[vc_row][vc_column][vc_video link=”https://www.youtube.com/watch?v=Vrl6ZwAp8aU” align=”center”][vc_raw_html]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[/vc_raw_html][vc_separator color=”custom” border_width=”4″ el_width=”60″ accent_color=”#0068cd”][vc_column_text]Typically, around 85% of people will experience swallowing problems, medically known as dysphasia, at the end-of-life. What this means is that your loved one, or someone you care for, has trouble swallowing food, liquids, or both.

This is a 4-part series on Alzheimer’s Care and Swallowing Problems, and this episode is focused on The Basics.

  • In Part 2, I will talk about how to Modify Textures + Flavor  Building;
  • In Part 3, I will review what Adaptive Equipment is and how to use it; and
  • In Part 4, I will talk about Maximizing Independence in Eating.

If you missed an episode, you can check them out where you found this one – or on my YouTube Channel, MelissaBPhD.



What is Dysphagia?

  • Some people will have trouble swallowing certain foods or liquids; others can’t swallow at all.

Signs of dysphagia

  • Coughing or choking when eating or drinking
  • Bringing food back up, sometimes through the nose
  • A sensation that food is stuck in your throat or chest
  • Persistent drooling of saliva

Complications of Dysphagia:

  • Malnutrition
  • Dehydration
  • Aspiration Pneumonia

Treating Dysphagia:

  • Speech-Language Therapy to learn new swallowing techniques
  • Change consistency of food and fluids to make them safer to swallow
  • Alternative forms of feeding – Tube Feeding or Handfeeding




  • Estimated that 9 million Americans experience difficulty swallowing
  • 1 in 5 older adults; 40% of those living in nursing homes or assisted living facilities
  • Alzheimer’s Disease: 80%
  • Parkinson’s Disease: 60%

Underlying Health or Chronic Conditions

  • Nervous System (Stroke, Head Injury, Parkinson’s Disease or Dementia)
  • Cancer (Mouth or Throat Cancer)
  • Gastroesophageal Reflux Disorder (GERD)
  • Other Conditions:
    • Trouble with swallowing or chewing
    • Have trouble moving or have lost feeling in parts of your mouth, such as lips or tongue
    • Tooth pain; Missing teeth

Psychosocial Considerations

  • Impaired social and psychological well-being
  • Increased worry about choking in front of others
  • Caregiver fear / anxiety
  • Caregiver burnout in managing the needs of unfamiliar disease
  • Lack of comprehensive guidelines for the management of dysphagia in older adults.



Diet Consistencies:

  • Regular Diet
  • Mechanical Soft Diet
    • These foods require less chewing than foods on a regular diet.
    • Foods may require different textures and thicknesses, such as chopped, ground, or pureed foods
  • Pureed Diet
    • Minced, pureed, or liquidized
    • Foods don’t require chewing, such as mashed potatoes or pudding
    • Can also blend or stain other foods to make them smoother
    • Liquids, such as broth, milk, juice or water, may be added to foods to make them easier to swallow.

Liquid Consistencies:

  • Pudding Thick (Extremely thick)
  • Honey Thick (Moderately thick)
  • Nectar Thick (Mildly Thick)
  • Thin (Slightly thin)


If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question.

 [/vc_column_text][vc_separator color=”custom” border_width=”4″ el_width=”60″ accent_color=”#0068cd”][vc_column_text]About Melissa:

I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer.

I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (2011) ) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities.

Find out more about her work HERE.[/vc_column_text][vc_column_text]

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About Melissa:

Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly,
and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that!

The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services I am offering, please visit my website, sign up for my newsletter, and follow me on social media.

Find out more about her work HERE.