Aging of the brain brings decline in memory and thinking. The condition ranges from mild to severe with no clear distinct border. Waning in cognitive skills causes’ functional impairment, which if neglected could lead to problems of self-feeding and self-care. Non-verbal communication is an essential component that promotes initiation of self-care. This article describes a rare case of an elderly female patient who was successfully able to remind herself about self-feeding with the help of a complete denture prosthesis that had a visual brand identifier incorporated on the occlusal surfaces of the artificial teeth.
| [1] | Morris, J., Volicer, L., Nutritional management of individuals with Alzheimer’s disease and other progressive dementias. Nutr Clin Care. 2001; 4: 148-55.View Article |
| [2] | Volicer, L., Seltzer, B., Rheaume, Y., et al. Eating difficulties in patients with probable dementia of the Alzheimer type. J Geriatr Psych Neurol. 1989; 2: 188-95.View Article |
| [3] | Mitchell, S.L., Teno, J.M., Kiely, D.K., et al. The clinical course of advanced dementia. N Engl J Med. 2009; 361: 1529-38.View Article PubMed PubMed |
| [4] | Sabat, S.R., Cagigas, X.E., Extra linguistic communication compensates for the loss of verbal fluency: a case study of Alzheimer’s disease. Language and Communication 1997; 17 (4): 341-51.View Article |
| [5] | Woods, B., Management of memory impairment in older people with dementia. International Review of Psychiatry. 1994; 6: 153-61.View Article |
| [6] | Zimmerman, P.G., Effective communication with patients with dementia. Journal of Emergency Nursing. 1998; 24 (5): 412-15.View Article |
| [7] | Dijkstra, K., Bourgeois, M., Burgio, L., Allen, R., Effects of a communication intervention on the discourse of nursing home residents with dementia and their nursing assistants. Journal of Medical Speech-Language Pathology. 2002; 10 (2): 143-57. |
| [8] | Greer, K.L., Pustay, K.A., Zaun, T.C., Coppens, P. A comparison of the effects of toys versus live animals on the communication of patients with dementia of the Alzheimer’s type. Clinical Gerontologist. 2001; 24 (3/4): 157-82. |
| [9] | Orange, J.B., Colton-Hudson, A. Enhancing communication in dementia of the Alzheimer’s type. Topics in Geriatric Rehabilitation. 1998; 14 (2): 56-75.View Article |
| [10] | Small, J.A., Gutman, G., Recommended and reported use of communication strategies in Alzheimer caregiving. Alzheimer Disease and Associated Disorders .2002; 16 (4): 270-78.View Article PubMed |
| [11] | Friedman, R., Tappen R.M., The effect of planned walking on communication in Alzheimer’s disease. Journal of the American Geriatrics Society .1991; 39: 650-54.View Article PubMed |
| [12] | Lewis, C.L., Cox, C.E., Garrett, J.M., et al. Trends in the use of feeding tubes in North Carolina Hospitals: 1989 to 2000. J Gen Intern Med. 2004; 19: 1034-38.View Article PubMed |
| [13] | Rabeneck, L., Wray, N.P., Petersen, N.J., Long-term outcomes of patients receiving percutaneous endoscopic gastrostomy tubes. J Gen Intern Med. 1996; 11: 287-93.View Article PubMed |
| [14] | Callahan, C.M., Haag, K.M., Weinberger M, et al. Outcomes of percutaneous endoscopic gastrostomy among older adults in a community setting. J Am Geriatr Soc. 2000; 48: 1048-54.View Article PubMed |
| [15] | Mitchell, S.L., Teno, J.M., Roy, J., et al. Clinical and organizational factors associated with feeding tube use among nursing home residents with advanced cognitive impairment. JAMA. 2003; 290: 73–80.View Article PubMed |
