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learning disability and dysphagia

Celia Harding, Helen Cockerill
People who work with children who have neurological and learning disabilities frequently need to manage the health and emotional risks associated with eating, drinking and swallowing (dysphagia). Some approaches can support children to develop oral feeding competence or to maximise their ability to maintain some oral intake supplemented with tube feeding. However, some clinicians feel that oral-motor exercises can support eating and drinking skills as well as speech and language development, whereas there is little evidence to support this...
July 2015: Clinical Child Psychology and Psychiatry
Judi Hibberd, Jenni Fraser, Claire Chapman, Hannah McQueen, Adrian Wilson
BACKGROUND: The current study builds upon the work of others in looking at influencing factors of aspiration pneumonia in people with a swallowing problem. This study differs from previous researches on this topic, focusing on the United Kingdom (UK) population and involving more recently defined influencing factors of aspiration pneumonia. The study aims to explore the multifactorial nature of aspiration pneumonia in a UKdysphagic client group, as well as different disease specific variables...
June 11, 2013: Multidisciplinary Respiratory Medicine
Hidetaka Wakabayashi
Community coordination is necessary in nutrition care management and dysphagia rehabilitation, because they are not completed in one hospital or facility. For seamless community coordination of rehabilitation nutrition care management in patients with dysphagia, it is useful to define why, who, when, where, what, and how. Common communication materials of nutrition support team and dysphagia rehabilitation made by Kanagawa society of dysphagia rehabilitation is effective in promoting community coordination...
December 2010: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Louise Gallagher, Premi Naidoo
The impact of medications on the physiology of swallowing has received much attention in dysphagia literature. This article reviews the potential effects of medications commonly prescribed in an adult continuing care and rehabilitation facility on swallowing. An audit of medications prescribed to 153 adults accessing age-related respiratory, neurology, and learning disability services was performed. This was followed by an investigation of relevant sources to identify the potential side effects of these medications...
June 2009: Dysphagia
M J Ballesta Martínez, E Guillén Navarro, I López Expósito, J A Bafalliu Vidal, R Domingo Jiménez, J M Guía Torrent, F Robles Sánchez, M Sánchez Solís de Querol
INTRODUCTION: The 22q11.2 deletion syndrome is a contiguous gene deletion syndrome with an incidence rate of 1/4,000-6,000 live births. The most specific clinical features are: congenital conotruncal heart diseases, palate anomalies, hypocalcaemia, immunity and learning problems, and a characteristic facial phenotype. The objective of this work is to review the presenting phenotype and clinical features of children with 22q11.2 deletion syndrome as a guide for early diagnosis. PATIENTS AND METHODS: Retrospective study of 22 patients with 22q11...
October 2008: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
R Samuels, D D Chadwick
BACKGROUND: Adults with learning disabilities referred for assessment of their eating and drinking are frequently reported to cough and choke when eating and drinking. The research literature investigating dysphagia has often overlooked asphyxiation risk, highlighting coughing and choking as indicators of aspiration only. This is a notable oversight due to the prevalence of asphyxia as a cause of mortality in this population. AIM: This study aims to identify the physiological and environmental factors that predict asphyxiation risk in adults with intellectual disabilities and dysphagia...
May 2006: Journal of Intellectual Disability Research: JIDR
M Sabbadini, P Bombardi, G A Carlesimo, V Rosato, M M Pierro
BACKGROUND: Wolf-Hirschhorn syndrome (WHS) is a genetic condition characterized by many clinical disorders, learning difficulties, dysphagia, neuromotor deficits and communicative deficits. Up until now, no studies in the literature have described the development of communicative and functional abilities in subjects with WHS. METHOD: In the present study of 11 patients with WHS, a descriptive analysis was made of several abilities and three groups of patients were identified on the basis of the severity of their functional deficit...
October 2002: Journal of Intellectual Disability Research: JIDR
Darren D Chadwick, Jane Jolliffe, Juliet Goldbart
Dysphagia can have many negative health consequences for people with learning disabilities, including dehydration, aspiration and asphyxiation. Few studies have investigated dysphagia management among adults with learning disabilities. This study aims to contribute to the existing knowledge by investigating carer knowledge of speech and language therapists' (SLTs) recommendations regarding dysphagia management, and by comparing carer knowledge with their behavioural adherence to SLT recommendations. An exploratory study was undertaken investigating carer knowledge of dysphagia management strategies, along with a within-participants' study comparing carer knowledge and adherence...
July 2002: International Journal of Language & Communication Disorders
L A Newman
The pediatric population with dysphagia is diverse, ranging from premature infants to fully grown adolescents. A variety of medical conditions cause swallowing disorders in pediatric patients. Complications of swallowing disorders can have severe and even fatal consequences. Swallowing disorders have a direct impact on nutrition, and adequate nutrition is required for growth and development of all body systems in infants and children. Infants and children may not have the same symptoms and signs as adults with dysphagia do and learning to identify pediatric patients at risk for dysphagia is critical...
2000: Seminars in Speech and Language
T R Lorish, K J Sandin, E J Roth, S F Noll
This self-directed learning module highlights rehabilitation evaluation and management. Part of the chapter on stroke rehabilitation in the Self-Directed Medical Knowledge Program for practitioners and trainees in physical medicine and rehabilitation, this article contains sections on determining the level of rehabilitation needed after stroke, the common disabilities seen after a stroke and their evaluation and management, neurofacilitative approaches in stroke recovery, and the management of dysphagia and bladder and bowel dysfunction in the stroke patient...
May 1994: Archives of Physical Medicine and Rehabilitation
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