Yin Teing

Danger of Choking due to Dysphagia (swallowing difficulty)

A person can develop swallowing difficulties (dysphagia) due to medical conditions such as: Motor neuron diseases such as ALS (Lou Gehrig’s disease) Stroke which affect part of the brain controlling the swallowing reflex In some cases of end stage dementia/Alzheimers Due to certain cancers or from the side effects during treatment My mother has dysphagia …

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Tube feeding food ingredients, preparation and storage

In Thailand, a wealth of information is available on tube feeding. The video below, demonstrated by a nurse from Saraburi hospital on the ingredients, preparation, storage and precautions needed. Do note that the ingredients are all dietary approved by dietican and the hospital. It is similar to what the dietician from our hospital briefed us. …

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Nasogastric vs PEG tube for Alzheimer’s/dementia with swallowing problem

Based on my mother’s experience in having a feeding tube placed when she could no longer consume enough by mouth due to dysphagia, nasogastric tube would be a better choice. A PEG tube (percutaneous endoscopic gastrostomy) is suited for those who required tube feeding but with intact cognitive function, ie still able to think and …

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Considerations before placing an Alzheimer/Dementia patient on tube feeding

It is said 65 percent of Alzheimer’s or dementia patients would develop dysphagia, ie gradually losing the swallowing reflex towards the end stage of their disease. Even though they could still swallow, the quantity of fluid and nutrients is no longer sufficient to keep them alive for long. Hence, the decision would have to be …

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How to prevent elderly from sliding down and lift them back up

Elderly patients, if placed on an incline would tend to slide down on the bed. This is due to gravity, muscle weakness that causes them unable to support themselves in that position and feeling uncomfortable when placed in that position. While we can tell and advice someone to be conscious and not to slide down, …

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Hand restraints/special mittens for Alzheimer’s/dementia patients on tube feeding

I am grateful that we are in Thailand and sought medical care from doctors here. When my mom developed difficulty swallowing due to late stage Alzheimer’s, all the doctors here recommended nose tube intubation (nasogastric tube). My mom survived and recovered her energy from nose tube feeding. Even my family and her friends back in …

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