This session will discuss the challenges of managing dysphagia in residents with Alzheimer’s dementia and review dysphagia assessment tools which can be conducted in the nursing home setting. The speakers will describe treatment interventions to reduce aspiration risk and facility liability, and present data from a nationwide survey about dysphagia policies. They will also address the reality of the role of artificial tube feeding for patients no longer able to eat food by mouth due to advanced Alzheimer’s dementia, as studies show that tube feeding via percutaneous endoscopic gastrostomy does not promote weight gain, reduce risk of aspiration pneumonia, heal pressure ulcers, or extend life expectancy in this patient population.
Effective communication with patients and caregivers about the role of artificial nutrition is vital. We will demonstrate effective communication tools and skills through clinical case scenarios, observing pre-recorded conversations, and role-play.
Describe the type of dysphagia which occurs in advanced Alzheimer’s dementia.
Review and describe assessment tools and interventions for management of dysphagia.
Describe nationwide data from surveys on policies for dysphagia management in the nursing home setting.
Demonstrate effective communication strategies for discussions with family caregivers and professional nursing home staff regarding the natural progression of dysphagia in patients with Alzheimer’s dementia.