How To Prevent Aspiration In Elderly?


  1. Sit the person upright in a chair; if confined to bed, elevate the backrest to a 90-degree angle.
  2. Implement postural changes that improve swallowing.
  3. Adjust rate of feeding and size of bites to the person’s tolerance; avoid rushed or forced feeding.

What is the best way to prevent aspiration?

Folate deficiency, if present, needs to be promptly corrected. Further better-designed studies are warranted to find the best ways for prevention of aspiration pneumonia. Keywords: Aged; Enteral nutrition/methods; Pneumonia, aspiration.

What causes older people to aspirate?

Elderly patients with cerebrovascular disease often have dysphagia that leads to an increased incidence of aspiration. It was previously reported that patients with silent cerebral infarction affecting the basal ganglia were more likely to experience subclinical aspiration and an increased incidence of pneumonia.

How do you prevent liquid aspiration?

Aspiration prevention tips

  1. Rest before your start your meals.
  2. Take small bites or cut food into smaller pieces.
  3. Swallow completely before drinking.
  4. Sit upright at 90 degrees when you eat.
  5. Choose food types that are easier for you to chew and swallow.
  6. Practice chewing and swallowing techniques, if provided.

How do you prevent aspiration from dysphagia?

What can I do to prevent aspiration from dysphagia?

  1. Taking good care of your mouth and teeth.
  2. Getting dental treatment (such as dentures) when needed.
  3. Taking medicines as advised.
  4. Stopping smoking.
  5. Sitting with good posture when eating and drinking.
  6. Doing oral exercises as advised by the SLP.

How can elderly improve their swallowing?

If it turns out that your loved one does suffer from dysphagia, the following tips can help you to manage their condition effectively:

  1. Proper Medication Administration.
  2. Maintain Hydration.
  3. Avoid Straws.
  4. Dietary Changes.
  5. Improved Posture.
  6. Swallowing Therapy.
  7. Feeding Tubes.
  8. Work with a Professional.
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What position helps prevent aspiration?

Body positions that minimize aspiration include the reclining position, chin down, head rotation, side inclination, the recumbent position, and combinations of these. Patients with severe dysphagia often use a 30° reclining position.

What are the three pillars of aspiration?

The 3 pillars of aspiration pneumonia D., CCC-SLP points out that three factors have to be present for aspiration pneumonia to develop. Poor oral health status. Impaired health status. Dysphagia (impaired laryngeal valve integrity).

How do you help a patient who is aspirating?

Depending on the cause and severity of the aspiration, a feeding tube may be required. If someone is choking or not breathing, take immediate action. Call 911 and start CPR or Heimlich maneuver. If the person is coughing forcefully, encourage them to continue coughing to clear the object.

How do the elderly get aspiration pneumonia?

Aspiration pneumonia is caused by saliva, food or stomach acid leaking into the lungs. Germs (bacteria) introduced by this route set up an infection of the lung tissue, resulting in pneumonia.

Do PEG tubes prevent aspiration?

PEG has not been shown to prevent aspiration of oropharyngeal contents. Furthermore, many patients have macroaspiration of gastric contents and tube feedings. Close monitoring of gastric residual volumes and holding feedings when high residuals are encountered may limit aspiration.

How can I improve my swallowing?

As example, you may be asked to:

  1. Inhale and hold your breath very tightly.
  2. Pretend to gargle while holding your tongue back as far as possible.
  3. Pretend to yawn while holding your tongue back as far as possible.
  4. Do a dry swallow, squeezing all of your swallowing muscles as tightly as you can.
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What foods to avoid if you have dysphagia?

It is important to avoid other foods, including:

  • Non-pureed breads.
  • Any cereal with lumps.
  • Cookies, cakes, or pastry.
  • Whole fruit of any kind.
  • Non-pureed meats, beans, or cheese.
  • Scrambled, fried, or hard-boiled eggs.
  • Non-pureed potatoes, pasta, or rice.
  • Non-pureed soups.

How do you get food out of your windpipe?

A person who cannot speak, cough, or breathe may require the Heimlich maneuver. This procedure, also known as abdominal thrusts, involves forcefully applying pressure to the abdomen to dislodge a blockage in the windpipe.

What causes aspiration eating?

Aspiration from dysphagia is caused when the muscles in your throat don’t work normally. This lets food or drink enter the trachea when you swallow. This can happen as food goes down when you swallow. Or it can happen if food comes back up from your stomach.

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