Cognitive status is important for performing the assessment and treatment of dysphagia
It is suggested that in the assessment and treatment of dysphagia, cognition is better to be considered as a mediator along with physical aspects of dysphagia.(4)
It is evident that fully alert people can participate in a videofluoroscopy examination. (4) which means that fully awake and responding patient get better result and planning after swallowing assessment
in some dysphagic patients who suffer from both cognitive disorder and dysphagia, it seems necessary to use a combination of treatment techniques (Rosenbek JC, Jones C. Dysphagia in Movement Disorders. San Diego, CA: Plural Publishing; 2009:275.) (4)
Swallowing impairments are treated mostly behaviorally. It is requisite to understand the relationship of cognition, specifically attention, with swallowing since so many swallowing impairments occur concomitantly with cognitive disorders (1)
Swallowing disorders and behavioral cognitive skills are frequently present in patients with severe brain injury and significantly affect the result and judgment of our assessment. Persons who swallow abnormally take significantly longer to start eating and to achieve total oral feeding, and they require nonoral supplementation three to four times longer than those who swallow normally . 0 1999 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation (2)
Impaired cognition also interferes with oral intake. Several studies have supported this concept.16,17,23-z5 Interfering cognitive factors include decreased attending, increased agitation, and short-term memory deficits. As these deficits improve and certain cognitive levels are reached, patients with severe brain injury are able to achieve greater oral intake.(2)
that cognitive levels not only affect when a patient starts to eat but also his/her ability to tolerate a full oral diet. Input to medical/surgical staff about the cognitive level a patient is functioning at provides insight into the rationale why a patient may or may not be tolerating an oral diet.
What is the importance of cognition in relation to assessment of dysphagia?