Choking is always a risk, even when healthy. Remind them to eat slowly and to take small bites and sips.
Remember, a person with dementia may not be able to communicate these problems to you.
Avoid hard metal cutlery, large cutlery or easily breakable utensils.
As the 24 million individuals living with some form of dementia follow the course of the disease, they experience deterioration in cognitive and swallowing capabilities. Misinterprets or ignores the body signals of hunger and the need for food Offer liquids and water consistently throughout the day, as residents usually do not ask for a … Make sure all the food and liquid is swallowed before feeding the next bite. Make sure they’re sitting as upright as possible. CHALLENGE INTERVENTION. The speech-language pathologist can guide the individual and his/her caregivers and family to support a safe intake and the least restrictive diet. Examples of direct dysphagia treatment interventions include sensory stimulation, di et modification, muscle strengthening, ROM exercises, and caregiver training in feeding assistance. Recognising and managing swallowing difficulties for people with dementia Symptoms of dysphagia. Healthy Ageing. Meal times provide us with an opportunity to spend time with our family and friends, as well as sharing food together. Inability to perform self-care tasks. Managing swallowing difficulties in people with dementia. Referral to a speech pathologist. Table Strategies for managing residents with dementia and dysphagia. This fact sheet provides some practical strategies for dealing with the troubling behavior problems and communication difficulties often encountered when caring for a person with dementia. Read information from Tufts University about the unique nutritional and physical activity needs associated with age. Feeding Strategies in Dementia . Problems with eating, swallowing, and poor caloric intake are common in patients with advanced dementia and often develop during an acute medical event when the immediate prognosis is unclear. In addition, dementia can cause mood swings and even change a person’s personality and behavior. Try not to become stressed at the mealtime if difficulties are encountered. Feed the person patiently, with a slow rate of intake. It may be because the person is having difficulty chewing or swallowing their food. Reduce Dementia-related Swallowing Problems Swallowing Can Be A Killer. There are many ways to improve the situation. The tips for assisting a person with dementia to take medications are great, however, I have a concern with the picture you used for this blog. A speech and language therapist can be contacted through a person’s GP. You might try to have them rest for 30 minutes right before eating. CHALLENGE INTERVENTION. Chest infections or aspiration pneumonias. However, diet modification can affect quality of … Ten Tips for Communicating with a Person with Dementia Dementia Care: A Practical Guide to Swallowing Problems April 2014 www.uhcw.nhs.uk - 6 - Biting down hard on utensils People with dementia may be very sensitive to having cutlery in the mouth, for example, a cold metal spoon. For a comprehensive discussion of eating and swallowing interventions for individuals with dementia, see Hickey, Cleary, Coulter, & Bourgeois, 2018.
Difficulty swallowing increases the risk of choking or aspirating food into the lungs, which can block breathing and cause pneumonia. Suggestions for managing feeding difficulties: Ensure mealtimes are relaxed and as unhurried as possible. If this is the case, check for loose-fitting dentures or painful gums or loose teeth.
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