| [16] | Mitchell, S.L., Kiely, D.K., Lipsitz, L.A., The risk factors and impact on survival of feeding tubes in nursing home residents with advanced dementia. Arch Intern Med. 1997; 157: 327-32.View Article PubMed |
| [17] | Meier, D.E., Aronheim, J.C., Morris, J., et al. High short-term mortality in hospitalized patients with advanced dementia: lack of benefit of tube feeding. Arch Intern Med. 2001; 161: 594-99.View Article PubMed |
| [18] | Murphy, L.M., Lipman, T.O., Percutaneous endoscopic gastrostomy does not prolong survival in patients with dementia. Arch Intern Med. 2003; 163: 1351-53.View Article PubMed |
| [19] | Sampson, E.L., Candy, B., Jones, L. Enteral tube feeding for older people with advanced dementia. Cochrane Database of Systematic Reviews 2009, Issue 2. Art. No.: CD007209.View Article |
| [20] | Beck, A.M., Ovesen, L., Schroll, M. Home-made oral supplement as nutritional support of old nursing home residents, who are undernourished or at risk of under nutrition based on the MNA. A pilot trial. Mini nutritional assessment. Aging Clin Exp Res. 2002; 14: 212-15.View Article PubMed |
| [21] | Carver, A.D., Dobson, A.M., Effects of dietary supplementation of elderly demented hospital residents. J Hum Nutr Dietet. 1995; 8: 389-94.View Article |
| [22] | Cereda, E., Gini, A., Pedrolli, C., et al. Disease-specific versus standard nutritional support for the treatment of pressure ulcers in institutionalized older adults: A randomized controlled trial. J Am Geriatr Soc. 2009; 57: 1395-402.View Article PubMed |
| [23] | Gazzotti, C., Arnaud-Battandier, F., Parello M., et al. Prevention of malnutrition in older people during and after hospitalization: Results from a randomized controlled clinical trial. Age Ageing. 2003; 32: 321-25.View Article PubMed |
| [24] | Gil, Gregorio, P., Ramirez, Diaz, S.P., Casado, Ribera., et al. Dementia and nutrition. Intervention study in institutionalized patients with Alzheimer disease. J Nutr Health Aging. 2003; 7: 304-8. |
| [25] | Kwok, T., Woo, J., Kwan, M. Does low lactose milk powder improve the nutritional intake and nutritional status of frail older Chinese people living in nursing homes? J Nutr Health Aging. 2001; 5: 17–21. PubMed |
| [26] | Lauque, S., Arnaud-Battandier, F., Mansourian, R., et al. Protein-energy oral supplementation in malnourished nursing-home residents. A controlled trial. Age Ageing. 2000; 29: 51–56.View Article PubMed |
| [27] | Lauque, S., Arnaud-Battandier, F., Gillette, S., et al. Improvement of weight and fat-free mass with oral nutritional supplementation in patients with Alzheimer’s disease at risk of malnutrition: A prospective randomized study. J Am Geriatr Soc. 2004; 52: 1702-07.View Article PubMed |
| [28] | Parrott, M.D., Young, K.W., Greenwood, C.E. Energy-containing nutritional supplements can affect usual energy intake post supplementation in institutionalized seniors with probable Alzheimer’s disease. J Am Geriatr Soc. 2006; 54: 1382-87.View Article PubMed |
| [29] | Planas M, Conde M, Audivert S, et al. Micronutrient supplementation in mild Alzheimer disease patients. Clin Nutr. 2004; 23: 265-72.View Article |
| [30] | Wouters-Wesseling, W., Wouters, A.E., Kleijer, C.N., et al. Study of the effect of a liquid nutrition supplement on the nutritional status of psycho-geriatric nursing home patients. Eur J Clin Nutr. 2002; 56: 245-51.View Article PubMed |
| [31] | Wouters-Wesseling, W., Slump, E., Kleijer, C.N., et al. Early nutritional supplementation immediately after diagnosis of infectious disease improves body weight in psychogeriatric nursing home residents. Aging Clin Exp Res. 2006; 18: 70–74.View Article PubMed |
