Namasivayam a M 2015 Malnutrition and Dysphagia in Long-term Care a Systematic Review

Abstract

Purpose

The purpose of this study was to determine if older adults residing in long-term care were able to accurately cocky-written report their swallowing status by comparing subjective complaints of dysphagia and objective methods of swallowing screening.

Method

Data were collected from 397 residents of long-term intendance (M _{historic period} = 86.8 years ± vii.eight; 263 female). Cognitive damage scores were collected, and each resident was asked (a) if they idea they had a swallowing trouble, (b) if they coughed/choked when they ate, and (c) if they coughed/high-strung when they drank. These responses were compared to results of a swallowing screening tool and mealtime observations of cough and choking.

Results

Residents who reported swallowing difficulties (10%, n = 41) were viii times more likely to neglect the swallowing screening (p < .001); withal, fourscore% of residents who failed the swallowing screening did not previously written report that swallowing was an issue. There was no significant association betwixt cocky-reports of cough and choking at meals and observations. There was no difference in level of cognition between residents who accurately reported swallowing status and those who were inaccurate.

Conclusions

Residents are largely unable to accurately self-report swallowing difficulties and also have difficulty accurately reporting incidences of coughing and choking. These findings suggest that concerted efforts are required to implement regular, formal swallowing screening protocols in long-term care to objectively identify those at risk.

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Source: https://pubs.asha.org/doi/10.1044/2019_AJSLP-18-0186

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