[Dysphagia] Elders and PEG

[kcopeland at sjmc.org (Copeland, Karen)]

I am wondering if pharyngeal strengthening exercises would be
appropriate for a 90 y.o.f. with history of progressive cerebellar
atrophy (longstanding since the 1950s), ataxia and progressive
dysphagia.  She appears at moderate risk for aspiration of thin liquids
due to slowed hyolaryngeal excursion and decreased strength of airway
closure.   This is a very spunky lady who has expressed wishes against
any artificially provided nutrition/hydration.


Thanks for any thoughts.  Regards,
Karen 





-----------------------------------------
IMPORTANT NOTICE:

This message is intended only for the use of the individual or
entity to which it is addressed and may contain information that is
privileged, confidential and exempt from disclosure under
applicable law. If you have received this message in error, you are
hereby notified that we do not consent to any reading,
dissemination, distribution or copying of this message. If you have
received this communication in error, please notify the sender
immediately and destroy the transmitted information.