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Swallowing Assessment Pack for Dysphagia

As you know, every dysphagia patient must have their swallowing difficulty assessed by a Speech and Language Therapist/Pathologist.

However, making thickened drinks that flo slo enough to match all the IDDSI Levels 1, 2 and 3 takes time. To complicate matters, water is preferred for assessment but some patients just don’t like the look of thickener in water or it’s texture.

To help save time and give patients another option, we’ve created an Assessment Pack with our Slõ Milkshakes+.

They are pre-thickened and powdered ONS. Containing a thickener and a flavour, you simply mix with whole milk to reconstitute them to IDDSI Levels 1, 2 or 3.

They won’t thin out or speed up. They will flo slo all day, providing plenty of time for assessment.

Better still, patients won’t see thickened being added; they expect milkshakes to be thicker and they taste good – patients can’t taste the thickener!

The reason for providing Slõ Milkshakes+ is many dysphagia patient may need nutritional supplements.

By assessing with Slõ Milkshakes+, Therapists/ Pathologists know which IDDSI Level the patient needs and the flavour they like.

That can be included in a referral to a Dietitian, shortening the time between a patient’s assessment and them receiving the oral nutritional supplements they need.

To order an Assessment Pack, click the Clinicians Library button at the top of the page. Now in the Library complete your details, request an Assessment Pack and select the flavour you want to use.

We hope you find this service helpful and if you do – please let your colleagues know.

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Dysphagia: A Geriatric Giant?

“Geriatric Giants: A term coined by geriatrician Bernard Isaacs, and the expression refers to the principal chronic disabilities of old age that impact on the physical, mental and social domains of older adults”.

Dysphagia is a big issue. Estimates suggest there are currently over 590,000,000 around the world suffering with it.

As a result, David Smithard from King’s College Hospital Foundation Trust in London (UK) argues that it should be considered a Geriatric Giant. We completely agree and so have put the Abstract and Introduction from his paper below.

We would highly recommending reading the full and original article which you can read on line by clicking this link: https://medical-clinical-reviews.imedpub.com/dysphagia-a-geriatric-giant.php?aid=8373

Abstract

With increasing age there are changes to the physiology of all aspects of swallowing. Despite these changes, the majority of older people will swallow safely. With increasing frailty the number of people presenting with dysphagia increases either in the presence of acute illness or with co morbidity; with significant number living in institutions.

The aetiology of dysphagia is multiple and is associated with increased dependency and mortality and as such dysphagia meets the criteria to be classified as a geriatric syndrome or giant. This paper presents the case for dysphagia to be recognised as a geriatric giant.

Introduction

The worldwide population is increasing, such that it is predicted that there will be 2 billion over the age of 65 years by 2050; the greatest proportional increase will be in those over the age of 85 years.

Accompanying this will be an increase In people living longer with long term conditions and a consequent increase in frail older people.

Old age is frequently accompanied by many long-term conditions that affect health. Many old people will have multiple long-term conditions (e.g. ischaemic heart disease, diabetes, dementia).

Dysphagia, difficulty in swallowing, will accompany many long term conditions and may be latent in many frail older people, and is associated with increasing dependency and death. The time has come to fully recognise dysphagia as a Geriatric Giant /Syndrome.

To be recognised as a Geriatric Syndrome/Giant dysphagia [1] has to meet accepted recognised criteria below. This short paper will outline the reasons why it should be considered thus.

Factor for Geriatric Giant Dysphagia
Age
Symptom
Cognitive Function (✓)
Functional Impairment (✓)
Common
Multifactorial
Morbidity
Outcome

You can read on line by clicking this link: https://medical-clinical-reviews.imedpub.com/dysphagia-a-geriatric-giant.php?aid=8373

Posted on

Dysphagia: A Geriatric Giant?

“Geriatric Giants: A term coined by geriatrician Bernard Isaacs, and the expression refers to the principal chronic disabilities of old age that impact on the physical, mental and social domains of older adults”.

Dysphagia is a big issue. Estimates suggest there are currently over 590,000,000 around the world suffering with it.

As a result, David Smithard from King’s College Hospital Foundation Trust in London (UK) argues that it should be considered a Geriatric Giant. We completely agree and so have put the Abstract and Introduction from his paper below.

