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      Dysphagia, Dementia and Frailty

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      The journal of nutrition, health & aging
      Springer Science and Business Media LLC

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          Oropharyngeal dysphagia in older persons – from pathophysiology to adequate intervention: a review and summary of an international expert meeting

          Oropharyngeal dysphagia (OD) is a highly prevalent and growing condition in the older population. Although OD may cause very severe complications, it is often not detected, explored, and treated. Older patients are frequently unaware of their swallowing dysfunction which is one of the reasons why the consequences of OD, ie, aspiration, dehydration, and malnutrition, are regularly not attributed to dysphagia. Older patients are particularly vulnerable to dysphagia because multiple age-related changes increase the risk of dysphagia. Physicians in charge of older patients should be aware that malnutrition, dehydration, and pneumonia are frequently caused by (unrecognized) dysphagia. The diagnosis is particularly difficult in the case of silent aspiration. In addition to numerous screening tools, videofluoroscopy was the traditional gold standard of diagnosing OD. Recently, the fiberoptic endoscopic evaluation of swallowing is increasingly utilized because it has several advantages. Besides making a diagnosis, fiberoptic endoscopic evaluation of swallowing is applied to evaluate the effectiveness of therapeutic maneuvers and texture modification of food and liquids. In addition to swallowing training and nutritional interventions, newer rehabilitation approaches of stimulation techniques are showing promise and may significantly impact future treatment strategies.
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            Evaluation and management of oropharyngeal dysphagia in different types of dementia: a systematic review.

            Dysphagia, or swallowing impairment, is a growing concern in dementia and can lead to malnutrition, dehydration, weight loss, functional decline, and fear of eating and drinking as well as a decrease in quality of life (QOL).
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              Diagnosis and Management of Oropharyngeal Dysphagia Among Older Persons, State of the Art

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                Author and article information

                Journal
                The journal of nutrition, health & aging
                J Nutr Health Aging
                Springer Science and Business Media LLC
                1279-7707
                1760-4788
                May 2018
                April 24 2018
                May 2018
                : 22
                : 5
                : 562-565
                Article
                10.1007/s12603-018-1033-5
                29717753
                9cbe2f3e-8e6e-448b-9aa1-41361cd92736
                © 2018

                http://www.springer.com/tdm


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