ACQ Vol 11 No 1 2009

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ACQuiring knowledge in sp eech, language and hearing, Volume 11, Number 1 2009 41
MULTICULTURALISM AND DYSPHAGIA
Summary and conclusions
In summary, the literature indicates that free water protocols
may be a promising alternative for patients without
significant co-morbidities and good oral hygiene, both in
terms of patient satisfaction and improved health markers. It
would be extremely beneficial to conduct a large-scale trial
examining use of free water versus thickened fluids in a
population of dysphagic patients with known aspiration to
complement/confirm previous research results.
References
Abe, S., Ishihara, K., & Okuda, K. (2001). Prevalence of
potential respiratory pathogens in the mouths of elderly patients
and effects of professional oral care. Archives of Gerontology
and Geriatrics, 32(1), 45–55.
Adachi, M., Ishihara, K., Abe, S., Okuda, K., & Ishikawa, T.
(2002). Effect of professional oral health care on the elderly
living in nursing homes. Oral Surgery Oral Medicine Oral
Pathology Oral Radiology, 94(2), 191–195.
Addington, W. R., Stephens, R. E., Gilliland, K., & Rodrigueiz,
M. (1999). Assessing the laryngeal cough reflex and the risk of
developing pneumonia after stroke. Archives of Physical
Medicine and Rehabilitation, 80(2), 150–154.
Addington, W. R., Stephens, R. E., & Gilliland, K. A. (1999).
Assessing the laryngeal cough reflex and the risk of develop­
ing pneumonia after stroke: an interhospital comparison.
Stroke, 30(6), 1203–1207.
Astor, F. C., Hanft, K. L., & Ciocon, J. O. (1999). Xerostomia:
a prevalent condition in the elderly. Ear Nose Throat Journal,
78(7), 476–479.
Boyton, R. J., & Openshaw, P. J. (2002). Pulmonary defences
to acute respiratory infection. British Medical Bulletin, 61, 1–12.
Brook, I. (2003). Management and prevention of dental
infections. 1. Retrieved 24 April 2003, from http//www.
Budtz-Jorgensen, E., Mojon, P., Banon-Clement, J. M., &
Baehni, P. (1996). Oral candidosis in long-term hospital care:
comparison of endentulous and dentate subjects. Oral Disease,
2(4), 285–290.
Cassiere, H. A. (1998). Aspiration pneumonia: Current
concepts and approach to management. Retrieved 2 January
2002 from
REspiratoryCare/jouranl/1998/v02.n01
Cook, I. J., & Kahrilas, P. J. (1999). AGA technical review on
management of oropharyngeal dysphagia. Gastroenterology,
116, 455–478.
Crystal, R., West, J. B., Barnes, P. J., Cherniack, M. S., &
Weibel, E. R. (Eds.). (1991). The lung: Scientific foundations. vol.
2. New York: Raven.
Curtis, J. & Langmore., S. E. (1997). Respiratory function
and complications related to deglutition. In Perlman & K
Schulze-Delrieu (Eds.), Deglutition and its disorders: Anatomy,
physiology, clinical diagnosis and management, pp. 99–214. San
Diego, CA: Singular.
Daniels, S.K., Brailey, K., Priestly, D.H., Herrington, L.R.,
Weisberg, L.A., Foundas, A.L. (1998). Aspiration in patients
with acute stroke. Archives of Physical Medicine and Rehabilitation,
79(1):14–19.
DeLegge, M. H. (2002). Aspiration pneumonia: Incidence,
mortality and at-risk populations. Journal of Peranteral and
Enteral Nutrition, 26(6), s19–s25.
DePippo, K. L., Holas, M. A., Reding, M. J., Mandel, F. S., &
Lesser, M. L. (1994). Dysphagia therapy following stroke: A
controlled trial. Neurology, 44, 1655–1660.
Diaz-Arnold, A. & Marek, C. A. (2002). The impact of saliva
on patient care: A literature review. Journal of Prosthetic Dentistry,
88, 337–343.
