As clinicians we are concerned during our evaluations when we detect aberrations of the swallow. We can appreciate their full meaning when we acknowledge that dysphagia does not exist in a vacuum; it exists within a human organism and may cause the individual to develop co-morbidities, such as dehydration. Maintenance of hydration is a critical management issue for patients with dysphagia. Our clinical decisions for patients with dysphagia depend on our understanding of hydration, dehydration, and methods for clinical management.
The first of the following two articles deals with the fundamental mechanisms underlying hydration and dehydration. Knowledge of these concepts is important as we craft our management plans for patients with dysphagia. The second article deals with common difficulties encountered when thickened liquids are employed in dysphagia management.
–Russell H. Mills
Our clinical decisions depend on how well we understand the basic mechanisms of hydration, dehydration, and aging and fluid balance.
Thickened liquids are commonly recommended by clinicians for dysphagia management, but their use can present challenges.