1 option
A Multidisciplinary Approach to Managing Swallowing Dysfunction in Older People / edited by Pere Clavé and Omar Ortega.
- Format:
- Book
- Author/Creator:
- Clave´, Pere
- Language:
- English
- Subjects (All):
- Geriatrics.
- Deglutition disorders--Treatment.
- Deglutition disorders.
- Physical Description:
- 1 online resource (336 pages)
- Edition:
- First edition.
- Place of Publication:
- Cambridge, MA : Academic Press, [2024]
- Summary:
- A Multidisciplinary Approach to Managing Swallowing Dysfunction in Older People provides comprehensive coverage on oropharyngeal dysphagia (OD), focusing on older patient phenotypes.
- Contents:
- Front Cover
- A Multidisciplinary Approach to Managing Swallowing Dysfunction in Older People
- Copyright
- Contents
- Contributors
- Preface
- Acknowledgments
- Prologue
- 1 - Introduction
- References
- 2 - Oropharyngeal dysphagia as a geriatric syndrome
- Introduction
- Definition of a geriatric syndrome
- Review of the criteria to define OD as a geriatric syndrome
- High prevalence in older persons
- OD includes a combination of symptoms
- Common risk factors with other geriatric syndromes
- Interactions with other geriatric syndromes and pathologies
- Impaired clinical outcomes associated with OD
- Multicomponent intervention
- Conclusion
- 3 - Physiology and pathophysiology
- 3.1 - Physiology and pathophysiology of oropharyngeal dysphagia in older persons
- Physiology of swallowing in healthy subjects
- Anatomical and physiological changes in older adults
- Main causes of OD
- Oral impairment
- Pharyngeal impairment
- Impaired transport
- Obstruction
- Protection of the airway
- Coordination of breathing and swallowing
- Geriatric OD
- Pathophysiological characterization of impaired swallowing in older adults
- Biomechanical and OSR impairments in older patients with OD
- Neurophysiological impairments of OD
- Impaired motor pathway on older patients with OD
- Impaired sensory pathway on older patients with OD
- Summary and discussion
- 3.2 - Brain structure, neurotopography, and function in dysphagia in older persons
- Cortical and subcortical control of swallowing
- Age-related changes of the central control of swallowing
- 4 - Sarcopenic dysphagia
- An introduction to sarcopenia
- Definition of sarcopenia.
- Pathophysiology of sarcopenia
- Diagnosis of sarcopenia
- Prevalence and consequences of sarcopenia
- Prevention and treatment of sarcopenia
- The relationship between dysphagia, malnutrition, and sarcopenia in older people
- Sarcopenia and dysphagia
- Malnutrition and dysphagia in older people
- Texture-modified diets and malnutrition
- The vicious circle of dysphagia, malnutrition, and sarcopenia
- The definition and diagnosis of sarcopenic dysphagia
- Definition of sarcopenic dysphagia
- Diagnosis of sarcopenic dysphagia
- Prevalence of sarcopenic dysphagia
- Ultrasonography of swallowing muscle mass and intensity
- Clinical signs of sarcopenic dysphagia
- Prevention and treatment of sarcopenic dysphagia
- Prevention of sarcopenic dysphagia
- Iatrogenic sarcopenia
- Treatment of sarcopenic dysphagia
- Conclusions
- 5 - Diagnosis of dysphagia in the older person
- Clinical history and patient/carer interview
- Screening for dysphagia
- Clinical swallowing examination
- Instrumental assessments and neurophysiological approaches
- 5.1 - Dysphagia diagnosis: Noninstrumental assessment
- Swallow screening
- The importance of early screening
- Variations of screening tests
- Water swallow tests
- Screening tests involving different consistencies
- Training in screening
- The importance of validation and diagnostic accuracy in selecting a screening test
- Summary
- Clinical swallow evaluation
- Components of the CSE
- Case history
- Orofacial examination
- Swallow trials
- Adjunct evaluation tools
- Standardized clinical swallow evaluation tools
- Outcome measures based on the CSE
- 5.2 - Instrumental assessment (VFS, FEES, and HRM)
- Videofluoroscopy swallowing study
- VFS advantages and indications.
- VFS disadvantages, limitations, and contraindications
- Professionals performing VFS
- VFS protocol
- VFS scoring methods
- VFS-oropharyngeal swallow response
- VFS signs of impaired safety and efficacy of swallow in older adults
- Oropharyngeal swallow response in older adults
- FEES
- FEES advantages
- Contraindications to FEES
- Professionals performing FEES
- FEES protocol
- FEES metrics
- FEES in older adults
- HRM-pharyngeal-esophageal high-resolution manometry
- Definition of the technique and instrumentation
- Patient preparation and performance protocol
- PhHRM metrics
- UES relaxation and opening
- Metrics of flow resistance through the UES
- Metrics of pharyngeal propulsive forces
- Other metrics associated with impedance
- Pharyngeal high-resolution manometry in older patients
- 5.3 - Other techniques to assess the swallowing function (neurophysiology-pSEPs, pMEPs, EMG, accelerometry, ultraso ...
