Clinical Decisions Regarding Patients With Dysphagia and Palliative Care

No AccessPerspectives on Swallowing and Swallowing Disorders (Dysphagia)Article1 Nov 2013Clinical Decisions Regarding Patients With Dysphagia and Palliative Care Jo Puntil-Sheltman Jo Puntil-Sheltman Dysphagia Clinical Specialist, Speech Pathologist, Developmental Specialist, Dixie Regional Medical CenterSt. George, UT Google Scholar https://doi.org/10.1044/sasd22.3.118 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationTrack Citations ShareFacebookTwitterLinked In Speech-language pathologists (SLPs) that care for patients with dysphagia are uniquely aware of the physiology of swallowing and how important eating is to patients and their family members. We live in a very food oriented society. When evaluating and treating patients, SLPs utilize evidence-based medicine to ascertain a plan of care with the ultimate goal of achieving a functional swallow. We follow ethical principles to assist the patient in achieving the best functional swallow possible during their current illness. However, what happens when the patient has a progressive terminal illness with a possible poor outcome? SLPs can also play a key role in opening the door for patients to be introduced to palliative care. References American Academy of Hospice and Palliative Medicine. (2001). Retrieved fromwww.aahpm.org Google Scholar Angus, F., & Burakoff, R. (2003). The percutaneous endoscopic gastrostomy tube: Medical and ethical issues in placement.The American Journal of Gastroenterology, 98, 272–277. Google Scholar Arinzon, A., Peisakh, A., & Berner, Y. (2008). Evaluation of the benefits of enteral nutrition and in long term care elderly patients.Journal of American Medical Directors Association, 9, 657–662. Google Scholar Dunn, H. (2009). Hard choices for loving people: CPR, artificial feeding, comfort care, and the patient with a life-threatening illness (5th ed.). Lansdowne, VA: A&A Publishers, Inc. Google Scholar B. Ferrell, & N. Coyle (Eds.). (2010). Oxford textbook of palliative nursing (3rd ed.). New York, NY: Oxford University Press. Google Scholar Finucane, T., Christmas, C., & Travis, K. (1999). Tube Feedings in patients with advanced dementia: A review of the evidence.Journal of the American Medical Association, 282, 1365–1370. Google Scholar GeriPal(Geriatrics and Palliative Care). (n.d.). Retrieved fromwww.geripal.org Google Scholar Gillick, M. (2000). Rethinking the role of tube feeding in patients with advanced dementia.New England Journal of Medicine, 342, 206–210. Google Scholar Johnson, J., & Hirsch, C. (2003). Aspiration pneumonia: Recognizing and managing a potentially growing disorder.Postgraduate Medicine Online, 113, 99–112. Google Scholar Jonsen, A., Siegler, M., & Winslade, W. (2006). Clinical ethics: A practical approach to ethical decisions in clinical medicine (6th ed.). New York: McGraw-Hill. Google Scholar Langmore, S., Terpenning, M., & Schork, A. (1998). Predictors of aspiration pneumonia: How important is dysphagia.Dysphagia, 13, 68–81. Google Scholar Loeser, C., & Von Hertz, U. (2003). Quality of Life and nutritional state in patients on home enteral tube feeding.Nutrition, 19, 605–611. Google Scholar Mitchell, S., & Berkowitz, R. (2000). A cross-national survey of tube feeding decisions in cognitively impaired older persons.Journal of the American Geriatric Society, 48, 391–397. Google Scholar Mitchell, S., Tetroe, J., & O'Connor, A. (2001). A decision aid for long term feeding in cognitively impaired older persons.Journal of the American Geriatrics Society, 49, 313–316. Google Scholar Moynihan, T., Kelly, D., & Fisch, M. (2005). To feed or not to feed: Is that the right question.Journal of Clinical Oncology, 23, 6256–6259. Google Scholar Murhphy, L., & Lipman, T. (2003). Percutaneous endoscopic gastrostomy does not prolong survival in patients with dementia.Archives of Internal Medicine, 163, 1351–1353. Google Scholar Palecek, E., & Teno, J. (2010). Comfort feeding only: A proposal to bring clarity to decision making regarding difficulty with eating for persons with advanced dementia.Journal of American Geriatric Society, 58, 580–584. Google Scholar World Health Organization. (2013). WHO definition of palliative care. Retrieved fromhttp://www.who.int/cancer/palliative/definition/en/ Google Scholar Additional Resources FiguresReferencesRelatedDetails Volume 22 Issue 3 November 2013 Pages: 118-123 Get Permissions Add to your Mendeley library History Published in issue: Nov 1, 2013 Metrics Topicsasha-topicsasha-sigsasha-article-typesCopyright & PermissionsCopyright © 2013 American Speech-Language-Hearing AssociationPDF downloadLoading ...