Oropharyngeal dysphagia in long-term care: misperceptions of treatment efficacy

J Am Med Dir Assoc. 2008 Sep;9(7):523-31. doi: 10.1016/j.jamda.2008.06.001.


The assessment and management of patients in long-term care who have oropharyngeal dysphagia has developed into an apparently complex and distinct field of practice. It is unfortunate that it lacks an evidence base, the efficacy of treatment is not established, and many clinicians are unfamiliar with appropriate and effective interventions because of a lack of training. Some commonly used interventions are not only ineffective but potentially hazardous. Physicians must become more familiar with the assessment process and appropriate management.

MeSH terms

  • Deglutition Disorders / epidemiology
  • Deglutition Disorders / etiology
  • Deglutition Disorders / physiopathology
  • Deglutition Disorders / therapy*
  • Humans
  • Nursing Homes*
  • Treatment Outcome
  • United States / epidemiology