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Further oncological treatments such as surgery and radiotherapy can exacerbate these difficulties and cause major nutritional problems. Dietary management in relation to texture modification and nutritional content of meals needs to be addressed as well as feeding strategies recommended by the speech and language therapist. Good communication between all members of the multidisciplinary team is paramount in ensuring that patients have the necessary support, education and quality of life they need. <\/jats:p>","DOI":"10.12968\/bjon.2006.15.20.22291","type":"journal-article","created":{"date-parts":[[2014,5,23]],"date-time":"2014-05-23T14:18:04Z","timestamp":1400854684000},"page":"1091-1096","source":"Crossref","is-referenced-by-count":8,"title":["Care of head and neck cancer patients with swallowing difficulties"],"prefix":"10.12968","volume":"15","author":[{"given":"Lisa","family":"Gould","sequence":"first","affiliation":[{"name":"Cardiff and Vale NHS Trust, University Hospital of Wales"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sian","family":"Lewis","sequence":"additional","affiliation":[{"name":"Velindre NHS Trust, Velindre Cancer Centre, Cardiff"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"key":"p_64","volume-title":"This","author":"Language Therapists","year":"2002"},{"key":"p_83","volume-title":"Working with Oral Cancer","author":"Appleton J","year":"1998"},{"key":"p_84","volume-title":"National Descriptors for Texture Modification in Adults","author":"British Dietetic Association and Royal College of Speech &amp; Language Therapists","year":"2002"},{"issue":"3","key":"p_85","first-page":"371","volume":"19","author":"Colasanto JM","year":"2005","journal-title":"Oncology"},{"key":"p_86","volume-title":"Communication and Swallowing Management of Tracheotomized and Ventilator Dependent Adults","author":"Dikeman KJ","year":"1995"},{"issue":"3","key":"p_87","first-page":"3","volume":"27","author":"Dixon S","year":"2005","journal-title":"Support Line"},{"key":"p_88","volume-title":"Head and Neck Oncology Nursing","author":"Feber T","year":"1999"},{"key":"p_89","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.2004.00850.x"},{"key":"p_90","doi-asserted-by":"publisher","DOI":"10.1097\/00002820-200511000-00004"},{"key":"p_91","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2354.1999.00156.x"},{"key":"p_92","doi-asserted-by":"publisher","DOI":"10.1097\/00020840-199812000-00008"},{"key":"p_93","volume-title":"London","author":"National Institute for Health and Clinical Excellence","year":"2006"},{"key":"p_94","volume-title":"London","author":"National Institute for Health and Clinical Excellence","year":"2004"},{"key":"p_95","volume-title":"Manual of Clinical Oncology","author":"Parker RG","year":"2004","edition":"5"},{"key":"p_96","volume-title":"Physiology, Clinical Diagnosis And Management","author":"Perlman AL","year":"1997"},{"key":"p_97","volume-title":"Nutrition and Patients: A Doctor's Responsibility","author":"Royal College of Physicians","year":"2002"},{"key":"p_98","volume-title":"London","author":"Royal College of Speech &amp; Language Therapists","year":"2006"},{"key":"p_99","volume-title":"Horsham","author":"Shaw C","year":"2001"},{"key":"p_100","volume-title":"Swallowing Intervention in Oncology","author":"Sullivan PA","year":"1999"},{"issue":"1","key":"p_101","first-page":"12","volume":"3","author":"Wright L","year":"2003","journal-title":"Complete Nutrition"}],"container-title":["British Journal of Nursing"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/bjon.2006.15.20.22291","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T00:11:53Z","timestamp":1653351113000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/bjon.2006.15.20.22291"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,11,1]]},"references-count":20,"journal-issue":{"issue":"20","published-print":{"date-parts":[[2006,11,1]]}},"alternative-id":["10.12968\/bjon.2006.15.20.22291"],"URL":"https:\/\/doi.org\/10.12968\/bjon.2006.15.20.22291","relation":{},"ISSN":["0966-0461","2052-2819"],"issn-type":[{"value":"0966-0461","type":"print"},{"value":"2052-2819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,11,1]]}}}