1. sarahc

    sarahc Registered User

    Apr 4, 2004
    33
    I was told yesterday that my 85 year old mum (who has advanced vascular dementia) was leaning a lot to the left when she sat or walked. She was having to walk with the help of two carers instead of just one. She also does not seem to be able to swallow without choking and they (care home staff) have had to thicken her drinks so she can swallow them more easily. Does anyone have any insights into either of these worrying conditions ? All advice appreciated. S x
     
  2. Grannie G

    Grannie G Volunteer Moderator

    Apr 3, 2006
    69,594
    Kent
    Hi Sarah,

    It seems to be quite a common concern.

    I haven`t had personal experience of this `listing` but I`ve read about it from other members, and I`m sure someone, soon , will be able to offer more information.
     
  3. dmc

    dmc Registered User

    Mar 13, 2006
    1,157
  4. Sandy

    Sandy Registered User

    Mar 23, 2005
    6,847
    Swallowing Difficulties

    Hi sarahc,

    Swallowing difficulties have been a topic from time to time in the past. Unfortunately these types of problems appear to be part of the progression of dementia in its later stages. Obviously, it is a serious problem as it can lead to lack of proper nutritional/fluid intake. Also, food and drink that "go down the wrong way" can end up in the airways, increasing the risk of infection.

    The people that are best trained to deal with swallowing problems are Speech and Language Therapists. Also, some carers may have learned techniques (such as thickening liquids, placement of the spoonin the mouth, temperature of food) which may make feeding easier.

    I included some useful links on this topic in a post not too long ago:

    http://dementia.ion.ucl.ac.uk/DRG_Website/Candid/Candid_factsheets/facts6new.htm

    http://speechpathology.com/articles/article_detail.asp?article_id=305

    http://www.geriatricsreviewsyllabus.org/content/agscontent/eatfeed6.htm

    http://www.rcslt.org/aboutslts/

    You should also be able to find some past posts on this topic by doing a search (top navigation bar, just to the right) on the term swallow.

    Take care,

    Sandy
     
  5. Margarita

    Margarita Registered User

    Feb 17, 2006
    10,824
    london
    #5 Margarita, Apr 28, 2007
    Last edited: Apr 28, 2007
    My mother does that , I was wondering why . thanks for bring this up and for the links

    PS

    Sandy my mother does a lot of what it says in Common problems that you may notice, In Ist link .

    difficulty chewing and/or difficulty moving food to the back of the mouth


    spitting lumps of food out

    eating very fast or putting too much into the mouth

    eating insufficient amounts or refusing food and/or drink

    talking with food or drink in the mouth and forgetting to swallow causing coughing

    coughing/choking on food and /or liquids

    My mother is in late stages, that I have to force
    her to drink , saying she has to drink whole glass of water in front of me and she does , on good days. I can’t just leave it they anymore as she won’t drink it , they even notice it at daycenter.

    Another PS


    What gets to me that I can not comprehend, my mother is in late stage still no all the family recognizes us all , my mother is no text book AZ
     

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