A Multidisciplinary Approach to Managing Swallowing Dysfunction in Older People
- 1st Edition - March 29, 2024
- Authors: Pere Clave´, Omar Ortega
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 9 1 6 8 6 - 8
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 9 1 6 8 7 - 5
A Multidisciplinary Approach to Managing Swallowing Dysfunction in Older People provides comprehensive coverage on oropharyngeal dysphagia (OD), focusing on older patient phenotype… Read more
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Request a sales quoteA 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.
- Presents full coverage of swallowing impairments in the older population and oropharyngeal dysphagia as a newly defined geriatric syndrome
- Explores the latest innovations and research in the field for pathophysiology, diagnosis, ethics, treatment and potential complications
- Expertly written chapters by international leading experts in the fields of dysphagia and geriatric medicine are included
Researchers, physicians and healthcare professionals dealing with dysphagia: translational researchers, gastroenterologists, ENT, speech and language therapists, nurses, dietitians, radiologists, surgeons, pulmonologists, geriatricians, and dentists; Students or novice healthcare professionals who want to know more about the pathology of oropharyngeal dysphagia in the elderly
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Preface
- Acknowledgments
- Prologue
- Chapter 1. Introduction
- Chapter 2. Oropharyngeal dysphagia as a geriatric syndrome
- Introduction
- Review of the criteria to define OD as a geriatric syndrome
- Conclusion
- Chapter 3. Physiology and pathophysiology
- Chapter 3.1. Physiology and pathophysiology of oropharyngeal dysphagia in older persons
- Introduction
- Chapter 3.2. Brain structure, neurotopography, and function in dysphagia in older persons
- Introduction
- Cortical and subcortical control of swallowing
- Age-related changes of the central control of swallowing
- Conclusion
- Chapter 4. Sarcopenic dysphagia
- An introduction to sarcopenia
- Pathophysiology of sarcopenia
- Diagnosis of sarcopenia
- Prevalence and consequences of sarcopenia
- Prevention and treatment of sarcopenia
- The relationship between dysphagia, malnutrition, and sarcopenia in older people
- Malnutrition and dysphagia in older people
- Texture-modified diets and malnutrition
- The vicious circle of dysphagia, malnutrition, and sarcopenia
- Prevalence of sarcopenic dysphagia
- Ultrasonography of swallowing muscle mass and intensity
- Clinical signs of sarcopenic dysphagia
- Iatrogenic sarcopenia
- Treatment of sarcopenic dysphagia
- Conclusions
- Chapter 5. Diagnosis of dysphagia in the older person
- Introduction
- Chapter 5.1. Dysphagia diagnosis: Noninstrumental assessment
- Swallow screening
- Clinical swallow evaluation
- Chapter 5.2. Instrumental assessment (VFS, FEES, and HRM)
- Videofluoroscopy swallowing study
- FEES
- HRM—pharyngeal-esophageal high-resolution manometry
- Chapter 5.3. Other techniques to assess the swallowing function (neurophysiology—pSEPs, pMEPs, EMG, accelerometry, ultrasonography, and spontaneous swallowing frequency)
- Neurophysiology
- Ultrasound
- Chapter 6. Complications of oropharyngeal dysphagia
- Introduction
- Chapter 6.1. Dehydration
- Introduction
- Definition
- Etiology
- Prevalence of dehydration in patients with OD
- Diagnosis
- Complications
- Management
- Other management
- Chapter 6.2. Malnutrition
- Introduction
- Definition
- Prevalence
- Etiology
- Classification and types
- Nutritional screening and assessment
- Treatment [29,34,139–143]
- Chapter 6.3. Oral health
- Impact of oral diseases on oropharyngeal dysphagia
- Impact of oral diseases on aspiration pneumonia
- Oral management/prevention of OD and aspiration pneumonia
- Conclusions
- Chapter 6.4. Respiratory infections and aspiration pneumonia
- Introduction
- Epidemiology
- Diagnosis
- Treatment
- Prevention
- Prognosis
- Summary
- Chapter 6.5. Frailty, functional capacity, institutionalization, and quality of life
- Eating, drinking, and swallowing problems in frail older adults
- Swallowing with age
- Oral frailty
- Frailty, sarcopenia, and swallowing
- Summary
- Functional capacity
- Dysphagia and institutionalization
- Chapter 7. Treatment
- Chapter 7.1. Thickening products and alimentary fluids for older patients with swallowing disorders
- Brief introduction to the state of the art of fluid thickening in older patients with oropharyngeal dysphagia
- The scientific method. How to measure the effect of rheology? The SI of units
- Thickening products
- Rheology for deglutologists
- An in vitro protocol to assess the rheological properties of TP
- In vitro assessment of extensional viscosity
- Clinical studies supporting the therapeutic effect of TP
- Palatability and compliance and potential side effects of TP
