Case History

Individuals with moderate or late stage dementia have reduced cognitive capacity. These individuals will be unable to participate in a thorough case history interview/discussion. It is helpful to seek corroborative information from the clients’ medical file and to interview nursing home staff (particularly those responsible for care of the individual) and/or family members who are familiar with the individuals history of care and impairment (Curfman, 2005).

The key questions in a case history are:

· What problems does the client currently have with eating, drinking and swallowing

– e.g., Do they cough while eating or drinking?
Do they clear their throat after swallowing?
Is the client refusing certain food types or consistencies?
· Do the current problems represent a change from previous dysphagia?

· What previous dysphagia management was in place (if any)?
· Does the client have any self-feeding abilities?
· Have they had any recent changes in weight (especially a history of weight loss)?
· What is the history and progression of the individuals’ dementia and the current prognosis?