Swallowing in moderate and severe phases of Alzheimer's disease

OBJECTIVE: To characterize the problems of feeding and swallowing in individuals with moderate and severe Alzheimer´s disease (AD) and to correlate these with functional aspects. METHOD: Fifty patients with AD and their caregivers participated in this study. The instruments used were: Clinical Demen...

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Main Authors: Sheilla de Medeiros Correia, Lilian Schafirovits Morillo, Wilson Jacob Filho, Leticia Lessa Mansur
Format: Article
Language:English
Published: Thieme Revinter Publicações 2010-12-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000600005&lng=en&tlng=en
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author Sheilla de Medeiros Correia
Lilian Schafirovits Morillo
Wilson Jacob Filho
Leticia Lessa Mansur
author_facet Sheilla de Medeiros Correia
Lilian Schafirovits Morillo
Wilson Jacob Filho
Leticia Lessa Mansur
author_sort Sheilla de Medeiros Correia
collection DOAJ
description OBJECTIVE: To characterize the problems of feeding and swallowing in individuals with moderate and severe Alzheimer´s disease (AD) and to correlate these with functional aspects. METHOD: Fifty patients with AD and their caregivers participated in this study. The instruments used were: Clinical Dementia Rating (CDR), Mini-Mental State Examination, Index of Activities of Daily Living, Assessment of Feeding and Swallowing Difficulties in Dementia, Functional Outcome Questionnaire for Aphasia, and Swallowing Rating Scale. RESULTS: Problems with passivity, distraction and refusal to eat were encountered in the CDR2 group. Distraction, passivity and inappropriate feeding velocity were predominant in the CDR3 group. The problems were correlated with communication, swallowing severity of AD individuals and caregiver schooling. CONCLUSION: Given the inexorable functional alterations during the course of the disease, it is vital to observe these in patients with a compromised feeding and swallowing mechanism. The present study supplies the instruments to orient caregivers and professionals.
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series Arquivos de Neuro-Psiquiatria
spelling doaj-art-4f35d92e72a94c0bb97c12147b6d34472025-08-20T03:20:17ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272010-12-0168685586110.1590/S0004-282X2010000600005S0004-282X2010000600005Swallowing in moderate and severe phases of Alzheimer's diseaseSheilla de Medeiros Correia0Lilian Schafirovits Morillo1Wilson Jacob Filho2Leticia Lessa Mansur3Universidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloOBJECTIVE: To characterize the problems of feeding and swallowing in individuals with moderate and severe Alzheimer´s disease (AD) and to correlate these with functional aspects. METHOD: Fifty patients with AD and their caregivers participated in this study. The instruments used were: Clinical Dementia Rating (CDR), Mini-Mental State Examination, Index of Activities of Daily Living, Assessment of Feeding and Swallowing Difficulties in Dementia, Functional Outcome Questionnaire for Aphasia, and Swallowing Rating Scale. RESULTS: Problems with passivity, distraction and refusal to eat were encountered in the CDR2 group. Distraction, passivity and inappropriate feeding velocity were predominant in the CDR3 group. The problems were correlated with communication, swallowing severity of AD individuals and caregiver schooling. CONCLUSION: Given the inexorable functional alterations during the course of the disease, it is vital to observe these in patients with a compromised feeding and swallowing mechanism. The present study supplies the instruments to orient caregivers and professionals.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000600005&lng=en&tlng=entranstornos da deglutiçãodoença de Alzheimercuidadores
spellingShingle Sheilla de Medeiros Correia
Lilian Schafirovits Morillo
Wilson Jacob Filho
Leticia Lessa Mansur
Swallowing in moderate and severe phases of Alzheimer's disease
Arquivos de Neuro-Psiquiatria
transtornos da deglutição
doença de Alzheimer
cuidadores
title Swallowing in moderate and severe phases of Alzheimer's disease
title_full Swallowing in moderate and severe phases of Alzheimer's disease
title_fullStr Swallowing in moderate and severe phases of Alzheimer's disease
title_full_unstemmed Swallowing in moderate and severe phases of Alzheimer's disease
title_short Swallowing in moderate and severe phases of Alzheimer's disease
title_sort swallowing in moderate and severe phases of alzheimer s disease
topic transtornos da deglutição
doença de Alzheimer
cuidadores
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000600005&lng=en&tlng=en
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AT lilianschafirovitsmorillo swallowinginmoderateandseverephasesofalzheimersdisease
AT wilsonjacobfilho swallowinginmoderateandseverephasesofalzheimersdisease
AT leticialessamansur swallowinginmoderateandseverephasesofalzheimersdisease