Measuring feeding difficulty in patients with dementia: developing a scale. 19.


Roger Watson
Bok Engelsk
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7 s.
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Feeding difficulty in elderly people with dementia is well documented and the need for research in this area has been raised by several authors. One hundred and twelve elderly people with dementia were entered into a study of feeding difficulty. data were gathered by means of a questionnaire administered to the nurses caring for the patients. The aspects of feeding difficulty wcich were investigated were based on reports of relevant behaviour in the literature and included refusal to eat, turning the head away, refusing to open mouth, spitting, allowing food to drop out of the mouth and not swallowing. It was posiblke to arrange these different aspects of feeding difficulty under three headings: (a) refusal to eat, (b) spitting,(c)inability to swallow, and to analyse the pattern of accumulation of these feeding difficulties by means of Guttman scale analysis. According to this analysis, the feeding difficulties investigated form a cumulative and unidimensional pattern. The implications of this pattern and the possibilities for further research are discussed.
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