Stepping Stones to Living Well with Dysphagia

72nd Nestlé Nutrition Institute Workshop, Barcelona, May 2011

J. Cichero, P. Clavé, J., Cichero, P., Clavé, P. Clavé, J. Cichero

• Publisher: S. Karger
• Year: 2013
• Print ISBN: 9783318021134
• eBook ISBN: 9783318021141
• Topic: Medicine
• Subtopic: Ear, Nose & Throat Medicine

Oropharyngeal dysphagia is a major complaint among many patients suffering from neurological diseases as well as in the elderly. Its severity ranges from moderate difficulty to complete inability to swallow, and it may give rise to clinically relevant complications such as aspiration pneumonia, malnutrition and/or dehydration, impaired quality of life, and death. However, despite its high prevalence and even though it would be very cost-effective to avoid complications by adequate treatment, dysphagia is still severely underdiagnosed. The contributions in this book present and discuss state-of-the-art diagnostic methods, treatment, and care of dysphagia patients, putting special emphasis on a multidisciplinary approach. A variety of clinical specialists will find this publication a most valuable addition to their library, including nurses, speech-language pathologists, dieticians, nutritionists, gastroenterologists and related specialties.

Nestlé Nutrition Institute Workshop Series

Vol. 72

Stepping Stones to
Living Well
with Dysphagia

Editors

Julie Cichero Brisbane, Australia

Pere Clavé Barcelona, Spain

Nestec Ltd., 55 Avenue Nestlé, CH–1800 Vevey (Switzerland)

S. Karger AG, P.O. Box, CH–4009 Basel (Switzerland) www.karger.com

Library of Congress Cataloging-in-Publication Data

Nestlé Nutrition Workshop (72nd : 2012 : Barcelona, Spain)

Stepping stones to living well with dysphagia / editors, Julie Cichero, Pere Clavé.

p. ; cm. -- (Nestlé Nutrition Institute workshop series, ISSN 1664-2147 ; v. 72)

Includes bibliographical references and index.

ISBN 978-3-318-02113-4 (hard cover: alk. paper) -- ISBN 978-3-318-02114-1 (e-ISBN)

I. Cichero, Julie A. Y. II. Clavé, Pere. III. Nestlé Nutrition Institute. IV. Title. V. Series: Nestlé Nutrition Institute workshop series ; v. 72. 1664-2147

[DNLM: 1. Deglutition Disorders--Congresses. W1 NE228D v.72 2012 / WI 250]

616.3’23--dc23

2012029498

The material contained in this volume was submitted as previously unpublished material, except in the instances in which credit has been given to the source from which some of the illustrative material was derived.

Great care has been taken to maintain the accuracy of the information contained in the volume. However, neither Nestec Ltd. nor S. Karger AG can be held responsible for errors or for any consequences arising from the use of the information contained herein.

© 2012 Nestec Ltd., Vevey (Switzerland) and S. Karger AG, Basel (Switzerland). All rights reserved. This book is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, or recording, or otherwise, without the written permission of the publisher.

Printed on acid-free and non-aging paper

ISBN 978–3–318–02113–4

e-ISBN 978–3–318–02114–1

ISSN 1664–2147

e-ISSN 1664–2155

Contents

Preface

Foreword

Contributors

Introduction

Definition, Prevalence and Burden of Oropharyngeal Dysphagia: A Serious Problem among Older Adults Worldwide and the Impact on Prognosis and Hospital Resources

Cichero, J.A.Y. (Australia); Altman, K.W. (USA)

The Physiology of Deglutition and the Pathophysiology and Complications of Oropharyngeal Dysphagia

Steele, C.M. (Canada)

Detection

Identifying Vulnerable Patients: Role of the EAT-10 and the Multidisciplinary Team for Early Intervention and Comprehensive Dysphagia Care

Kaspar, K. (Switzerland); Ekberg, O. (Sweden)

The Volume-Viscosity Swallow Test for Clinical Screening of Dysphagia and Aspiration

Rofes, L.; Arreola, V.; Clavé, P. (Spain)

Videofluoroscopic Swallow Study: Techniques, Signs and Reports

Bülow, M. (Sweden)

Screening and Clinical Assessment of Oropharyngeal Dysphagia

Martino, R. (Canada)

Dysfunction and Related Complications

Pathophysiology, Relevance and Natural History of Oropharyngeal Dysphagia among Older People

Clavé, P.; Rofes, L.; Carrión, S.; Ortega, O.; Cabré, M.; Serra-Prat, M.; Arreola, V. (Spain)

Complications of Oropharyngeal Dysphagia: Aspiration Pneumonia

Almirall, J.; Cabré, M.; Clavé, P. (Spain)

Nutrition Assessment and Intervention in the Patient with Dysphagia: Challenges for Quality Improvement

Ochoa, J.B. (USA)

Interventions

Therapeutic Approach to Malnutrition and Sarcopenia

Burgos Peláez, R. (Spain)

Importance of Nutritional Support in Older People

Sánchez García, E.; Montero Errasquín, B.; Sánchez Castellano, C.; Cruz-Jentoft, A.J. (Spain)

Exercise-Based Approaches to Dysphagia Rehabilitation

Steele, C.M. (Canada)

Oropharyngeal Dysphagia Pathophysiology, Complications and Science-Based Interventions

Altman, K.W. (USA)

Concluding Remarks

Subject Index

For more information on related publications, please consult the NNI website: www.nestlenutrition-institute.org

Preface

Oropharyngeal dysphagia is a major complaint among many patients with neurological diseases and in the elderly. Oropharyngeal dysphagia is specifically classified by the World Health Organization in the International Statistical Classification of Diseases and Related Health Problems ICD-9 and ICD-10 (787.2, R13). The severity of oro...

Table of contents

• Cover Page
• Front Matter
• Definition, Prevalence and Burden of Oropharyngeal Dysphagia: A Serious Problem among Older Adults Worldwide and the Impact on Prognosis and Hospital Resources
• The Physiology of Deglutition and the Pathophysiology and Complications of Oropharyngeal Dysphagia
• Identifying Vulnerable Patients: Role of the EAT-10 and the Multidisciplinary Team for Early Intervention and Comprehensive Dysphagia Care
• The Volume-Viscosity Swallow Test for Clinical Screening of Dysphagia and Aspiration
• Videofluoroscopic Swallow Study: Techniques, Signs and Reports
• Screening and Clinical Assessment of Oropharyngeal Dysphagia
• Pathophysiology, Relevance and Natural History of Oropharyngeal Dysphagia among Older People
• Complications of Oropharyngeal Dysphagia: Aspiration Pneumonia
• Nutrition Assessment and Intervention in the Patient with Dysphagia: Challenges for Quality Improvement
• Therapeutic Approach to Malnutrition and Sarcopenia
• Importance of Nutritional Support in Older People
• Exercise-Based Approaches to Dysphagia Rehabilitation
• Oropharyngeal Dysphagia Pathophysiology, Complications and Science-Based Interventions
• Concluding Remarks
• Subject Index