[Dysphagia] SDAT with a bottle feed

[mbuckie at dmc.org (Buckie,Marcia)]

That is interesting. At what point was this approach implemented, and by
whom? I have wondered from time to time if this would be a consideration
for some similar patients but as you bring up , it seemed like it would
open up a can of issues: for pts. In institutions: dignity,
sterilization, oral control with successive boluses. 

Marcia

-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com] On
Behalf Of Kassie Witte
Sent: Tuesday, August 01, 2006 13:46
To: dysphagia@b9.com
Subject: [Dysphagia] SDAT with a bottle feed 

We have recently admitted an elderly woman with advanced SDAT and
seizure disorder  and very aggressive behavior who prior to admission
was fed at home solely using a baby bottle with cross hatched nipple.
She retrains only a such swallow.  Hydration and nutrition have been
maintained with this approach. Using the bottle, the resident will often
self feed.  She aggressively resists PO feeds with anything other than a
bottle.  Essentially maintenance of PO is exclusively via a bottle feed.

 

If any of you have experience with bottle feeding approaches in a Long
Term Care setting, I would appreciate any you facility used regarding
cleaning/sterilization  of these items and any approaches your Nursing
staff used to maintain a supply of clean bottles on the nursing unit.  I
know  the approaches to this situation may appear easy, but not for us
at the moment.

Thank you 

Kassie

kwitte@hebrewhome.org

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