This document summarizes information about oral frailty and a swallowing provocation test. It discusses how oral frailty is indicative of sarcopenia and related to poor grip strength, walking speed, and head lifting strength. It recommends treatments for oral frailty including dental care, treating dry mouth, increasing protein intake, resistance training, and early activity. It also notes that 60% of hospitalized patients with community-acquired pneumonia should be diagnosed with aspiration pneumonia, which is a risk for the elderly due to silent aspiration at night. The document introduces a simple swallowing provocation test using a thin nasal catheter that can identify aspiration risk, with a latent time of less than 3 seconds to trigger swallowing considered normal

1. Oral frailty
&
Swallowing provocation test
（2020.11.14鼻咽內視鏡在宅醫療教學工作坊）
Presenter: FM R3盧敬文
Supervisor: VS陳鼎達
2020.11.20

3. Indicative of sarcopenia
Tongue pressure
Poor grip strength
walking speed
head lifting strength

6. Treatment for oral frailty
Teeth and denture
Treatment of xerostomia
1.0-1.5 g/k/day high quality protein
Resistance training
Upright positioning in bed
early activity

7. 病人自填

9. 60% of hospitalised patients with
community-acquired pneumonia (CAP)
should be diagnosed as
aspiration pneumonia
pneumonia is a friend of the aged
silent aspiration during night
is a most important risk and/or cause of AP

11. Simple swallowing provocation test
Supine position
Thin nasal catheter, 5Fr.
Distilled water
Latent time < 3 sec  normal
吸入性肺炎的病人需要更多水才會誘發吞嚥
適合bedridden
Sensitivity和specificity都比
water swallowing test高
• SPT  pharyngeal phase
• FEES  oral phase

16. 臉頰按摩步驟完整版
https://youtu.be/DOa
FRNoQ_d0