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Table 3 Dysphagia classification, description of disorders and symptoms

From: Swallowing disorders in tracheostomised patients: a multidisciplinary/multiprofessional approach in decannulation protocols

Type of dysphagia

Disorder

Symptom

Neurogenic dysphagia in the vegetative state

Typical of patients who present a permanent vegetative state

 

Neurogenic dysphagia from cognitive/behavioural deficit

Patients whose cognitive/behavioural deficits have a decisive effect on their ability to feed by mouth

 

Neurogenic dysphagia for fluids

Patients are able to eat by mouth with a free diet

These patients present dysphagia for fluids and it is essential to introduce thickened liquids, with Aquagel, through parenteral or enteral therapy (NG-tube or PEG).

Mixed neurogenic dysphagia

Patients are not able to safely take more than one consistency

Patients who are fed with a semisolid diet and take thickened liquids, with Aquagel or through parenteral or enteral therapy (NG-tube or PEG) fall into this category.

Neurogenic dysphagia for solids

Patients are fed with a semisolid diet and fluids are administered by mouth

The subject cannot eat foods with a solid consistency due to inability to chew, difficulty in forming the bolus or inhalation. Dysphagia must be determined by a neurological and not a mechanical deficit.