Texture-Modified Diet for Improving the Management of Oropharyngeal Dysphagia in Nursing Home Residents: An Expert Review

The Journal of Nutrition, Health & Aging
M D Ballesteros-PomarS F Simmons

Abstract

This paper provides evidence-based and, when appropriate, expert reviewed recommendations for long-stay residents who are prescribed texture-modified diets (TMDs), with the consideration that these residents are at high risk of worsening oropharyngeal dysphagia (OD), malnutrition, dehydration, aspiration pneumonia, and OD-associated mortality, poorer quality of life and high costs. Nestlé Health Science funded an initial virtual meeting attended by all authors, in which the unmet needs and subsequent recommendations for OD management were discussed. The opinions, results, and recommendations detailed in this paper are those of the authors, and are independent of funding sources. OD is common in nursing home (NH) residents, and is defined as the inability to initiate and perform safe swallowing. The long-stay NH resident population has specific characteristics marked by a shorter life expectancy relative to community-dwelling older adults, high prevalence of multimorbidity with a high rate of complications, dementia, frailty, disability, and often polypharmacy. As a result, OD is associated with malnutrition, dehydration, aspiration pneumonia, functional decline, and death. Complications of OD can potentially be prevented with t...Continue Reading

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Citations

Nov 26, 2020·Nutrients·Masaaki NagaeMasafumi Kuzuya
Jun 3, 2021·Healthcare·Xiaojing Sharon WuAndrea J Braakhuis
Jun 3, 2021·Geriatrics·Dorte MelgaardDavid Smithard
Jul 4, 2021·Dysphagia·Crispulo GallegosEdmundo Brito-de la Fuente
Jan 14, 2022·Journal of Nutrition in Gerontology and Geriatrics·David BayneSamantha E Shune

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