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ERIC Number: EJ977030
Record Type: Journal
Publication Date: 2012
Pages: 19
Abstractor: As Provided
ISSN: ISSN-0271-8294
When Safe Oral Feeding Is Threatened: End-of-Life Options and Decisions
Groher, Michael E.; Groher, Tammy Peutz
Topics in Language Disorders, v32 n2 p149-167 Apr-Jun 2012
Managing one's dysphagia at the end-of-life is challenging for the patient and the medical care team. Decisions surrounding oral feeding safety and the use of artificially administered hydration and nutrition require the medical care team to provide its best advice, taking into consideration the patient's health-related goals and the impact the final decision will have on quality of life. For the patient who wishes to continue oral feeding despite known risks, the use of a modified barium swallow study that systematically varies bolus volume, viscosity, and rehabilitative postures or techniques may be helpful. End-of-life decisions concerning the provision of nutrition and hydration often raise ethical questions. The decisions are not automatic and should not be predicated on making the "right" choice but on doing what seems the most prudent in the given situation.
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Publication Type: Journal Articles; Reports - Descriptive
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A