[Dysphagia] oral stage dysphagia

[sharon.manders at gmail.com (Sharon Manders)]

I agree. In many ways our older patients with dementia seem to
regress, they are in diapers/undergarments, they are total care and
need constant attention. And if they are still able to drink, all the
better so as to avoid dehydration as long as possible and provide them
with nutrition.

On 9/1/06, Pressman, Hilda <pressmah@sjhmc.org> wrote:
> 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?

-- 
"Death is caused by swallowing small amounts of saliva over a long
period of time."
 - George Carlin