Full Description
A Multidisciplinary Approach to Managing Swallowing Dysfunction in Older People provides comprehensive coverage on oropharyngeal dysphagia (OD), focusing on older patient phenotypes. The book provides the knowledge needed for translational researchers and professionals to aid in the detection, diagnosis, treatment and management of OD, ultimately improving patient quality of life. OD has been recently considered a geriatric syndrome because of its high prevalence, the increase of life-expectancy and the need to be managed by a multidisciplinary approach. This reference takes a novel approach to OD, covering all aspects as a geriatric syndrome, examining a complicated and multi-level topic in a succinct way.
Contents include the most innovative information available in current literature combined with practical applications to improve the diagnosis and treatments of OD as a geriatric syndrome. This is the perfect reference for translational researchers, physicians and healthcare professionals dealing with OD.
Contents
1. Introduction
2. Oropharyngeal dysphagia as a geriatric syndrome
3. Physiology and pathophysiology
3.1 Physiology and pathophysiology of oropharyngeal dysphagia in older persons
3.2 Brain structure, neurotopography and function in dysphagia in older persons
4. Sarcopenic dysphagia
5. Diagnosis of dysphagia in the older person
5.1 Dysphagia diagnosis: Noninstrumental assessment
5.2 Instrumental assessment (VFS, FEES, and HRM)
5.3 Other techniques to assess the swallowing function (neurophusiology - pSEPS, pMEPS, EMP, accelerometry, ultrasonography, and spontaneous swallowing frequency)
6. Complications of oropharyngeal dysphagia
6.1 Dehydration
6.2 Malnutrition
6.3 Oral health
6.4 Respiratory infections and aspiration pneumonia
6.5 Frailty, functional capactity, institutionalization, and quality of life
7. Treatment
7.1 Thickening products and alimentary fluids for older patients with swallowing disorders
7.2 Texture-modified foods for patients with swallowing and/or mastication impairments
7.3 Multimodal interventions-the role of the multidisciplinary team
7.4 Classical rehabilitation strategies
7.5 Pharmacological treatment
7.6 Neurorehabilitation strategies
7.6.1 Neurorehabilitation for oropharyngeal dysphagia in older patients
7.6.2 Transcutaneous electrical stimulation: neuromuscular and sensory stimulation for poststroke older patients with oropharyngeal dysphagia
8. Health economics of oropharyngeal dysphagia and its complications: Malnutrition and respiratory infections in older people
9. The development of scientific societies, history of dysphagia management, and research in Europe, UK, North America, Australia, New Zealand, South America, Japan, Korea, and China
10. Summary and conclusions