| [32] | Young, K.W., Greenwood, C.E., van Reekum, R., et al. Providing nutrition supplements to institutionalized seniors with probable Alzheimer’s disease is least beneficial to those with low body weight status. J Am Geriatr Soc. 2004; 52: 1305-12.View Article PubMed |
| [33] | Bourgeois, M.S., Dijkstra, K., Burgio, L., Allen-Burge, R., Memory Aids as an Augmentative and Alternative Communication Strategy for Nursing Home Residents with Dementia. Augmentative and Alternative Communication. 2001; 17: 196-210.View Article |
| [34] | Santo, Pietro, M.J., Boczko, F., The Breakfast Club: Results of a study examining the effectiveness of a multi-modality group communication treatment. American Journal of Alzheimer’s Disease. 1998; 13 (3): 146-58.View Article |
| [35] | Altus, D.E., Engelman, K.K., Mathews, R.M., Using Family-Style Meals to increase participation and communication in persons with Dementia. Journal of Gerontological Nursing .2002; 28 (9): 47-53.View Article PubMed |
| [36] | Tabak, N., Bergman, R., Alpert, R., The mirror as a therapeutic tool for patients with dementia. International Journal of Nursing Practice .1996; 2 (3): 155-59.View Article PubMed |
| [37] | Brotons, M., Koger, S.M., The impact of music therapy on language functioning in Dementia. Journal of Music Therapy.2000 37 (3): 183-95.View Article PubMed |
| [38] | Brown, S., Gotell, E., Ekman, S.L., Singing as a therapeutic intervention in dementia care. Journal of Dementia Care. 2001; 9 (4): 33-37 |
| [39] | Coaten, R., Exploring reminiscence through dance and movement. Journal of Dementia Care. 2001; 9 (5): 19-22. |
| [40] | Ripich, D.N., Ziol, E., Lee, M.M., Longitudinal effects of communication training on caregivers of persons with Alzheimer’s disease. Clinical Gerontologist .1998; 19 (2): 37-53.View Article |
| [41] | Done, D.J., Thomas, J.A., Training in communication skills for informal carers of people suffering from dementia: a cluster randomized clinical trial comparing a therapist led workshop and a booklet. International Journal of Geriatric Psychiatry .2001; 16 (8): 816-21.View Article PubMed |
| [42] | McCallion P., Toseland, R.W., Lacey, D., Banks, S., Educating nursing assistants to communicate more effectively with nursing home residents with dementia. The Gerontologist .1999; 39 (5): 546-58.View Article PubMed |
| [43] | Burgio, L.D., Allen-Burge, R., Roth, D.L., Bourgeois, M.S., Dijkstra, K., Gerstle, J., Jackson, E., Bankester, L., Come talk with me: Improving communication between nursing assistants and nursing home residents during care routines. The Gerontologist.2001; 41 (4): 449-60View Article PubMed |
| [44] | Tappen, R.M., Williams-Burgess, C., Edelstein, J., Touhy, T., Fishman, S. Communicating with individuals with Alzheimer’s disease: examination of recommended strategies. Archives of Psychiatric Nursing. 1997; 11 (5): 249-56.View Article |
| [45] | Torke, A.M., Siegler, M., Abalos, A., Moloney, R.M., Alexander, G.C., Physicians’ experience with surrogate decision making for hospitalized adults. Journal of General Internal Medicine. 2009; 24 (9): 1023-28.View Article PubMed |
| [46] | Torke, A.M., Moloney, R, Siegley, M, Abalos, A, Alexander GC. Physicians' views on the importance of patient preferences in surrogate decision-making. Journal of the American Geriatrics Society.2010; 58 (3): 533-38.View Article PubMed |
| [47] | Berger, DeRenzo, and Schwartz,. "Surrogate Decision Making: Reconciling Ethical Theory and Clinical Practice". Annals of Internal Medicine. 2008; 149 (1): 48-53.View Article PubMed |