May 2011
Oropharyngeal dysphagia is a major complaint among many patients suffering from neurological diseases as well as in the elderly. Its severity ranges from moderate difficulty to complete inability to swallow, and it may give rise to clinically relevant complications such as aspiration pneumonia, malnutrition and/or dehydration, impaired quality of life, and death. However, [...]
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Auteur : Julie CICHERO , Pere CLAVÉ
Editeur : Karger
Collection : Nestlé Nutrition Institute Workshop Series - 72
Date parution : 09/2012Bilingue : Français | Anglais
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Oropharyngeal dysphagia is a major complaint among many patients suffering from neurological diseases as well as in the elderly.
Its severity ranges from moderate difficulty to complete inability to swallow, and it may give rise to clinically relevant complications such as aspiration pneumonia, malnutrition and/or dehydration, impaired quality of life, and death. However, despite its high prevalence and even though it would be very cost-effective to avoid complications by adequate treatment, dysphagia is still severely underdiagnosed. The contributions in this book present and discuss state-of-the-art diagnostic methods, treatment, and care of dysphagia patients, putting special emphasis on a multidisciplinary approach.
A variety of clinical specialists will find this publication a most valuable addition to their library, including nurses, speech-language pathologists, dieticians, nutritionists, gastroenterologists and related specialties.
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ContentsVII Preface
IX Foreword
XII Contributors
Introduction
1 Definition, Prevalence and Burden of Oropharyngeal Dysphagia: A Serious Problem among Older Adults Worldwide and the Impact on Prognosis and Hospital Resources
Cichero, JAY. (Australia); Altman, KW (USA)
13 The Physiology of Deglutition and the Pathophysiology and
Complications of Oropharyngeal Dysphagia
Steele, C.M (Canada)
Detection
19 Identifying Vulnerable Patients: Role ofthe EAT-l0 and the
Multidisciplinary Team for Early Intervention and Comprehensive
Dysphagia Care
Kaspar, K. (Switzerland); Ekberg, 0. (Sweden) 33 The Volume-Viscosity Swallow Test for Clinical Screening of Dysphagia and Aspiration
Rofes, L.; Arreola, V; Clavé, P (Spain)
43 Videofluoroscopic Swallow Study: Techniques, Signs and Reports
Bülow, M. (Sweden)
53 Screening and Clinical Assessment of Oropharyngeal Dysphagia
Martino, R (Canada)
Dysfunction and Related Complications
57 Pathophysiology, Relevance and Natural History of Oropharyngeal
Dysphagia among Older People
Clavé, P; Rofes, L.; Carri6n, S.; Ortega, o.; Cabré, M.; Serra-Prat, M.;
Arreola, V (Spain)
67 Complications of Oropharyngeal Dysphagia: Aspiration Pneumonia
Almirall, J; Cabré, M.; Clavé, P (Spain)
77 Nutrition Assessment and Intervention in the Patient with Dysphagia: Challenges for Quality Improvement
Ochoa, JB. (USA)
Interventions
85 Therapeutic Approach to Malnutrition and Sarcopenia
Burgos Pelaez, R. (Spain)
101 Importance of Nutritional Support in Older People
Sanchez Garda, E.; Montero Errasqufn, B.; Sanchez Castellano, C;
Cruz-Jentoft, A.J (Spain)
109 Exercise-Based Approaches to Dysphagia Rehabilitation
Steele, C.M. (Canada)
119 Oropharyngeal Dysphagia Pathophysiology, Complications and Science-Based Interventions
Altman, KW (USA)
127 Concluding Remarks
135 Subject Index