Dysphagia, Aspiration Syndromes & Tube-Feeding Decisions

Emory Medicine Grand Rounds - 10/18/2016
SPEAKER: Anna Von, MD (Emory Division of Hospital Medicine)
TOPIC: “Hard to swallow: Dysphagia, Aspiration Syndromes, and Tube-Feeding Decisions"

LEARNING OBJECTIVES:
• Describe the major aspiration syndromes and summarize important points in diagnosis and management
• Define the physiology and objective evaluation of dysphagia
• Identify key benefits and burdens of tube-feeding for specific patient groups

APPROVED CREDIT:
This activity has been planned and implemented in accordance with the essential areas and policies of the Accreditation Council for Continuing Medical Education (ACCME). Emory University School of Medicine is an ACCME-accredited sponsor to provide continuing medical education credits to physicians.

Emory designates this enduring material for a maximum of 1 AMA PRA Category 1.0 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This seminar is valid for three years from the original seminar date. Expiration date: October 18, 2019.

*Any financial disclosures are included in video.

[robertyoung]

It’s not all medical - I would like to have heard Anna (at least briefly) discuss the emotional side of making decisions about feeding tubes.
Do doctors really care about patients and families? Some do and some don’t in my experience - all should.
That said; this is a good explanation, with data to back it up for patients, family members and providers facing these issues.

[kristis]

87 advanced Parkinson’s dementia patient, having trouble swallowing and the 1 day doctor wanted to put in Pegtube. We decided against and to continue to work on swallowing and speech therapy. Thank you for your video and sharing your research.

[ashmit]

I miss my dad...I was very strict with him and denied food and water...I regret my behavior...He was getting weak on tube should have given him everything..I miss my dad.😪😪😪😪

[jennifersurel]

Excellent information to help learn more about aspiration pneumonia and feeding tubes. Loved the slides and medical videos. Thank you.

[anthonythefishkeeper]

My dad just got diagnosed with acute dysphagia and it is really getting me nervous cause I am a 13 year old who is just worried about his dad cause I am always trying to make sure he is okay and I just need help because when ever he eats he starts to cough and choke and sometimes he will start to aspirate!!!

[RJames-msbp]

Is this for real😔 my mom just had a feeding tube done a week ago😪 she's giving me a heart attack💔

[Andrewxx]

My friends daughter, who has special needs, has had a placement of a NGtube and has been receiving her formula through this, in the beginning of her lower dosage of feedings everything seemed to be going well, as they upped her intake consumption she started to have heavy sweats during her feeds, face going pale didn’t look good does anyone have an answer to why this is happening ? Please share thank you 🙏

[rosador]

so what do you then with a patient with stage 3 pressure ulcers, that a tracheotomy was just removed but still suffers of aspiration

[autisticstimmingvlogs]

People Born With a Condition called : “Hypotonia“ HAVE BOTH = WEAKER & LOOSER MUSCLES AND JOINTS All throughout their Entire Bodies. It can Be very Difficult for Babies TO TAKE A BOTTLE BY MOUTH Normally So, Usually some type of FEEDING TUBE is Inserted to Help.