The Role of the Speech-Language Pathologist in Managing Dysphagia in the Elderly

Winter and S.

Top 6 Methods for Managing Gagging Patients - Spear Education

The population of elderly is increasing, which means that the number of persons with dysphagia will continue to increase. Guidelines Upcoming Special Issues. Sanders, M. Nursal, H. The optional adaptations most frequently used are NMES neuromuscular electrical stimulation and biofeedback.

Sensory stimulation techniques Enhancement techniques are used to heighten incoming sensory information and facilitate a more efficient swallow [ 6 ].

Spontaneous gagging can have many causes

The Mendelsohn is utilized to improve function of the upper esophageal sphincter, while the effortful swallow is used to enhance swallow force thus improving the clearance of food and minimizing residue in the pharynx. J CommunDisord McCullough, and N. Skarupski, P. In a study on an extensive Veteran Health Administration database, carried out during the s, there was found to be a rising trend among demented patients aged over 60 years as soon as the PEG technique was introduced.

Special Considerations for Endoscopists on PEG Indications in Older Patients

For example, malnutrition and aspiration pneumonia are frequent symptoms of the elderly diagnosed with dysphagia [ 9 ]. A patient may exhibit fluctuating symptoms over time, which suggests repeat observations can be very helpful, if a problem is suspect. Callahan, N. Unnikrishnan, and C.

Brett and J.

International Scholarly Research Notices

Symptoms can include a burning sensation within the chest, a sour taste in the mouth, dry cough, regurgitation of food or liquids which may result in gagging , sore throat, chest pain, difficulty swallowing which may cause gagging and more.

Wang, and K. Roy, G.

These show that the over age group exhibits the highest rise in PEG insertion rates and that the patients aged over 75 who most frequently receive tube feeding are the ones with greater comorbidities.

McMahon, D. Racial differences in orientation have been confirmed among doctors, too. Kondrup, H. Jeff Lineberry.

View at Google Scholar J. In most cases, there is some evidence from case studies or small cohort studies to support the efficacy of most treatments; however, definitive randomized controlled trials are lacking.

In agreement with the indications cited herein, this may be based on attentive structured assisted feeding programmes, temporary artificial hydration, temporary slim nasogastric tubes, PEG, or avoidance of feeding.

Spontaneous gagging can have many causes

In addition to the exercise programs discussed, there are supplemental treatment adaptations that are used in conjunction with exercise. Verhoef, and T. In particular, observation of functional elements such as the pharyngeal phase and esophageal stages of swallowing cannot be observed during the clinical examination. Berr, J. Search DailyHerald. Finally, it is evident that the SLP has a number of different therapeutic interventions available for use.