Difference between revisions of "MND-DYSPHAGIA"
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<br/>4. Early management: modification of food bolus and fluid consistency, coaching and training by the speech therapist guided by the MBS examination. | <br/>4. Early management: modification of food bolus and fluid consistency, coaching and training by the speech therapist guided by the MBS examination. | ||
<br/>5. If dysphagia progresses & conservative management does not maintain safe caloric intake: proceed to PEG insertion. | <br/>5. If dysphagia progresses & conservative management does not maintain safe caloric intake: proceed to PEG insertion. | ||
<br/>6. This should be done before VC falls below 50% of age-predicted values. | <br/>6. This should be done before VC falls below 50% of age-predicted values. | ||
Latest revision as of 02:29, 21 March 2023
SUMMARY
1. Symptoms of dysphagia in MND: jaw weakness, fatigue, drooling, choking, slow eating.
MANAGEMENT
2. Refer to speech therapist for swallowing assessment.
3. VFSS/MBS to investigate.
4. Early management: modification of food bolus and fluid consistency, coaching and training by the speech therapist guided by the MBS examination.
5. If dysphagia progresses & conservative management does not maintain safe caloric intake: proceed to PEG insertion.
6. This should be done before VC falls below 50% of age-predicted values.
Reference(s)
Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].
