Introduction To The Dysphagia Diet

By Joyce Wagner


Patients can at times experience difficulty in chewing and swallowing foods. When a patient has a problem in any part of the swallowing body system, he or she can develop this condition described as dysphagia. The major sign of the condition is choking when eating. A patient needs to be assessed for this condition and if the results are positive a dysphagia diet is recommended. This is to avoid any complications or risks to the patient's condition.

Before any assessment of the condition is done on a patient, some steps need to be taken. The condition of the patient needs to be ideal for results to give an accurate assessment. The patient needs to be conscious, seated in a good posture and the oral motor function should be right. He or she should also be in a position to cooperate with the assessor. Once the patient is ready, the assessment can be done. It is important that the patient's ability to swallow liquids and solids is assessed separately. If no difficulty is experienced by the patient, he or she can receive a normal diet with close monitoring of their respiratory and oral intake.

There are several signs that are common with this condition. They usually indicate difficulty in chewing and swallowing. They include leakage from the mouth, coughing, loss of breath, choking and a poor quality of voice after swallowing. Some patients, however, develop aspiration silently and it may take time before it is detected.

The most common patients who have a high risk of developing the condition, are those that have recently had a stroke. Early detection avoids the patient getting malnutrition, pneumonia, persistent disability and even having a prolonged stay at the hospital. When the condition is extreme, it can lead to death.

It is important that the patient's risk of this condition is assessed and determined by qualified personnel. This is to ensure that the right assessment is done. Nurses or any other caregivers can then be advised and given instructions as to the precautions they should take and the diet to follow.

All the results and observations of the assessment should be documented in the patient's chart. The assessor also needs to recommend the type of assistance that the patient should receive. The diet should be included in the documentation. Other things the assessor should share include the posture and the food quantity to be given to the patient.

The diet aims at ensuring that a patient receives only foods that they can tolerate. The patient should also get the nutritional requirement that he or she needs to get better. When the diet is followed strictly, complications are avoided and the general condition of the patient improves.

The diet is usually divided into several stages. Each stage recommends a particular food texture depending on the condition of the patient. The first stage has the pureed foods that usually have pudding-like texture. The next stage has foods that are minced to the size of sesame seeds. The third stage has foods that are diced or grounded in rice sizes. The other stage has foods that are the chopped to the size of small bread cubes. The last stage has the normal foods which are usually soft and moist.




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