Swallowing in moderate and severe phases of Alzheimer's disease

Arquivos de Neuro-Psiquiatria

Sheilla De Medeiros Correia²  Lilian Schafirovits Morillo¹  Wilson Jacob Filho¹  Leticia Lessa Mansur² 

[1],University of São Paulo Department of Phonoaudiology São Paulo SP ,Brazil

关键词: swallowing disorders;    Alzheimer's disease;    caregivers;    transtornos da deglutição;    doença de Alzheimer;    cuidadores;   

DOI  :  10.1590/S0004-282X2010000600005

来源: SciELO

【 摘 要 】

OBJECTIVE: To characterize the problems of feeding and swallowing in individuals with moderate and severe Alzheimer´s disease (AD) and to correlate these with functional aspects. METHOD: Fifty patients with AD and their caregivers participated in this study. The instruments used were: Clinical Dementia Rating (CDR), Mini-Mental State Examination, Index of Activities of Daily Living, Assessment of Feeding and Swallowing Difficulties in Dementia, Functional Outcome Questionnaire for Aphasia, and Swallowing Rating Scale. RESULTS: Problems with passivity, distraction and refusal to eat were encountered in the CDR2 group. Distraction, passivity and inappropriate feeding velocity were predominant in the CDR3 group. The problems were correlated with communication, swallowing severity of AD individuals and caregiver schooling. CONCLUSION: Given the inexorable functional alterations during the course of the disease, it is vital to observe these in patients with a compromised feeding and swallowing mechanism. The present study supplies the instruments to orient caregivers and professionals.

【 授权许可】

CC BY   
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