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Dining Well With Dementia: This Is A Lot To Swallow!

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1.  Atypical aging as it relates to swallowing include all of the following EXCEPT:
  1. Losing the ability to feed self
  2. Reduced intake
  3. Requires adaptive equipment
  4. Changes in swallow function
2.  Progressive brain changes as they relate to feeding and eating may include:
  1. Adaptive equipment
  2. Finger foods
  3. Help to initiate feeding
  4. All of the above
3.  Up to 50% of patients and residents require assistance with feeding. It has been shown that individuals who are dependent for feeding are approximately _____ times more likely to get an aspiration PNA.
  1. 10
  2. 15
  3. 20
  4. 25
4.  

Scenario: Ms. Smith was doing great and had been eating and drinking well. But suddenly, staff have noticed over the last few days she is not intaking well and seems disinterested in her food. She seems to be just moving food around on her plate and requiring verbal cues to at least drink her liquids.

All of the following should be considered to establish the reason for these changes, EXCEPT:
  1. Having no utensils on the table, arguing with table mate
  2. Poor fitting dentures, hand use & ability, reduced appetite
  3. Changes in taste, swallowing issues, UTI
  4. Bathroom habits, changes in communication, swallowing difficulty
5.  Which of the following should be considered to determine if changes need to be made?
  1. Comfort: Temperature, Appropriate Seating, Incontinence Care
  2. Environment: Excess distractions, Lighting, Table Height
  3. Sensory and Meaning: Choices and Preferences, Offer/Provide Alternates, Familiarity
  4. All of the above should be considered

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