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Practical Tips to Assist with Dementia and Swallowing Difficulties
- Caitlin Houghton
- Jan 17
- 3 min read
Practical Tips to Assist with Dementia and Swallowing Difficulties
At Grow Allied Health, we know how challenging it can be to support a loved one with dementia, especially when swallowing difficulties (dysphagia) arise. Dysphagia is common in older adults with dementia and can lead to risks like choking, dehydration, and malnutrition. But with a few practical strategies, you can help make mealtimes safer and more enjoyable.
Why Do People with Dementia Experience Dysphagia?
Dementia affects the brain's ability to coordinate complex actions, including swallowing. As the disease progresses, individuals may experience:
- Delayed Swallow Reflex Difficulty triggering the muscles needed to swallow.
- Weakened Muscle Control: Reduced strength in the muscles involved in chewing and swallowing.
- Reduced Awareness: Difficulty recognising food or coordinating the actions of eating and drinking.
- Behavioural Changes: Loss of focus during meals or difficulty following instructions, leading to an increased risk of choking.
These factors make it essential to monitor and adapt to the individual's needs as their condition evolves.
Common Dysphagia Symptoms in People with Dementia
Identifying swallowing difficulties early is crucial. Look out for these common symptoms:
- Coughing or choking while eating or drinking
- Frequent throat clearing during or after meals
- Food or liquid leaking from the mouth
- Holding food in the mouth without swallowing
- A wet or gurgly voice after eating
- Weight loss, dehydration, or recurring chest infections (which may indicate aspiration)
If you notice these signs, consult a health professional for an assessment.
1. Adjust Food and Drink Textures
Modifying the texture of food and drinks can make swallowing easier and safer. Some helpful adjustments include:
- Serving soft, moist foods that are easier to chew and swallow, like mashed potatoes, soups, or scrambled eggs.
- Cutting food into small pieces or using a blender to create a smooth consistency.
- Thickening drinks to prevent them from entering the airway. Commercial thickening agents can help achieve the right consistency.
Adjustments to food consistency should always be made under the guidance of a Speech Pathologist or other medical practitioner.
2. Create a Calm Mealtime Environment
A relaxed and distraction-free setting can make mealtimes more manageable for someone with dementia. Try:
- Minimising background noise like TV or radio.
- Encouraging slow eating with small bites and sips.
- Sitting face-to-face so you can monitor swallowing and offer support as needed.
3. Encourage an Upright Posture
Proper positioning during meals is essential for safe swallowing. Ensure your loved one:
- Sits upright in a chair or bed at a 90-degree angle.
- Remains upright for at least 30 minutes after eating to reduce the risk of reflux or aspiration.
4. Offer Frequent, Small Meals
Large meals can feel overwhelming and increase the risk of choking. Instead, offer smaller, more frequent meals and snacks throughout the day. This can also help maintain energy levels and hydration.
5. Stay Hydrated
Dehydration is a common concern for people with dysphagia. Encourage small sips of thickened fluids or provide high-water-content foods like jelly or yoghurt to keep hydration levels up.
6. Seek Professional Support
Every person is unique, and dysphagia can vary in severity. A speech pathologist can provide personalised strategies and recommendations tailored to your loved one’s needs. They can also guide you in implementing safe swallowing techniques.
Supporting with Care
Navigating dementia and swallowing challenges can feel overwhelming, but you’re not alone. By making these small adjustments, you can help your loved one stay nourished, hydrated, and safe—while preserving the joy of sharing a meal together.
If you’d like more advice or support, the Grow Allied Health team is here to help. Contact us today for personalised care that makes a difference.
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Legal Disclaimer: This article is for informational purposes only and does not substitute professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or qualified health professional regarding any medical condition. If you suspect dysphagia or any other health concern, consult a healthcare provider promptly.
Let’s make every bite and sip count.
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