A Multidisciplinary Approach To Managing Swallowing Dysfunction In Older People

A Multidisciplinary Approach to Managing Swallowing Dysfunction in Older People provides comprehensive coverage on oropharyngeal dysphagia (OD), focusing on older patient phenotypes. The book provides the knowledge needed for translational researchers and professionals to aid in the detection, diagnosis, treatment and management of OD, ultimately improving patient quality of life. OD has been recently considered a geriatric syndrome because of its high prevalence, the increase of life-expectancy and the need to be managed by a multidisciplinary approach. This reference takes a novel approach to OD, covering all aspects as a geriatric syndrome, examining a complicated and multi-level topic in a succinct way. Contents include the most innovative information available in current literature combined with practical applications to improve the diagnosis and treatments of OD as a geriatric syndrome. This is the perfect reference for translational researchers, physicians and healthcare professionals dealing with OD. Presents full coverage of swallowing impairments in the older population and oropharyngeal dysphagia as a newly defined geriatric syndrome Explores the latest innovations and research in the field for pathophysiology, diagnosis, ethics, treatment and potential complications Expertly written chapters by international leading experts in the fields of dysphagia and geriatric medicine are included

This informative manual draws on expert research to highlight the feeding and swallowing difficulties that can occur with dementia. It is also a practical guide that offers potential strategies to manage these problems. Professionals are encouraged to focus on the needs of the individual by providing practical questions that should be asked when making an assessment. This is achieved through a step-by-step process, which allows a worker to observe, document and manage feeding and swallowing difficulties. Forms, schedules and checklists that can be photocopied are provided to aid in implementation. This is a detailed, practical resource which offers support and direction for speech and language therapists, and others with an interest in swallowing problems, working with people with dementia. It includes case studies to illustrate theory in practice, as well as a wide ranging bibliography.

Dysphagia crosses the boundaries among many health-care disciplines, which is why the multidisciplinary approach is such a powerful tool in treating swallowing disorders. But smoothly functioning teams don't just happen; building bridges between disciplines requires education and a team-wide understanding of the perspectives and concerns of every member of the team.Working with Swallowing Disorders: A Multidisciplinary Approach helps you begin building those bridges. The book includes reproducible sheets for calculating caloric needs and intake, keeping progress notes, administering medicine, and other aspects of patient management.The authors -- Jill C.Thresher, M.A., CCC-SLP, and Ellis A. Kehoe, M.Ed., OTR/L -- have extensive experience in managing dysphagia within the multidisciplinary model. Now they share the information you need to begin building your own team. Working with Swallowing Disorders will help build better communication within the team. The result is more powerful and consistent interventions and a better life for your clients with dysphagia.

A multidisciplinary approach to diagnosis, treatment and care 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.

This open access book aims to primarily support nurses as leaders and champions of multimodal, Interdisciplinary nutrition care for older adults. A structured approach to fundamentals of nutrition care across Interdisciplinary settings is combined with additional short chapters about special topics in geriatric nutrition. The book is designed to provide highly accessible information on evidence-based management and care for older adults, with a focus on practical guidance and advice across acute, rehabilitation, and primary and secondary malnutrition prevention settings.The cost of malnutrition in England alone has been estimated to be £19.6 billion per year, or more than 15% of the total public expenditure on health and social care. ^65 years). The importance and benefit of specialised nutrition care, delivered by experts in field, is well established for those with complex nutrition care needs. However, despite the substantial adverse impact of malnutrition on patient and healthcare outcomes, specialised management of this condition is often under-resourced, overlooked and under-prioritised by both older adults and their treating teams. As an alternative, timely, efficient, and effective supportive nutrition care opportunities may be appropriately implemented by nurses and non-specialist Interdisciplinary healthcare team members, working together with nutrition specialists and the older adults they care for. Practical, low-risk opportunities should be considered across nutrition screening, assessment, intervention, and monitoring domains for many patients with, or at risk of malnutrition. Whilst a variety of team members may contribute to supportive nutrition care, the nursing profession provide a clear focal point. Nurses across diverse settings provide the backbone for Interdisciplinary teamwork and essential patient care. The nursing profession should consequently be considered best placed to administer Interdisciplinary, multimodal nutrition care, wherever specialist nutrition care referrals are unlikely to add value or are simply not available. As such, the book is a valuable resource for all healthcare providers dedicated to working with older patients to improve nutrition care. .

Readers will be able to gain knowledge of how to manage older people with difficult conditions and in different environments. Much of the work of the professionals in this area has changed as a result of NHS reforms, new practices, and patient demands.

This book is a clinical manual that covers the whole spectrum of swallowing and its disorders. It starts with physiology of swallowing, pathophysiology of disordered deglutition, diagnostic methods (clinical and instrumental) and ends with an in-depth’s and up-to-date presentation of current treatment options. The clinically most relevant topics of dysphagia management on the stroke unit and the intensive care unit are dealt with in separate chapters. Also the closely intertwined issue of nutritional management is specifically addressed. Most importantly, the book covers all obligatory topics of the Flexible Endoscopic Evaluation of Swallowing (FEES)-curriculum, an educational initiative that started in Germany in 2014 and is currently being extended to other European and non-European countries. The book is richly illustrated and an online video section provides a number of typical patient cases. FEES is probably the most commonly chosen method for the objective assessment of swallowing and its disorders. It is used in stroke units, intensive care facilities, geriatric wards but also in rehabilitation clinics and within dedicated outpatient services. This book on neurogenic dysphagia therefore addresses a wide range of different medical disciplines, such as neurologists, geriatricians, intensive care physicians, rehabilitation physicians, gastroenterologists, otolaryngologists, phoniatrists and also speech-language pathologists.

Malnutrition and its related symptoms are both frequent and deleterious effects of cancer treatment. Despite the importance of targeted nutritional interventions in ameliorating these effects, however, publications providing up-to-date information on novel nutritional approaches and strategies are lacking. This book is intended to fill the void by describing and evaluating in detail the nutritional strategies that may be employed to alleviate a wide variety of cancer treatment effects. The guidance provided will help to improve the survival and quality of life of cancer patients, and has the potential to dramatically affect how evidence-based clinical practice is established and improved over the coming decade. The author is a distinguished expert in the field who has more than 25 years of experience in oncology nutrition and has been involved in establishing and implementing a Clinical Nutrition Oncology Program.