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Nutrition in the Stroke Patient
Author(s) -
Corrigan Mandy L.,
Escuro Arlene A.,
Celestin Jackie,
Kirby Donald F.
Publication year - 2011
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/0884533611405795
Subject(s) - medicine , swallowing , dysphagia , malnutrition , parenteral nutrition , stroke (engine) , intensive care medicine , clinical nutrition , population , weaning , quality of life (healthcare) , feeding tube , pediatrics , physical therapy , surgery , nursing , environmental health , mechanical engineering , engineering
Malnutrition is common both before and after stroke, with dysphagia adding to nutrition risk. Many patients require specialized nutrition support in the acute phase and beyond when swallowing function does not improve or return to allow for nutrition autonomy. When neurologic deficits improve, assessment of the swallowing function, introduction of dysphagia diets, and specialized swallowing techniques are used to transition away from enteral feeding tubes to oral diets. This article reviews the evaluation and treatment of dysphagia, use of specialized nutrition support, strategies for weaning enteral tube feedings, and the impact of nutrition on quality of life in the stroke patient population.