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The material contained in this volume was submitted as previously unpublished material, except in the instances in which credit has been given to the source from which some of the illustrative material was derived.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