Department of Communicative Disorders, The University of Alabama, Tuscaloosa.
Feeding and Developmental Therapy Team, Neonatal Intensive Care Unit, Brigham and Women's Hospital, Boston, MA.
Am J Speech Lang Pathol. 2020 Jul 10;29(2S):934-944. doi: 10.1044/2020_AJSLP-19-00065.
Purpose Individuals with dysphagia across the age continuum may require dietary modifications of fluids and foods for safe and adequate oral intake. Considerations of this frontline intervention are presented in this clinical forum dedicated to the discussion of dysphagia. Method This clinical focus article reviews the technical challenges of providing modified fluids and foods across the life span as well as the literature specific to its origins, efficacy, challenges and solutions to standardization, and the methods for ensuring quality service delivery. Conclusion Dietary modification is an often-used method of dysphagia management that presents unique challenges to the clinician for successful application. Speech-language pathologists in clinical practice across all settings must remain dedicated to evidence-based practice as they navigate service delivery of this strategy to individuals with dysphagia across the life span.
不同年龄段的吞咽困难者可能需要对液体和食物进行饮食调整，以确保安全和充足的口服摄入。本临床论坛专门讨论吞咽困难，介绍了这种一线干预措施的考虑因素。方法：本临床重点文章回顾了在整个生命周期中提供改性液体和食物的技术挑战，以及特定于其起源、疗效、标准化挑战和解决方案以及确保优质服务提供的方法的文献。结论：饮食调整是吞咽困难管理中常用的方法，但对临床医生来说，成功应用该方法存在独特的挑战。在所有环境中进行临床实践的言语语言病理学家在为整个生命周期的吞咽困难者提供该策略的服务时，必须坚持基于证据的实践。
