[Dysphagia] oral stage dysphagia

[pressmah at sjhmc.org (Pressman, Hilda)]

I have found that sometimes with advanced dementia straw drinking is the only thing that is functional.  Makes me think about going back to bottle or breast feeding.

-----Original Message-----
From: Sharon Manders [mailto:sharon.manders@gmail.com]
Sent: Thursday, August 31, 2006 1:06 AM
To: melody sheldon
Cc: Pressman, Hilda; dysphagia@b9.com
Subject: Re: Re: [Dysphagia] oral stage dysphagia


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