|
[Date Prev][Date Next]
[Chronological]
[Thread]
[Top]
[Dysphagia] Re: oral stage Dysphagia
How about trying a "thinned puree" (i.e., thinning pureed meats with broth,
pureed fruits with fruit juice, mashed potatoes with hot broth, etc. and
mixing well) or a full liquid nourishing diet. I have had pts in the past
like this and have done both of the above with success. It did take a lot
of time meeting with the dietician, dietary, and nursing. I also usually
set up a meeting with the family and the pt. to see what their goals and
wishes are... Has the pt. had an instrumental assessment? (i.e. FSA) Is
this Dementia-related? What does the doc say?
----- Original Message -----
From: <dysphagia-request@b9.com>
To: <dysphagia@b9.com>
Sent: Thursday, August 31, 2006 1:01 PM
Subject: Dysphagia Digest, Vol 33, Issue 27
> Send Dysphagia mailing list submissions to
> dysphagia@b9.com
>
> To subscribe or unsubscribe via the World Wide Web, visit
> http://lists.b9.com/mailman/listinfo/dysphagia
> or, via email, send a message with subject or body 'help' to
> dysphagia-request@b9.com
>
> You can reach the person managing the list at
> dysphagia-owner@b9.com
>
> When replying, please edit your Subject line so it is more specific
> than "Re: Contents of Dysphagia digest..."
>
>
> Today's Topics:
>
> 1. Re: oral stage dysphagia (melody sheldon)
> 2. Re: change in taste after stroke (melody sheldon)
> 3. Re: Re: [Dysphagia] oral stage dysphagia (Sharon Manders)
> 4. Change of taste etc. (Irene Campbell-Taylor)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Wed, 30 Aug 2006 19:03:48 -0700
> From: "melody sheldon" <msheldon@uci.net>
> Subject: Re: [Dysphagia] oral stage dysphagia
> To: "Pressman, Hilda" <pressmah@sjhmc.org>, <dysphagia@b9.com>
> Message-ID: <003501c6cca1$b34c7090$8733b5d1@melody9sar8y2v>
> Content-Type: text/plain; charset="iso-8859-1"
>
> she can handle some purees, especially those that melt in the mouth like
> yogurt. some of the thicker purees, she "locks up" and can't propel the
> bolus requiring that the puree be liquefied.
> ----- Original Message -----
> From: "Pressman, Hilda" <pressmah@sjhmc.org>
> To: "melody sheldon" <msheldon@uci.net>; <dysphagia@b9.com>
> Sent: Tuesday, August 29, 2006 6:12 AM
> Subject: RE: [Dysphagia] oral stage dysphagia
>
>
>> How about a puree diet?
>>
>> -----Original Message-----
>> From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com]On
>> Behalf Of melody sheldon
>> Sent: Monday, August 28, 2006 11:26 PM
>> To: dysphagia@b9.com
>> Subject: [Dysphagia] oral stage dysphagia
>>
>>
>> i have an elderly female resident at a local care facility that comes
>> with
> little to no medical history. the nurse at the care facility mentioned
> that
> she has stopped talking and no longer chews her food. the cna has been
> giving the patient a bite of food and then allows the patient to drink
> liquid. the patient essentially swalllows her food whole. (scarry) she
> can
> feed herself. if allowed, she'll over-stuff her mouth and becomes "stuck."
> the patient is able to voice upon command, answer choice questions, and
> occassionally say a word or two. vocal quality normal. speech appears
> clear; w/o an apparent dysarthria. she, with time and much concentration,
> can open her mouth and protrude her tongue, but not able to repeat alter.
> or
> seq. diadochokinetics. she can swallow liquids like a trooper. no signs
> or
> symptoms of aspiration. i am thinking she has a rather severe apraxia?
>> _______________________________________________
>> Dysphagia mailing list
>> Dysphagia@b9.com
>> http://lists.b9.com/mailman/listinfo/dysphagia
>>
>> _______________________________________________
>> Dysphagia mailing list
>> Dysphagia@b9.com
>> http://lists.b9.com/mailman/listinfo/dysphagia
>>
>
>
>
> ------------------------------
>
> Message: 2
> Date: Wed, 30 Aug 2006 19:13:18 -0700
> From: "melody sheldon" <msheldon@uci.net>
> Subject: Re: [Dysphagia] change in taste after stroke
> To: "Vikki Stefans" <vstefans@george.ach.uams.edu>, "Sandi Lancaster"
> <swlslp@yahoo.com>
> Cc: dysphagia listserve <dysphagia@b9.com>
> Message-ID: <007f01c6cca3$08b19870$8733b5d1@melody9sar8y2v>
> Content-Type: text/plain; charset="iso-8859-1"
>
> she is not currently on any antipsychotic medications. she may have been
> expose prior to her admission. i will ask. great idea.
> ----- Original Message -----
> From: "Vikki Stefans" <vstefans@george.ach.uams.edu>
> To: "Sandi Lancaster" <swlslp@yahoo.com>
> Cc: "dysphagia listserve" <dysphagia@b9.com>
> Sent: Tuesday, August 29, 2006 5:10 PM
> Subject: Re: [Dysphagia] change in taste after stroke
>
>
>> Just a thought re this and the other case where the woman stopped
>> chewing...check the medications list for side effects! (altered taste,
>> dysgeusia). Anything at all antipsychotic can cause a Parkinson-like
>> motor
>> impairment. The cases I see do not have much resting tremor, but will get
>> cogwheeling rigidity on PROM, imparied gait and swallow, and often mask
>> facies that can get mistaken for depression.
