Show Summary Details
Page of

The clinical neurology of problems with oral feeding 

The clinical neurology of problems with oral feeding
The clinical neurology of problems with oral feeding

Tom Hughes


May 26, 2016: This chapter has been re-evaluated and remains up-to-date. No changes have been necessary.

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2021. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 02 August 2021

Oral feeding comprisesa number of composite functions, all of which have to be coordinated to ensure adequate nutrition and hydration.Voluntary swallowing is central to the process, but without adequate pulmonary functionthe airway isvulnerable.Medical and surgical problems, and the environment in which the patient is nursed also determine the success of attempted oral feeding.Using this framework of thinking may help structure the clinical approach to oral feeding failure and facilitate discussion of issues other than just swallowing and dysphagia when forming opinions about the diagnosis and prognosis of the underlying disease, the mechanism of the feeding problem, and the most appropriate therapy.The goals of any intervention should be informed by a detailed appreciation of clinical issues and a working knowledge of the relevant ethical and legal issues. The MEALTIME approach is suggested as an aide memoire to help ensure thatthe relevant issues are addressed.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.