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[Dysphagia] PEG to oral
"Clarke-Goertz, Kim (PAPHR)" <kgoertz@paphr.sk.ca> wrote:
How do docs manage patients with epilepsy in regards to preventing
pneumonitis?
*** First, one has to be aware of the risk. Everyone knows that during a seizure the person should be turned -or have the head turned- to prevent aspiration of vomitus but everyone seems to forget this with respect to sleeping. Many deaths are sudden and unwitnessed - the result of inhalation of vomitus during a seizure when alone. There is little one can do except take the same anti-reflux precautions as with anyone else.
Irene.
-----Original Message-----
From: Irene Campbell-Taylor [mailto:eripley@yahoo.com]
Sent: Tuesday, October 05, 2004 06:36
To: Harmony; dysphagia@b9.com
Subject: Re: [Dysphagia] PEG to oral
Respiratory problems associated with epilepsy are usually pneumonitis, not
pneumonia due to the inhalation of vomitus during the attack. That being the
case, there would appear to be no reason not to return him to the diet he
enjoyed before the pneumonitis.
Irene.
Harmony wrote:
I have a client (with developmental disability) who was recently in
hospital for 7 weeks, lost 9kg and then given a PEG since he was NBM
for the duration of his stay. I am looking into trialling him on oral
foods but I need some info about what foods/fluids to start with. He
was previously on a puree diet and honey thick fluids which he ate
quite well. He was admitted for status epilepticus and developed
pneumonia after 3 visits to ICU and intubated a number of times. He is
now stable and back 'home' and doing quite ok so far with the PEG
feeding. The dietitians are monitoring him closely as well.
Does anyone have any input on the initial foods/fluids that I can trial
him on?
Thanks,
Harmony
Speech Pathologist
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Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com
_______________________________________________
Dysphagia mailing list
Dysphagia@b9.com
http://lists.b9.com/mailman/listinfo/dysphagia
_______________________________________________
Dysphagia mailing list
Dysphagia@b9.com
http://lists.b9.com/mailman/listinfo/dysphagia
Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com
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