Subject(s)
Dementia/diagnosis , Humans , Mass Screening , Physician-Patient Relations/ethics , State Medicine , Trust , United KingdomSubject(s)
Choice Behavior , Informed Consent , Mental Disorders/therapy , Treatment Refusal/psychology , HumansABSTRACT
The assessment and management of patients in long-term care who have oropharyngeal dysphagia has developed into an apparently complex and distinct field of practice. It is unfortunate that it lacks an evidence base, the efficacy of treatment is not established, and many clinicians are unfamiliar with appropriate and effective interventions because of a lack of training. Some commonly used interventions are not only ineffective but potentially hazardous. Physicians must become more familiar with the assessment process and appropriate management.
Subject(s)
Deglutition Disorders/therapy , Nursing Homes , Deglutition Disorders/epidemiology , Deglutition Disorders/etiology , Deglutition Disorders/physiopathology , Humans , Treatment Outcome , United States/epidemiologySubject(s)
Deglutition Disorders/diagnostic imaging , Deglutition Disorders/physiopathology , Deglutition , Fluoroscopy/methods , Nervous System Diseases/diagnosis , Nervous System Diseases/physiopathology , Video Recording/methods , Deglutition Disorders/etiology , Humans , Nervous System Diseases/complicationsABSTRACT
After reviewing this article you should be able to:understand the term " dysphagia" and its clinical manifestations; understand the different components of the swallowing system; understand how different agents interact with the components of a swallowing system; be able to identify those most at risk of dysphagia and what drugs may contribute to, or exacerbate their dysphagia
