Dysphagia and related problems with oral intake must certainly be numbered among the
important geriatric syndromes.
1
They, like other geriatric syndromes, become increasingly common as people age, are
especially prevalent in aging-related conditions such as stroke and Alzheimer's disease,
and are usually multifactorial.
2
In developing evidence-based approaches to such common aging problems, the scientific
community goes through a sequence of investigative steps. We begin by identifying
and defining the problem. Next, we use the tools of epidemiology to identify the problem's
prevalence, correlates, and prognosis overall and in subpopulations. At the same time,
we apply laboratory investigative tools to gain a better understanding of the physiological
and pathological processes involved, and we use this information to develop and evaluate
clinical tools to assess the risk factors and facilitate accurate diagnosis across
care settings. Finally, we develop and field test interventions to ameliorate and/or
accommodate the deficits associated with the syndrome.To read this article in full you will need to make a payment
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Article info
Footnotes
This manuscript was partially prepared within the Geriatric Research Education and Clinical Center (GRECC Manuscript #2018-XXX) at the William S. Middleton Veteran Affairs Hospital in Madison, WI. The views and content expressed in this article are solely the responsibility of the authors and do not necessarily reflect the position, policy, or official views of the Department of Veteran Affairs or US government.
The authors declare no conflicts of interest.
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Published by Elsevier Inc. on behalf of AMDA - The Society for Post-Acute and Long-Term Care Medicine.
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- Pathophysiology of Oropharyngeal Dysphagia Assessed by Videofluoroscopy in Patients with Dementia Taking AntipsychoticsJournal of the American Medical Directors AssociationVol. 19Issue 9
- The Impact of Dysphagia on Mortality of Nursing Home Residents: Results From the nutritionDay ProjectJournal of the American Medical Directors AssociationVol. 19Issue 9
