New research challenges the use of thick liquid diets in hospitalized patients with dementia and dysphagia.
Hospitalized patients with dementia and dysphagia are often prescribed a"dysphagia diet," made up of texture-modified foods and thickened liquids in an effort to reduce the risk for aspiration or other problems. However, a new study calls this widespread and long-held practice into question.
"However, there is no concrete evidence that thick liquids improve health outcomes, and we also know that thick liquids can lead to decreased palatability, poor oral intake, dehydration, malnutrition, and worse quality of life," added Sinvani, who also is director of the geriatric hospitalist service at Northwell Health in New York.
"This cohort study emphasizes the need for prospective studies that evaluate whether thick liquids are associated with improved clinical outcomes in hospitalized patients with ADRD and dysphagia," the authors wrote. One example is percutaneous endoscopic gastrostomy tubes for individuals with dysphagia and dementia.
He also encouraged clinicians to"put yourself in the shoes of the patients who will be asked to adhere to this modified diet. For 12 hours, drink your tea, coffee, wine, and water as thickened liquids," Widera suggested.
Alzheimer Disease Dementia Dysphagia Swallowing Disorder Diet Pneumonia Otolaryngology ENT Specialty Head And Neck Surgery ENT Speciality Aspiration Aspiration Pneumonia Dehydration Hypohydration Hospitals Quality Of Life QOL Health Related Quality Of Life Health-Related Quality Of Life HRQOL Acute Respiratory Distress Syndrome
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