Factors Contributed to Feeding Problems

• Aged related motor function degeneration

• Degenerative sensory changes e.g. blindness, deaf and taste

• Dehydration

• Physical illnesses e.g. Stroke, Parkinson’s Disease

• Cognitive Impairment: dementia

• Psychosocial conditions: social isolation, depression,

• refused to eat, loss of appetite etc.

• Medications: sedatives, affect central nervous

• system suppress swallowing reflex

• Factors Contributed to Feeding Problems

Signs and Symptoms (I)

Choking, weak cough reflex

Cough before, during or after swallow

Drooling or cannot tolerate oral secretion

Pocking of food in cheeks

Tongue thrust

Head extension during swallowing

Slow to initiate and effortful swallow

Multiple swallow for each mouthful

Complaint of food sticking in throat

Oral or nasal regurgitation of food/fluid

Signs and Symptoms (II)

Loss of voice or breathing voice

Change of color

Lots of sputum

Prolonged mealtime

On & off low grade fever

Weight loss

Repeated pneumonia

Refuse oral feeding

Signs and Symptoms (III)

Older person with pneumonia often complain of
fewer significant than their younger counterparts

Delirium may be the only manifestation of
pneumonia in elders

An elevated respiratory rate is often an early clue

Feeding Difficulty (Swallowing) Treatment options are available at senior Citizen HealthCare

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• SilverFit Rephagia
• Neuro Trac T MyoPlus 4 Pro