- Viscosity classifications for TP for patients with OD
- Regulations and legal framework
- Labeling of thickening products and thickened fluids
- Rheological fluid characterization of main alimentary fluids
- Supplementary material
- Chapter 7.2. Texture-modified foods for patients with swallowing and/or mastication impairments
- Basics of the physiology of solid food processing
- Understanding the concepts of food texture and texture-modified diets
- Characterization of texture-modified foods in the international system of units
- Sensory analysis tools for texture-modified diets
- Chapter 7.3. Multimodal interventions—the role of the multidisciplinary team
- Multidisciplinary team description
- Demographic and patient-centered care context
- Needs to share decisions to manage several phenotypes of OD patients
- Professional roles and service organization
- Multimodal interventions
- Chapter 7.4. Classical rehabilitation strategies
- Introduction
- Treatment
- Swallowing rehabilitation and neuroplasticity
- Chapter 7.5. Pharmacological treatment
- Neurophysiology of swallowing and sensory innervation of the human oropharynx
- Structures and receptors involved in the sensory perception
- Effect of chemical and physical stimulation on biomechanics and neurophysiology of swallowing
- Chapter 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
- Chapter 8. Health economics of oropharyngeal dysphagia and its complications: Malnutrition and respiratory infections in older people
- Oropharyngeal dysphagia in geriatric populations
- Poststroke oropharyngeal dysphagia
- Clinical complications of poststroke oropharyngeal dysphagia: malnutrition and respiratory infections
- Oropharyngeal dysphagia in head and neck cancer
- Oropharyngeal dysphagia in Parkinson's disease
- Economic evaluation studies of healthcare interventions in oropharyngeal dysphagia
- Conclusions
- Chapter 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
- European society for swallowing disorders
- UK swallowing research group
- North America
- New Zealand and Australia
- South America. Sociedad Latinoamericana de disfagia
- Japan
- Korea
- China
- Chapter 10. Summary and conclusions
- Index
- No. of pages: 334
- Language: English
- Edition: 1
- Published: March 29, 2024
- Imprint: Academic Press
- Paperback ISBN: 9780323916868
- eBook ISBN: 9780323916875
PC
Pere Clave´
Pere Clavé is a digestive surgeon, professor at the Universitat Autònoma de Barcelona (UAB) and Director of Research and Innovation at the Consorci Sanitari del Maresme. He has an extensive career in the world of research and more specifically in GI physiology.
Dr. Clavé is also the Founding President of the European Society for Swallowing Disorders (ESSD) and founder of the Fundació de Recerca en Gastroenterologia (Gastroenterology Research Foundation (FUREGA)).
He is also head of the Digestive Motility Department at Hospital de Mataró, a multidisciplinary unit that works in conjunction for the diagnosis, treatment and research of oropharyngeal dysphagia.
His proactivity in spreading knowledge on dysphagia to professionals from all over the word is well known: he is the director of the Master’s Degree and Postgraduate Diploma on Swallowing Disorders, multidisciplinary courses offered by the UAB; and he is also the coordinator of an online practicum available for SLP students at UAB focused on dysphagia.
Affiliations and expertise
Prof. Pere Clave is a digestive surgeon, professor at the Universitat Autònoma de Barcelona (UAB), Director of Research and Innovation at the Consorci Sanitari del Maresme and principal investigator of the CIBERehd (Centro de Investigación Biomédica en Red en Enfermedades Hepáticas y Digestivas, Instituto de Salud Carlos III) group on Gastrointestinal Physiology.OO
Omar Ortega
Omar Ortega is a postdoctoral researcher at Hospital de Mataró (Fundació Salut del Consorci Sanitari del Maresme) and affiliate partner of the Center for Biomedical Research in Hepatic and Digestive Diseases Network (CIBERehd, Instituto de Salud Carlos III; https://www.ciberehd.org).
Degree in Biology. Master’s Degree in Advanced Microbiology from the Universitat de Barcelona. Doctor in Medicine (2016) at Universitat Autònoma de Barcelona.
His research line has been focused on the respiratory complications of oropharyngeal dysphagia (OD) in older patients, the study of the pathophysiology of OD in older and post-stroke patients with new neurophysiological approaches and the development of new neurorehabilition treatments for these patients.
Affiliations and expertise
Dr. Omar Ortega is a postdoctoral researcher at Hospital de Mataró (Fundació Salut del Consorci Sanitari del Maresme) and affiliate partner of CIBERehd (Centro de Investigación Biomédica en Red en Enfermedades Hepáticas y Digestivas, Instituto de Salud Carlos III).Read A Multidisciplinary Approach to Managing Swallowing Dysfunction in Older People on ScienceDirect