TY  - BOOK
AU  - Kershner, Marnie
TI  - It's not only swallowing: a clinician primer to adult food refusal beyond dysphagia
PY  - 2022///
KW  - IN PROCESS -- NOT YET INDEXED
KW  - MedStar National Rehabilitation Network
KW  - Journal Article
N1  - Available online from MWHC library: February 1999 - present
N2  - PURPOSE OF REVIEW: Medical teams are frequently faced with challenging clinical scenarios when their patients exhibit reduced intake of food and drink. Speech-language pathologists, who serve as oropharyngeal swallowing specialists in medical settings, are frequently the first to be summoned with the referral, 'Poor PO intake. Please evaluate and treat.' As our practices have illuminated, many differentials other than oropharyngeal dysphagia are often at play; RECENT FINDINGS: Changes to taste, salivary supply/dry mouth, hunger drive, and psychosocial circumstances will significantly impact intake per os - each scenario to be explored further in this paper. Consequences to diminished nutrition and hydration include medical complications, lengthier hospital stays, and diminished quality of life; SUMMARY: In this review, two medical speech-language pathologists detail more common alternative diagnoses that explain reduced intake by mouth amongst adults with acute and chronic diseases. Ultimately, a multidisciplinary approach should be considered when evaluating such patients to ensure a comprehensive and effective care plan. Copyright (c) 2022 Wolters Kluwer Health, Inc. All rights reserved
UR  - https://dx.doi.org/10.1097/MOO.0000000000000798
ER  -