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
References
Dec 14, 1999·Dysphagia·L Ballou StahlmanE Chambers IV
Apr 12, 2002·Journal of the American Geriatrics Society·Takeyoshi YoneyamaUNKNOWN Oral Care Working Group
May 11, 2005·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·L WrightG Frost
Jan 28, 2006·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Sharon M DurfeeUNKNOWN Task Force on Standards for Specialized Nutrition Support for Adult Residents of Long Term Care Facilities
Sep 27, 2006·Journal of the American Dietetic Association·Isabelle GermainKatherine Gray-Donald
Oct 10, 2006·Journal of the American Medical Directors Association·Sandra F Simmons, John F Schnelle
Jun 8, 2007·Canadian Journal of Dietetic Practice and Research : a Publication of Dietitians of Canada = Revue Canadienne De La Pratique Et De La Recherche En Diététique : Une Publication Des Diététistes Du Canada·Wendy J DahlRobert T Tyler
Aug 28, 2009·Canadian Journal of Dietetic Practice and Research : a Publication of Dietitians of Canada = Revue Canadienne De La Pratique Et De La Recherche En Diététique : Une Publication Des Diététistes Du Canada·Jennifer L AdolpheWendy J Dahl
Jan 22, 2011·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Agathe Raynaud-SimonUNKNOWN French Nutrition and Health Program, French Health High Authority
Feb 16, 2012·Age and Ageing·Dieneke Z B van AsseltMarcel G M Olde Rikkert
Dec 12, 2012·Journal of the American Medical Directors Association·Francesco LandiAntonio Cherubini
Jan 7, 2014·Current Physical Medicine and Rehabilitation Reports·Julie A Y CicheroJoseph Murray
Aug 12, 2014·Journal of Nutrition in Gerontology and Geriatrics·Heather H Keller, Lisa M Duizer
Aug 12, 2014·Journal of Nutrition in Gerontology and Geriatrics·Heather H Keller, Lisa M Duizer
Aug 12, 2014·Journal of Nutrition in Gerontology and Geriatrics·Nila IlhamtoLisa M Duizer
Nov 14, 2014·Current Opinion in Clinical Nutrition and Metabolic Care·Christina L BellBruce K Tamura
Dec 17, 2014·Journal of the American Medical Directors Association·Diane BunnLee Hooper
Jun 13, 2015·Canadian Journal of Dietetic Practice and Research : a Publication of Dietitians of Canada = Revue Canadienne De La Pratique Et De La Recherche En Diététique : Une Publication Des Diététistes Du Canada·Jamila R LeporeWendy J Dahl
Jun 13, 2015·Canadian Journal of Dietetic Practice and Research : a Publication of Dietitians of Canada = Revue Canadienne De La Pratique Et De La Recherche En Diététique : Une Publication Des Diététistes Du Canada·Ivy T LamKen Stark
Sep 16, 2015·Nutrients·Karen L AbbeySandra Capra
Oct 28, 2015·Journal of the American Geriatrics Society·Sandra F SimmonsJohn F Schnelle
Nov 3, 2015·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Dorothee VolkertStéphane M Schneider
Mar 12, 2016·Clinical Interventions in Aging·Rainer WirthDorothee Volkert
Aug 9, 2016·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Silvia CarriónPere Clavé
Sep 14, 2016·Maturitas·Ekta AgarwalElisabeth Isenring
Sep 20, 2016·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·T CederholmP Singer
Dec 4, 2016·Dysphagia·Julie A Y CicheroSoenke Stanschus
Feb 16, 2017·Journal of the American Geriatrics Society·Sandra F SimmonsHeidi J Silver
Aug 18, 2017·Clinical Interventions in Aging·Virginia PainterLouise M Waite
Dec 25, 2017·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Rosa BurgosStephan C Bischoff
Jan 10, 2018·Geriatric Nursing·Ashwini M Namasivayam-MacDonaldHeather H Keller
Feb 16, 2018·The British Journal of Nutrition·Heather H KellerLita Villalon
Jul 15, 2018·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Dorothee VolkertStephan C Bischoff
Aug 29, 2018·Journal of the American Medical Directors Association·Nicole Rogus-PuliaPhilip D Sloane
Sep 27, 2018·Journal of the American Medical Directors Association·Nikolina Jukic PeladicAntonio Cherubini
Sep 27, 2018·The Cochrane Database of Systematic Reviews·Eadaoin FlynnMargaret Walshe
Jan 10, 2019·Nutrients·Juan José Hernández MoranteJuana María Morillas-Ruiz
Oct 23, 2017·BMC Nutrition·Vanessa VuceaSusan E Slaughter