Duits, L. A., Tjabringa, G. S., Aarts, N. J., van’t Wout, J. W.,
Hiemstra, P. S., Nibbering, P. H., et al. (2003). Plasma secretory
leukocyte protease inhibitor in febrile patients. Clinical
Microbiology & Infection, 9(7), 605–613.
Finestone, H. M., Foley, N. C., Woodbury, M. G., & Greene-
Finestone, L. (2001). Quantifying fluid intake in dysphagic
stroke patients: a preliminary comparison of oral and nonoral
strategies. Archives of Physical Medicine and Rehabilitation ,
82(12), 1744–1746.
Finucane, T. E., Christmas, C., & Travis, K. (1999). Tube
feeding in patients with advanced dementia: a review of the
evidence. Journal of the American Medical Association, 282(14),
1365–1370.
Garon, B. R., Engle, M., & Ormiston, C. (1997). A
randomized control study to determine the effects of
unlimited oral intake of water in patients with identified
aspiration. Journal of Neurological Rehabilitation, 11, 139–148.
Gibson, G., & Barrett, E. (1992). The role of salivary function
on oropharyngeal colonization. Specialist Care Dentist, 12(4),
153–156.
Gleeson K. E. D., & Maxwell S. L. (1997). Quantitative
aspiration during sleep in normal subjects. Chest, 111, 1266–
1272.
Johnson, E. R., McKenzie, S. W., & Sievers, A. (1993).
Aspiration pneumonia in stroke. Archives of Physical Medicine
and Rehabilitation , 74(9), 973–976.
Joshipura, K. J., Hung, H. C., Rimm, E. B., Willett, W. C., &
Ascherio, A. (2003). Periodontal disease, tooth loss, and
incidence of ischemic stroke. Stroke, 34 (1), 47–52.
Kikawada, M., Iwamoto, T., & Takasaki, M. (2005).
Aspiration and infection in the elderly: epidemiology, diagnosis
and management. Drugs and Aging, 22 (2), 115–130.
Kleiner, S. M. (1999). Water: An essential but overlooked
nutrient. J Am Diet Assoc, 99(2), 200–206.
Langmore, S. E., Skarupski, K. A., Park, P. S., & Fries, B. E.
(2002). Predictors of aspiration pneumonia in nursing home
residents. Dysphagia, 17(4), 298–307.
Langmore, S.E., Terpenning, M.S., Schork, A., Chen, Y.,
Murray, J.T., Lopatin, D., & Loesche, W.J. (1998). Predictors of
aspiration pneumonia: How important is dysphagia?
Dysphagia, 1369–81.
Leibovitz, A., Plotnikov, G., Habot, B., Rosenberg, M., &
Segal, R. (2003). Pathogenic colonization of oral flora in frail
elderly patients fed by nasogastric tube or percutaneous
enterogastric tube. Journal of Gerontology Series A: Biological
Sciences and Medical Science , 58 (1), 52–55.
Lieberman, H. R. (2007). Hydration and cognition: a critical
review and recommendations for future research. Journal of
the American College of Nutritionalists, 26(5 Suppl), 555S–561S.
Low, J., Wyles, C., Wilkinson, T., & Sainsbury, R. (2001). The
Effect of Compliance on Clinical Outcomes for Patients with
Dysphagia on Videofluoroscopy. Dysphagia, 16 (2), 123–127.
Marik, P. E. (2001). Aspiration pneumonitis and aspiration
pneumonia. New England Journal of Medicine, 344(9), 665–671.
Millns, B., Gosney, M., Jack, C. I., Martin, M. V., & Wright,
A. E. (2003). Acute stroke predisposes to oral gram-negative
bacilli – a cause of aspiration pneumonia? Gerontology, 49(3),
173–176.
Mojon, P. (2002). Oral health and respiratory infection.
Journal of the Canadian Dental Association , 68(6), 340–345.
Nicod, L. P. (1999). Pulmonary defence mechanisms. Respiration,
66(1), 2–11.
Palmer, L. B., Albulak, K., Fields, S., Filkin, A. M., Simon, S.,
& Smaldone, G. C. (2001). Oral clearance and pathogenic
oropharyngeal colonization in the elderly. American Journal of
Respiratory and Critical Care Medicine, 164(3), 464–468.