aspiration and Parkinson's Disease
Posted 11 February 2009 - 03:10 PM
Posted 12 February 2009 - 04:20 PM
Yes, aspiration pneumonia is one of the causes of death in persons with PD. But it is also a leading cause of death in persons without PD.
As persons progress with any degenerative disease, their ability to swallow becomes significantly impaired, and their diet is restricted to thickened liquids and pureed foods. Hydration becomes an important issue. I encourage you to look into the Frazier Water Protocol at the following website:
Research has demonstrated that persons who aspirate and have good oral hygiene have less risk of developing aspiration pneumonia.
Yoneyama, T., Yoshida, M., Ohrui, T., Mukaiyama, H., Okamoto, H., Hosiba, K., Iharia, S., Yanagisawa, S., Ariumi,S., Morita, T., Mizuno, Y., Ohsawa, T., Akagawa, Y., Hashimoto, K., & Sasaki, H. (2002).
Oral care reduces pneumonia in older patients in nursing homes. Journal of American Geriatrics Society, 50(3):430-433.
Aggressive oral care should be provided to persons who are unable to clean their own teeth and mouths so that pathogenic bacteria are less likely to contaminate their saliva – thereby contaminating the lungs if aspirated. The Frazier Water Prot0col Oral Hygiene Program is done twice a day as follows: Mix 2 oz of hydrogen peroxide and 2 oz of water. Using a toothbrush, scrub the teeth, cheeks, gums, and tongue for two minutes.
Another resource I would recommend to help you and your family prepare for making important decisions is Hard Choices for Loving People by Hank Dunn (available through http://www.hardchoices.com/). This paperback provides invaluable information about end of life issues.
I hope these resources are helpful to you!
Celia J. Bassich, Ph.D., CCC-SLP
Speech Pathology Faculty Member
Allied Team Training for Parkinson Disease, NPF
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