Lemon Glycerine Swabs and Xerostomia

"Lemon and glycerine swabs stimulate production of saliva initially but are acidic, causing irritation and decalcification of the teeth and resulting in rebound xerostomia." from Mary Jo Grap et al., “Oral Care Interventions in Critical Care: Frequency and Documentation,” Am J Crit Care 12, no. 2 (March 1, 2003): 113-118. (free full text at http://ajcc.aacnjournals.org/cgi/reprint/12/2/113)

J H Meurman et al., “Hospital mouth-cleaning aids may cause dental erosion,” Special Care in Dentistry: Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry 16, no. 6 (December 1996): 247-250.

Patricia Coleman PhD et al., “Improving oral health care for the frail elderly: A review of widespread problems and best practices,” Geriatric Nursing 23, no. 4 (July 2002): 189-199.

Three Good Dysphagia References

Eisenhuber, E., Schima, W., Schober, E., Pokieser, P., Stadler, A., Scharitzer, M., et al. (2002). Videofluoroscopic assessment of patients with dysphagia: pharyngeal retention is a predictive factor for aspiration. American Journal of Roentgenology, 178(2), 393-398.

Perlman, A. L., Booth, B. M., & Grayhack, J. P. (1994). Videofluoroscopic predictors of aspiration in patients with oropharyngeal dysphagia. Dysphagia, 9 (2), 90-95.

Rosenbek, J. C., Robbins, J. A., Roecker, E. B., Coyle, J. L., & Wood, J. L. (1996). A penetration-aspiration scale. Dysphagia, 11(2), 93-98.