Dysphagia (pronounced dis - fay - ja) is the medical term that means swallowing difficulty. Someone with Dysphagia has a hard time swallowing foods and/or liquids …
A swallowing disorder called dysphagia often occurs as a result of stroke. Dysphagia may occur in up to 65 percent of stroke patients. If not identified and managed, it can lead to poor nutrition, pneumonia and increased disability. Aspiration. Aspiration (inhaling food or drink) is a common problem for people with dysphagia.
The speech and language therapist will recommend the amount of thickener and consistency you should be aiming for as this will vary from person to person. It is best to sprinkle the thickener onto the liquid while trying to whisk it in with a fork, adding some at a time and giving a good stir in between.
May 01, 2013· Diagnosis of Dysphagia and its nutritional management for stroke patients. Can Med Assoc J. 2003; 169 (10):1041–4. [PMC free article] Finestone HM, Foley NC, Woodbury GM, Greene-Finestone L. Quantifying fluid intake in dysphagic stroke patients: a preliminary comparison of oral and nonoral strategies. Arch Phys Med Rehabil.
Thickened Liquids for Safer Swallowing Levels of liquid thickness You will be told how thick liquids should be for you to swallow safely. This depends on your problem with swallowing, also called dysphagia. Thin liquids: such as water, milk, juice, coffee, tea, Ensure, carbonated drinks, Jell-O, ice cream, sherbet, sorbet and broth-based soups.
An easy to use thickener for people with dysphagia Swallowing Solutions for Everyday Life. For more information p>
Dysphagia is defined as difficulty or inability to swallow. Underlying conditions may be physical, cognitive, or neurological and include stroke, head and neck or esophageal cancer, dementia, and multiple sclerosis . Inadequately managed dysphagia places patients at risk for aspiration, pneumonia, malnutrition and dehydration .
Thickening by forming "nets" that trap liquids, gum thickeners typically require careful preparation; they must be vigorously shaken or blended with the base fluid to appropriately thicken it. Otherwise, the patient is served a mixed consistency (thin fluid with thicker, moistened gum strands intermixed).
Patients who have a restriction on thin liquids should avoid milk shakes, ice cream, popsicles, and Jell-O as these melt into thin liquids in the mouth. There are multiple commercial thickeners on the market for thickening liquids. Vendors also offer pre-thickened liquids such as water, juice, and milk in individual serving sized cartons.
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post-stroke patients with documented aspiration of thin liquids. These subjects were randomly assigned to either the study group (patients allowed thickened fluids and thin water between meals) or the control group (patients allowed thickened fluids only). Upon completion of the study, Garon et al. (1997) also
pre-thickened products. Thickeners are not necessarily interchangeable. Before you change any current product you are using be sure to discuss options with your speech language pathologist, doctor, dietitian or other health care provider that is assisting you with your dysphagia management. About Food and Beverage Thickening Agents
gum thickeners to modified starch thickeners for 122 patients with post-stroke oropharyngeal dysphagia. The study authors reported that both types of thickeners showed improved safety of swallowing. Oral and pharyngeal residues were more frequently reported for modified starch at spoon-thick and nectar viscosities, but not for xanthan gum.
Use of thickener is a widely-known intervention in the management of oropharyngeal dysphagia, aiming to reduce the incidence of aspiration pneumonia. Thickener can benefit some patients with dysphagia, but does not reduce aspiration pneumonia in all patients and can pose other risks for physical health and psychological well-being.
Diagnosis of Dysphagia and its nutritional management for stroke patients. Can Med Assoc J. 2003, 169 (10): 1041-4. Google Scholar; Finestone HM, Foley NC, Woodbury GM, Greene-Finestone L: Quantifying fluid intake in dysphagic stroke patients: a preliminary comparison of oral and nonoral strategies.
Thickeners come in starch-based and gum-based varieties; each with its own set of advantages and disadvantages. Despite some controversy over whether or not hydration is affected by using thickeners, studies in both rats and humans have shown that there is a 95% absorption of the liquid with the use of commercial thickeners.
When the patient is eating in a new place, it is advisable for them to go with a relative or to inform the staff of his/her condition. This makes it easier for the stroke patient to adjust in a new place. It also makes it clear to the staff what they have to do to ensure you have a good experience at their restaurant.