Temporal Associations between Caregiving Approach, Behavioral Symptoms and Observable Indicators of Aspiration in Nursing Home Residents with Dementia.

摘要: Dysphagia, or impaired swallowing, is common in nursing home (NH) residents with dementia and contributes to malnutrition diminished quality of life. Dysphagia also commonly leads aspiration passage food fluids into the airway, which can result pneumonia—a leading cause death for people dementia. Currently available interventions dysphagia aim modify risk events primarily by modifying diet positioning improve safety an individual’s swallow. However other potentially modifiable contextual factors relevant mealtime care within NH settings that may influence occurrence events, such as nature caregiving interactions dementia-related behavioral symptoms, have not been examined. To address this gap, we examined temporal associations between approach symptoms antecedents observable indicators among Secondary analysis coded, timedevent data from 33 video-recorded observations caregivers. Residents who required assistance (n=12) assistants (n=8) Memory Care Units (MCU) 2 Midwestern NHs. Observable were significantly more likely occur during following task-centered caregiver actions than person-centered (12% likelihood; Yule’s Q 0.89; OR 95% CI 12.70-23.75) 15-30 seconds after a symptom (5% 0.65; 4.18-8.57). These findings provide compelling preliminary evidence aspiration. Provided urgent need approaches mitigate complications associated dementia, even moderate reduction be clinically meaningful. Further, well-designed observational studies individuals well-characterized are needed better understand characterize these relationships, their structures impacts on outcomes eating performance malnutrition.