Dementia

Considerations before placing an Alzheimer/Dementia patient on tube feeding

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It is said 65 percent of Alzheimer’s or dementia patients would develop dysphagia, ie gradually losing the swallowing reflex towards the end stage of their disease. Even though they could still swallow, the quantity of fluid and nutrients is no longer sufficient to keep them alive for long. Hence, the decision would have to be [...]

Phlegm Suction for Dysphagia/ Nasogastric Feeding Patients

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Massive buildup of mucus and phlegm is a common side effect that comes with nasogastric tube insertion (putting in a Ryles/ nose tube). Normally, while it is irritating to have so much of mucus, most of us are able to either swallow it to our stomach or spit it out. However in the case of [...]

Tube Feeding Schedule and Administering Medication

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Below is the feeding schedule provided by the hospital in Thailand where my mother is currently being treated. Usually the schedule is also applied to other patients who are fitted with a nasogastric tube due to other illnesses such as stroke or neurological disorders. The objective of this post is to give you a general [...]

How to prepare food for tube feeding by Siriraj

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This is based on a video in Thai by Siriraj PR channel. Siriraj is one of the main hospital located in Bangkok, Thailand. The video contains the ingredients, utensils, preparation and storage of food for tube feeding made mainly from fresh ingredients. VIDEO FROM SIRIRAJ PR https://youtu.be/0iepfbQMcC4 Note: I try to translate on best effort [...]

How to prevent elderly from sliding down and lift them back up

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Elderly patients, if placed on an incline would tend to slide down on the bed. This is due to gravity, muscle weakness that causes them unable to support themselves in that position and feeling uncomfortable when placed in that position. While we can tell and advice someone to be conscious and not to slide down, [...]

Tube feeding food ingredients, preparation and storage

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In Thailand, a wealth of information is available on tube feeding. The video below, demonstrated by a nurse from Saraburi hospital on the ingredients, preparation, storage and precautions needed. Do note that the ingredients are all dietary approved by dietican and the hospital. It is similar to what the dietician from our hospital briefed us. [...]

Hand restraints/special mittens for Alzhmeimer’s/dementia patients on tube feeding

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I am grateful that we are in Thailand and sought medical care from doctors here. When my mom developed difficulty swallowing due to late stage Alzheimer’s, all the doctors here recommended nose tube intubation (nasogastric tube). My mom survived and recovered her energy from nose tube feeding. Even my family and her friends back in [...]

Placing my mom on Nose Tube Feeding due Dysphagia (end stage Alzheimer’s)

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About 65 percent of those with Alzheimer’s or dementia would develop dysphagia, ie difficultity in swallowing. The most noticable symptoms is the person who start choking and coughing especially when taking fluids like water. But not so bad if it is semi fluids or purees. If you notice your loved one with dementia refusing to [...]

Useful videos on Nasogastric Feeding

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In the 2 videos below, you can find very useful tips related to Nasogastric or Nose Tube Feeding published by 2 well known hospitals in Singapore: Below is by Tan Tock Seng hospital: https://youtu.be/r18wS2fAFas Below is published by Singapore General Hospital: https://youtu.be/93oAYQ3M2dA   The summary of the tips as well as what I do is: [...]

When the Blood Pressure Could Not be Read or Detected by BP monitor

Blood Pressure

When you attempt to measure yours or your loved one’s blood pressure and your home machine indicates as ‘Error’, you need to get the person to the hospital asap for checking. Below is a video that shows what I meant. In the first part, it shows how the blood pressure machine in our home read [...]