Behavioral Strategies

Question 1

Protocol 201

Answer 1

Largest RCT regarding efficacy of thickened liquids with dementia, PD, and PD/dementia

Part 1: found that aspiration was eliminated significantly more with thick liquids versus chin down with thin, honey-thick reduced aspiration more than nectar thick

Part 2: long term effects over 3 months, honey thick liquids lead to a TWO FOLD increase in PNA, dehydration, longer hospitalization stays

Case in Point: focus on more than just ST outcomes..

Question 2

Compulsive eating

Answer 2

cut up food

slow patient down

Question 3

Hold food in mouth for pronlonged period of time

Answer 3

alter taste, temperature, massage muscles, eliminate distractions

Question 4

Liquid spills before swallow

Answer 4

controlled swallow

small bolus size

supraglottic

Question 5

Liquid wash

Answer 5

residue after the swallow

alternative bites of solids/liquids

Question 6

Larger bolus

Answer 6

for those with delayed trigger of pharygneal swallow

large bolus enhances sensory input?

Question 7

Multiple Swallows

Answer 7

use with someone with sig oropharyngeal residue

swallow 2/3x/bite