1. Presented by Janice Hermann, PhD, RD/LD OCES Adult and Older Adult Nutrition Specialist Nutrition and Older Adults Chewing, Swalllowing and Nutrition

2. Chewing, Swallowing and Nutrition

3. Chewing and Swallowing Problems Chewing and swallowing problems can get in the way of good nutrition

4. Changes in Saliva Saliva moistens food and makes swallowing easier Saliva tends to decrease with age

5. Changes in Teeth Tooth loss Gum disease Unable to adjust to dentures or dentures that do not fit

6. Tips if Chewing and Swallowing is a Problem

7. Tips if Chewing and Swallowing Is a Problem Drink beverage with meals Make sure dentures fit properly Eat slowly and chew food thoroughly Watch for signs of choking

8. Tips for Modifying Foods if Chewing or Swallowing is a Problem

9. Use gravy or sauces Mash foods if it is an acceptable form Shred raw vegetables or fruits and use in salads, gelatins or stir-fry

10. Tips for Modifying Foods if Chewing or Swallowing is a Problem Thin meat slices Precut meats in casseroles, soups or stews Softer meats or meat alternatives

11. Summary Serve a beverage with meals Make sure dentures fit properly Eat slowly and chew food thoroughly Watch for signs of choking Modify the form of foods if needed