PMID- 33684295
OWN - NLM
STAT- MEDLINE
DCOM- 20210625
LR  - 20210625
IS  - 1558-9110 (Electronic)
IS  - 1058-0360 (Linking)
VI  - 30
IP  - 2
DP  - 2021 Mar 26
TI  - Preclinical Dysphagia in Community Dwelling Older Adults: What Should We Look 
      For?
PG  - 833-843
LID - 10.1044/2020_AJSLP-20-00014 [doi]
AB  - Purpose Traditionally, etiology of dysphagia is thought to be related to multiple 
      medical diagnoses including stroke, head and neck cancer, degenerative 
      neurological conditions, and so forth. However, community dwelling older adults 
      (CDOA) can present with dysphagia in the absence of any specific etiology. The 
      purpose of this research was to develop a multidimensional framework to help 
      identify those CDOA at risk for dysphagia of nonspecific etiology. Method 
      Pertinent literature was examined to identify support for the proposed framework 
      and to explain how the various elements support the model. Results Several 
      factors that are not traditionally thought to be associated with dysphagia can 
      both initiate and exacerbate symptoms of swallowing difficulties. Swallowing 
      difficulties may be subtle and underreported. Monitoring for symptoms related to 
      preclinical dysphagia may be helpful for early identification. Conclusions 
      Dysphagia in CDOA is complex and multidimensional. Clinicians working with older 
      adults will benefit from considering elements described in this multidimensional 
      framework to better understand the etiology of swallowing deficits and improve 
      management. Supplemental Material https://doi.org/10.23641/asha.14150078.
FAU - Madhavan, Aarthi
AU  - Madhavan A
AD  - Department of Communication Sciences and Disorders, The Pennsylvania State 
      University, University Park.
LA  - eng
PT  - Journal Article
DEP - 20210308
PL  - United States
TA  - Am J Speech Lang Pathol
JT  - American journal of speech-language pathology
JID - 9114726
SB  - IM
MH  - Aged
MH  - Deglutition
MH  - *Deglutition Disorders/diagnosis/etiology
MH  - *Head and Neck Neoplasms
MH  - Humans
MH  - Independent Living
MH  - Risk Assessment
EDAT- 2021/03/09 06:00
MHDA- 2021/06/29 06:00
CRDT- 2021/03/08 20:10
PHST- 2021/03/09 06:00 [pubmed]
PHST- 2021/06/29 06:00 [medline]
PHST- 2021/03/08 20:10 [entrez]
AID - 10.1044/2020_AJSLP-20-00014 [doi]
PST - ppublish
SO  - Am J Speech Lang Pathol. 2021 Mar 26;30(2):833-843. doi: 
      10.1044/2020_AJSLP-20-00014. Epub 2021 Mar 8.