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[Dysphagia] Jello question

You might find this interesting/helpful:

Vivanti, A. P. and Campbell, K. L. and Michelle, S. and Hannan-Jones, M. T. and Hulcombe, J. A. (2009) Contribution of thickened drinks, food and enteral and parenteral fluids to fluid intake in hospitalised patients with dysphagia. Journal of Human Nutrition and Dietetics, 22(2). pp. 148-155.

Jamie Cond?, M.Sc., CCC-SLP

-----Original Message-----
From: dysphagia-bounces at dysphagia.com [mailto:dysphagia-bounces at dysphagia.com] On Behalf Of Balch, Lucy (DBHDS)
Sent: Tuesday, June 28, 2011 12:57 PM
To: dysphagia at dysphagia.com
Subject: [Dysphagia] Jello question

I work at a state facility for ID adults. Some of them refuse to drink much of anything and have correspondingly poor lab values (high BUNs, etc). One of our doctors recently started ordering Jello, to be given when liquids are refused. Has anyone ever heard of this strategy? If so, does anyone know of any research to back it up? Does anyone have any ideas about keeping someone hydrated who refuses to drink?
(Hypodermoclysis is not an option at this facility).
For one particular individual, liquids have been thickened since she prefers the thick liquid over the thin.  Are there any other strategies that could make an ID person accept thin liquid better? Flavoring the water is another option we use here, but it doesn't always help.
Any input would be greatly appreciated.
Lucy Balch, CCC/SLP
Southside Virginia Training Center
Petersburg, Virginia

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