When safe oral feeding is threatened: end-of-life options and decisions

ME Groher, TP Groher - Topics in Language Disorders, 2012 - journals.lww.com
Managing one's dysphagia at the end-of-life is challenging for the patient and the medical
care team. Decisions surrounding oral feeding safety and the use of artificially administered …

Swallowing therapy in adults

LC Poertner, RF Coleman - Otolaryngologic Clinics of North America, 1998 - Elsevier
An often used clinical axiom is that “trouble never comes in ones.” Life-threatening events
such as cerebrovascular accidents, head injuries, or the more subtle processes of aging are …

Ethical issues in dysphagia: when patients refuse assessment or treatment

HM Sharp, KN Bryant - Seminars in Speech and Language, 2003 - thieme-connect.com
The primary goal of intervention for patients with dysphagia is to restore oral feeding. When
patients are unable to achieve adequate nutrition, hydration, or safety with oral feeding, then …

When it's hard to swallow: Feeding techniques for dysphagia management

PA Donahue - Journal of Gerontological Nursing, 1990 - journals.healio.com
Feeding Techniques for Dysphagia Management ne month after a cere-brovascular
accident, Mrs. D, 48 years old, continued to refuse to leave her room to eat and sent her …

Management of feeding decisions in hospitalised adults with severe oropharyngeal dysphagia

L McHutchison, A Miles, D Spriggs… - … Journal on Ageing, 2018 - Wiley Online Library
Objective For patients with dysphagia, decisions must be made for provision of nutrition and
hydration. This retrospective audit explored feeding decisions for patients with severe …

Dysphagia evaluation, treatment, and recommendations

CS Hammond, CH Scharver, LW Markley… - Handbook of Clinical …, 2004 - Springer
Dysphagia results from bolus flow interruption by an incoordination, obstruction or weakness
of the biomechanics of swallowing (1). Impaired swallowing or dysphagia can cause …

Ethical dilemmas in dysphagia management and the right to a natural death

A Serradura-Russell - Dysphagia, 1992 - Springer
Speech pathologists are at the forefront in dealing with the consequences of life-saving
measures and the technological advances that promote surival. Many ethical dilemmas exist …

Determination of the risks and benefits of oral feeding

ME Groher - Dysphagia, 1994 - Springer
The dysphagia team is often faced with the dilemma of whether or not to let patients with
known aspiration feed orally. The criteria that assist professionals in their final decisions may …

Ethics, informed consent, and decisions about nonoral feeding for patients with dysphagia

HM Sharp, LB Wagner - Topics in Geriatric Rehabilitation, 2007 - journals.lww.com
Alternative methods for sustaining or artificial nutrition and hydration (ANH) may be
recommended when a person is at risk for malnutrition, dehydration, or aspiration due to …

Ethical decision-making in dysphagia management

HM Sharp, LB Genesen - American Journal of Speech-Language Pathology, 1996 - ASHA
Ethics historically refers to the analysis of moral duties and obligations that guide human
behavior. In health care, ethics is applied both to professional behavior, guidelines for which …