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Nutrition in the stroke patient.
Mandy L Corrigan1, Arlene A Escuro, Jackie Celestin
1Cleveland Clinic, Center for Human Nutrition, Cleveland, Ohio 44195, USA. corrigm5@ccf.org
Summary
Malnutrition and dysphagia are common after stroke, often requiring specialized nutrition support. This review covers evaluating swallowing, nutrition support, and transitioning from tube feeding to oral diets to improve stroke patient outcomes.
Area of Science:
- Neurology
- Gastroenterology
- Dietetics
Background:
- Malnutrition is prevalent in stroke patients, both pre- and post-event.
- Dysphagia (swallowing difficulties) significantly increases nutrition risks in stroke survivors.
- Many patients need specialized nutrition support during the acute phase and long-term.
Purpose of the Study:
- To review the evaluation and treatment of dysphagia in stroke patients.
- To discuss specialized nutrition support strategies.
- To explore methods for weaning enteral tube feedings and the impact of nutrition on quality of life.
Main Methods:
- Literature review on dysphagia management post-stroke.
- Analysis of nutrition support interventions.
- Examination of enteral feeding weaning protocols.
- Assessment of nutrition's impact on quality of life.
Main Results:
- Dysphagia evaluation and tailored interventions are crucial for recovery.
- Specialized nutrition support is vital when oral intake is insufficient.
- Effective strategies exist for transitioning patients from enteral to oral feeding.
- Optimizing nutrition significantly impacts stroke patient quality of life.
Conclusions:
- Comprehensive management of dysphagia and nutrition is essential for stroke recovery.
- Early and ongoing nutritional assessment and support improve patient outcomes.
- A multidisciplinary approach enhances the transition to oral diets and overall well-being.
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