- Neurophysiology
- General principles and techniques
- Evoked potentials and TMS-related techniques for swallowing assessment
- Swallowing motor- and sensory-evoked potentials
- Other excitability measures for swallowing assessment
- Electromyographic and accelerometric assessments
- Electrokinesiographic assessment of oropharyngeal swallowing (single-bolus analysis)
- Assessment of the shape and reproducibility of swallowing-related bioelectric signals (sequential swallowing analysis)
- Spontaneous swallowing frequency assessment
- Ultrasound
- Ultrasonography
- Neuromuscular US in the evaluation of physiological swallow and dysphagia
- 6 - Complications of oropharyngeal dysphagia
- 6.1 - Dehydration
- Definition
- Etiology
- Prevalence of dehydration in patients with OD
- Diagnosis
- Complications
- Management.
- Free water protocols
- Other management
- 6.2 - Malnutrition
- Prevalence
- Classification and types
- Disease-related malnutrition
- Malnutrition
- Disease-related malnutrition with inflammation
- Chronic DRM with a milder inflammatory response. Chronic DRM with inflammation. Synonym: Cachexia
- Acute disease- or injury-related malnutrition that is characterized by a strong inflammatory response
- Disease-related malnutrition without inflammation. Synonym: Noncachectic DRM
- Malnutrition/undernutrition without disease. Synonym: Non-DRM
- Hunger-related malnutrition
- Socioeconomic or psychologic-related malnutrition
- Sarcopenia
- Frailty
- Overnutrition (overweight and obesity)
- Micronutrient abnormalities (deficiency or excess)
- Nutritional screening and assessment
- Treatment [29,34,139-143]
- Highlights for specific patient populations
- Older patients with OD
- Poststroke OD
- Cerebral palsy and neurological disabilities
- Amyotrophic lateral sclerosis [140]
- Parkinson's disease [140,167]
- Dementia [140,169]
- Head and neck cancer [141,142,170-172]
- Patients with COVID-19
- 6.3 - Oral health
- Impact of oral diseases on oropharyngeal dysphagia
- Impact of oral diseases on aspiration pneumonia
- Oral management/prevention of OD and aspiration pneumonia
- 6.4 - Respiratory infections and aspiration pneumonia
- Epidemiology
- Treatment
- When antibiotics are necessary?
- Which antibiotics to use?
- Duration and escalation/de-escalation of antibiotic treatment
- Prevention
- Prognosis
- 6.5 - Frailty, functional capacity, institutionalization, and quality of life
- Eating, drinking, and swallowing problems in frail older adults
- Swallowing with age.
- Oral frailty
- Frailty, sarcopenia, and swallowing
- Functional capacity
- Disability, handicap, and functional capacity
- ICF Codes
- Functional capacity and dysphagia
- Does dysphagia affect functional capacity?
- Dysphagia and institutionalization
- Prevalence of dysphagia
- Risk feeding
- Presentation of dysphagia
- Complications associated with dysphagia in institutionalized settings
- Medication
- Nutrition
- Infection
- Dehydration
- 7 - Treatment
- 7.1 - Thickening products and alimentary fluids for older patients with swallowing disorders
- Brief introduction to the state of the art of fluid thickening in older patients with oropharyngeal dysphagia
- The scientific method. How to measure the effect of rheology? The SI of units
- Thickening products
- Rheology for deglutologists
- Basic concepts of shear viscosity
- Basic concepts of extensional rheology
- An in vitro protocol to assess the rheological properties of TP
- In vitro assessment of extensional viscosity
- Clinical studies supporting the therapeutic effect of TP
- Palatability and compliance and potential side effects of TP
- Viscosity classifications for TP for patients with OD
- Regulations and legal framework
- Labeling of thickening products and thickened fluids
- Rheological fluid characterization of main alimentary fluids
- Supplementary material
- 7.2 - Texture-modified foods for patients with swallowing and/or mastication impairments
- Basics of the physiology of solid food processing
- Understanding the concepts of food texture and texture-modified diets
- Characterization of texture-modified foods in the international system of units
- The texture profile analysis
- Sensory analysis tools for texture-modified diets.
- Hedonic test for texture-modified diets.
- Notes:
- Includes bibliographical references and index.
- Description based on publisher supplied metadata and other sources.
- Description based on print version record.
- Other Format:
- Print version: Clave´, Pere A Multidisciplinary Approach to Managing Swallowing Dysfunction in Older People
- ISBN:
- 9780323916875
- 9780323916868
- 0323916864
- 0323916872
- OCLC:
- 1428503226
The Penn Libraries is committed to describing library materials using current, accurate, and responsible language. If you discover outdated or inaccurate language, please fill out this feedback form to report it and suggest alternative language.