Dysphagia in the Older Patient

Otolaryngol Clin North Am. 2018 Aug;51(4):769-777. doi: 10.1016/j.otc.2018.03.006. Epub 2018 May 17.

Abstract

Dysphagia in older adults is a challenging problem and necessitates a team approach. The key to effective management is recognition. Patients tend to dismiss their symptoms as normal aging; therefore, early diagnosis depends on the diligence of the primary care doctors. No diagnostic technique can replace the benefits of a thorough history, with a detailed understanding of nutritional status and aspiration risk. Although one of the main goals in management is to ensure safe swallowing, the impact of a nonoral diet on the quality of life of patients should not be underestimated.

Keywords: Aging; Dysphagia; Geriatric; Management; Older; Presbyphagia.

Publication types

  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Aging
  • Deglutition
  • Deglutition Disorders / complications
  • Deglutition Disorders / diagnosis*
  • Deglutition Disorders / therapy*
  • Dysphonia / complications
  • Enteral Nutrition
  • Humans
  • Malnutrition / etiology
  • Malnutrition / prevention & control*
  • Malnutrition / therapy
  • Pneumonia, Aspiration / etiology
  • Pneumonia, Aspiration / prevention & control*
  • Posture / physiology
  • Quality of Life
  • Risk Assessment
  • Risk Factors
  • Stroke / complications