In the elderly population a growing problem is the dementia, its prevalence varies from 5 to 10% among those with more than 65 years.
A common clinical observation is that most of patients with dementia, especially those with M. Alzheimer (MA) , loses weight during the progression of the disease.
Dementia leads to a reduced caloric intake to a decreased feeling of hunger and thirst also worsens the ability to chew and swallow, are altered perception of taste and smell, rejection, or even forgotten, of feed.
The patient with dementia has frequently anorexia and / or dysphagia and thus must be considered a patient at risk of malnutrition and as such closely monitored. The reduction in supply may occur suddenly, or the gradual formation, the latter mode is observed far more frequently in clinical practice: the patient who has difficulty swallowing tends to reduce its power gradually, following the progressive worsening of symptoms and subjective distress resulting from the need to nourish foods with a texture different from the usual and / or expansion of time and effort required to swallow the meal.
If the power only through the mouth is not sufficient to cover the required energy and protein of the patient, you can combine the use of food supplements on the market or start artificial enteral nutrition through a nasogastric tube or gastrostomy to prevent aspiration pneumonia and to prevent malnutrition and its complications.
Dysphagia (difficulty swallowing) for liquids is considered separately, because there may be a normal ability to feed by mouth associated with inability to exclusive 'fluid intake.
For more information, visit the official website of Dr. Rosalba Galletti
http://www.rosalbagalletti.it
and his blog http://dieta-ricette.blogspot.com and
http: / / medicine-aesthetic-galletti.blogspot.com
A common clinical observation is that most of patients with dementia, especially those with M. Alzheimer (MA) , loses weight during the progression of the disease.
Dementia leads to a reduced caloric intake to a decreased feeling of hunger and thirst also worsens the ability to chew and swallow, are altered perception of taste and smell, rejection, or even forgotten, of feed.
The patient with dementia has frequently anorexia and / or dysphagia and thus must be considered a patient at risk of malnutrition and as such closely monitored. The reduction in supply may occur suddenly, or the gradual formation, the latter mode is observed far more frequently in clinical practice: the patient who has difficulty swallowing tends to reduce its power gradually, following the progressive worsening of symptoms and subjective distress resulting from the need to nourish foods with a texture different from the usual and / or expansion of time and effort required to swallow the meal.
If the power only through the mouth is not sufficient to cover the required energy and protein of the patient, you can combine the use of food supplements on the market or start artificial enteral nutrition through a nasogastric tube or gastrostomy to prevent aspiration pneumonia and to prevent malnutrition and its complications.
Dysphagia (difficulty swallowing) for liquids is considered separately, because there may be a normal ability to feed by mouth associated with inability to exclusive 'fluid intake.
For more information, visit the official website of Dr. Rosalba Galletti
http://www.rosalbagalletti.it
and his blog http://dieta-ricette.blogspot.com and
http: / / medicine-aesthetic-galletti.blogspot.com
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