Variant presentation of dementia & dysphagia in the acute setting

  • Research type

    Research Study

  • Full title

    Can patterns of impairment in individuals with different types of dementia be determined utilising bedside clinical swallow exam?

  • IRAS ID

    212939

  • Contact name

    Ross Webster

  • Contact email

    ross.webster@wsht.nhs.uk

  • Sponsor organisation

    Brighton University

  • Duration of Study in the UK

    1 years, 2 months, 0 days

  • Research summary

    This project intends to examine how swallow difficulties present in individuals with dementia in the acute hospital setting. Dementia is an umbrella term which refers to a variety of similar conditions e.g. Alzheimer’s (AD) and Vascular Dementia (VaD). Each dementia type has a particular pathway of neurological progression and impacts individuals in subtly different ways. Often dysphagia (swallowing problems) manifest as dementia progresses. In line with the different neurological progressions, different swallow problems become apparent in different types of dementia.

    In the acute setting Speech and Language Therapists use bedside clinical swallow examinations (CSE) to assess an individual’s swallow ability. Following this they then offer strategies to improve swallow safety and make diet and fluid recommendations.

    This project aims to demonstrate whether any consistent, substantial difference between oral motor control and swallow ability can be observed between individuals with different types of dementia using a standard bedside CSE in the acute setting.

    • This information may allow speech and language therapy clinicians to assist in differential diagnosis where dementia is suspected.
    • It may assist in the mapping of specific symptoms with specific types of dementia.
    • It will assist in demonstrating the effectiveness of CSE.
    • Assist in the understanding of how acute illnesses impact swallow presentation.

    Participants will be those with a confirmed diagnosis of dementia with or without dysphagia who have been admitted to Worthing or St. Richards (Chichester) Hospital.

  • REC name

    East Midlands - Leicester South Research Ethics Committee

  • REC reference

    16/EM/0508

  • Date of REC Opinion

    12 Dec 2016

  • REC opinion

    Favourable Opinion