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Related Concept Videos

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Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
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Related Experiment Video

Updated: Jan 7, 2026

Oral Health Assessment by Lay Personnel for Older Adults
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Assessing Swallowing Function is Important Upon Admission to Community-Based Integrated Care Wards. A Retrospective

Masahiko Okubo1,2, Motoyoshi Morishita3, Tomohisa Ohno4

  • 1Department of Dentistry and Oral Surgery, Ongata Hospital, Hachioji, Tokyo, Japan.

Journal of Multidisciplinary Healthcare
|January 1, 2026
PubMed
Summary

Evaluating swallowing ability upon admission to community care wards is crucial for safe nutrition. Early assessment and multidisciplinary tools facilitate safe oral intake transitions for older adults.

Keywords:
agingcommunity-based integrated caredeglutitiondysphagianursing carequality of lifeswallowing ability

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Area of Science:

  • Gerontology
  • Clinical Nutrition
  • Swallowing Disorders

Background:

  • Community-based integrated care wards serve older adults with complex health needs.
  • Assessing swallowing function (dysphagia) is vital for preventing malnutrition and aspiration pneumonia.
  • Standardized evaluation methods are needed to ensure patient safety and optimal nutritional management.

Purpose of the Study:

  • To evaluate the swallowing ability of patients admitted to community-based integrated care wards.
  • To determine the importance and effectiveness of early swallowing assessments in this setting.
  • To compare dysphagia diet classifications and swallowing assessment scales.

Main Methods:

  • A multidisciplinary team assessed 77 older adults within 48 hours of admission using an original screening tool and meal rounds.
  • Oral and pharyngeal function were evaluated using the Food Intake LEVEL Scale (FILS) and standardized meal rounds.
  • Fiberoptic endoscopic evaluation of swallowing was utilized when necessary; data analyzed with chi-squared and Wilcoxon signed-rank tests.

Main Results:

  • Aspiration pneumonia and cerebrovascular disorders were common comorbidities.
  • Many patients transitioned safely from parenteral to oral nutrition, showing significant FILS score improvements.
  • The study confirmed the effectiveness of swallowing ability assessment and appropriate feeding route determination.

Conclusions:

  • Multidisciplinary swallowing assessment tools can improve patient nutrition management in community care wards.
  • Early and shared assessment promotes safe transitions to oral intake, potentially reducing the need for extensive examinations.
  • This approach contributes to establishing appropriate feeding methods and enhancing hospitalization care.