>>
>> Vikki Stefans, M.D., pediatric physiatrist (rehab doc for kids) at UAMS
>> and Arkansas Children's Hospital. Working Mom of Sarah T. and Michael
>> C.,
>> and wife of Henry Stefans. Every mom is a working mom!- OK, dads too.
>>
>> On Mon, 28 Aug 2006, Sandi Lancaster wrote:
>>
>> > I have a fairly young CVA patient who I am seeing for speech/language
>> > therapy. No reported dysphagia. However, he and his wife report his
>> > taste for food has changed signficantly post-CVA. It sounds like
>> > everything tastes very bland to him. (Although with his current level
>> > of language impairment, I'm not 100% certain of this.) Any
>> > suggestions,
>> > resources, or insights?
>> >
>> > (He and his wife indicate that they do not believe that he has
>> > decreased appetite related to depression, which was my first thought.)
>> _______________________________________________
>> Dysphagia mailing list
>> Dysphagia@b9.com
>> http://lists.b9.com/mailman/listinfo/dysphagia
>>
>
>
>
> ------------------------------
>
> Message: 3
> Date: Thu, 31 Aug 2006 01:06:16 -0400
> From: "Sharon Manders" <sharon.manders@gmail.com>
> Subject: Re: Re: [Dysphagia] oral stage dysphagia
> To: "melody sheldon" <msheldon@uci.net>
> Cc: dysphagia@b9.com, "Pressman, Hilda" <pressmah@sjhmc.org>
> Message-ID:
> <d87e41c40608302206n1983dcfveca5c2d88129f132@mail.gmail.com>
> Content-Type: text/plain; charset=ISO-8859-1; format=flowed
>
> I had an elderly gentleman as a patient once and he was only able to
> drink liquids through a straw. His diet was Ensure, soup, juice, milk
> etc. We feed people liquid through a tube and they live, so why not
> liquid by mouth, as long as it is balanced and the dietitian is
> monitoring the patient.
>
>
> On 8/30/06, melody sheldon <msheldon@uci.net> wrote:
>> she can handle some purees, especially those that melt in the mouth like
>> yogurt. some of the thicker purees, she "locks up" and can't propel the
>> bolus requiring that the puree be liquefied.
>> ----- Original Message -----
>> From: "Pressman, Hilda" <pressmah@sjhmc.org>
>> To: "melody sheldon" <msheldon@uci.net>; <dysphagia@b9.com>
>> Sent: Tuesday, August 29, 2006 6:12 AM
>> Subject: RE: [Dysphagia] oral stage dysphagia
>>
>>
>> > How about a puree diet?
>> >
>> > -----Original Message-----
>> > From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com]On
>> > Behalf Of melody sheldon
>> > Sent: Monday, August 28, 2006 11:26 PM
>> > To: dysphagia@b9.com
>> > Subject: [Dysphagia] oral stage dysphagia
>> >
>> >
>> > i have an elderly female resident at a local care facility that comes
>> > with
>> little to no medical history. the nurse at the care facility mentioned
>> that
>> she has stopped talking and no longer chews her food. the cna has been
>> giving the patient a bite of food and then allows the patient to drink
>> liquid. the patient essentially swalllows her food whole. (scarry) she
>> can
>> feed herself. if allowed, she'll over-stuff her mouth and becomes
>> "stuck."
>> the patient is able to voice upon command, answer choice questions, and
>> occassionally say a word or two. vocal quality normal. speech appears
>> clear; w/o an apparent dysarthria. she, with time and much
>> concentration,
>> can open her mouth and protrude her tongue, but not able to repeat alter.
>> or
>> seq. diadochokinetics. she can swallow liquids like a trooper. no signs
>> or
>> symptoms of aspiration. i am thinking she has a rather severe apraxia?
>> > _______________________________________________
>> > Dysphagia mailing list
>> > Dysphagia@b9.com
>> > http://lists.b9.com/mailman/listinfo/dysphagia
>> >
>> > _______________________________________________
>> > Dysphagia mailing list
>> > Dysphagia@b9.com
>> > http://lists.b9.com/mailman/listinfo/dysphagia
>> >
>>
>> _______________________________________________
>> Dysphagia mailing list
>> Dysphagia@b9.com
>> http://lists.b9.com/mailman/listinfo/dysphagia
>>
>
>
> --
> "Death is caused by swallowing small amounts of saliva over a long
> period of time."
> - George Carlin
>
>
> ------------------------------
>
> Message: 4
> Date: Thu, 31 Aug 2006 06:21:46 -0700 (PDT)
> From: Irene Campbell-Taylor <eripley@yahoo.com>
> Subject: [Dysphagia] Change of taste etc.
> To: msheldon@uci.net, dysphagia@b9.com
> Message-ID: <20060831132146.61660.qmail@web30205.mail.mud.yahoo.com>
> Content-Type: text/plain; charset=iso-8859-1
>
> It is not only the obvious antipsychotics, typical and atypical, that
> affect the ability to swallow, but the "hidden" ones such as
> metoclopramide (Reglan) and other psychotropic meds - that also may change
> taste perception.
>
>
> Dr I Campbell-Taylor
> Clinical Neuroscientist
> Exclusive Distributor:
> www.interactivetherapy.com
>
> ------------------------------
>
> _______________________________________________
> Dysphagia mailing list
> Dysphagia@b9.com
> http://lists.b9.com/mailman/listinfo/dysphagia
>
>
> End of Dysphagia Digest, Vol 33, Issue 27
> *****************************************
>
|
|