Roy McNamara is a 92-year-old retired pastor hospitalizedafter a stroke. He is in stable condition and expected to returnhome to his wife within a few days. The couple has a live-incaregiver and a daughter who lives nearby. Prior to hishospitalization, Roy had a good appetite for a variety of foods andmaintained his weight at 170 pounds. He is 5 feet 8 inches tall.After observing him for the past 24 hours, his nurse reports thathe coughs when he tries to drink coffee and juice and leaves someof the solid foods on his tray uneaten. His doctor orders a bariumswallow evaluation, which reveals normal chewing but aspiration ofthin liquids into his lungs. Further evaluation reveals a normalswallow with yogurt and pudding but not with eggnog.
Answer Questions Below
1. Refer to Table 23-1. What is the most likely cause of Roy’sdysphagia? Based on his symptoms, what category of dysphagia doesRoy likely have? Describe other signs and symptoms of this type ofdysphagia.
2. Based on the standardized National Dysphagia Dietrecommendations from Table 23-2, what nutrition prescription wouldyou recommend for Roy? Include your recommendation for liquidconsistencies as well.
3. What general information could you provide to Roy’s familyand caregiver regarding the properties and preparation ofacceptable meals for Roy
4. What suggestions would be helpful to make sure Roy getsadequate fluids in his diet?
5. What is the main concern that should be conveyed to thefamily and caregiver regarding
the need to adhere to the dysphagia dietrecommendations?
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