We would highly recommending reading the full and original article which you can read on line by clicking this link: https://medical-clinical-reviews.imedpub.com/dysphagia-a-geriatric-giant.php?aid=8373

Abstract

With increasing age there are changes to the physiology of all aspects of swallowing. Despite these changes, the majority of older people will swallow safely. With increasing frailty the number of people presenting with dysphagia increases either in the presence of acute illness or with co morbidity; with significant number living in institutions.

The aetiology of dysphagia is multiple and is associated with increased dependency and mortality and as such dysphagia meets the criteria to be classified as a geriatric syndrome or giant. This paper presents the case for dysphagia to be recognised as a geriatric giant.

Introduction

The worldwide population is increasing, such that it is predicted that there will be 2 billion over the age of 65 years by 2050; the greatest proportional increase will be in those over the age of 85 years.

Accompanying this will be an increase In people living longer with long term conditions and a consequent increase in frail older people.

Old age is frequently accompanied by many long-term conditions that affect health. Many old people will have multiple long-term conditions (e.g. ischaemic heart disease, diabetes, dementia).

Dysphagia, difficulty in swallowing, will accompany many long term conditions and may be latent in many frail older people, and is associated with increasing dependency and death. The time has come to fully recognise dysphagia as a Geriatric Giant /Syndrome.

To be recognised as a Geriatric Syndrome/Giant dysphagia [1] has to meet accepted recognised criteria below. This short paper will outline the reasons why it should be considered thus.

Factor for Geriatric Giant Dysphagia
Age
Symptom
Cognitive Function (✓)
Functional Impairment (✓)
Common
Multifactorial
Morbidity
Outcome

You can read on line by clicking this link: https://medical-clinical-reviews.imedpub.com/dysphagia-a-geriatric-giant.php?aid=8373

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IDDSI Podcast

As you know the IDDSI www.iddsi.org has been adopted here in the UK. Created to simplify descriptions of thickened drinks and pureed foods, it provides a common language for patients, carers and healthcare professionals. 

Because it is so important, we invited one of the board members based here in the UK – Ben Hanson – to join us on our podcast Slõ Talk. The aim was to share with us its origins, what’s happening to raise awareness and hopes for the future.

It is for those of you who are familiar with IDDSI and those who are not?

We have found that Speech and Language Therapists, Dietitians and those working on wards are extremely comfortable using the IDDSI terminology. They also understand how that translates into preparing thickened drinks and texture modified meals.

However, outside of that sphere there are many healthcare professionals who are not dealing with dysphagia on a daily basis who need added support to understand it.

For example, we still answer questions from Doctors, Surgeries and Pharmacists. This lack of understanding has been confirmed by research by the UK branch of the IDDSI, which also adds Nursing Homes and care facilities as a large group which wants more information.

This latest Slõ Talk podcast is another tool that aims to help rectify this and so would you please pass this on to, Doctors, Surgeries, and care facilities you are working with.

More information is available from our site www.slodrinks.com and IDDSI’s www.issdi.org

In the meantime, to listen to this podcast just click here: Slõ Talk: Podcast with Ben Hanson.

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Why thickened drinks have names from the IDDSI

As you are living with dysphagia (swallowing difficulty) you will be familiar with the different level names given to thickened drinks. These have been created under something called the International Dysphagia Diet Standardization Initiative. Abbreviated to IDDSI, pronounced ID – C.

It’s aim is to simplify descriptions of thickened drinks and pureed foods. Create a common language for patients, carers and healthcare professionals to describe a thickened drink.

Before this, everyone had their own idea of describing how thick a thickened drink should be. But this was open to interpretation. The IDDSI has changed this. Now everyone knows how to describe the thickness of a thickened drink and what it should look like.

It is for those of you who are familiar with IDDSI and those who are not?

Because knowing this is so important, we invited one of the board members based here in the UK – Ben Hanson – to join us on our podcast Slõ Talk. The aim was to share with us its origins, what’s happening to raise awareness and hopes for the future.

We have found that Speech and Language Therapists, Dietitians and those working on wards are extremely comfortable using the IDDSI terminology. They also understand how that translates into preparing thickened drinks and texture modified meals.

However, outside of that sphere there are many healthcare professionals who are not dealing with dysphagia on a daily basis who need added support to understand it. That may include you.

Consequently, we wanted to share with you our latest Slõ Talk podcast which will provide you with an insight in IDDSI and we hope proves useful.

More information is available from our site www.slodrinks.com and IDDSI’s www.issdi.org

In the meantime, to listen to this podcast just click here: Slõ Talk: Podcast with Ben Hanson.