Introduction:

We know from Dr. Susan Langmore and colleagues’ work on the predictors of aspiration (Langmore, et al1998; Langmore, Skarupski, Park, & Fries 2002) that the development of aspiration pneumonia involves multiple factors. We also know about the 3 pillars of pneumonia (Ashford, 2014) which include adequate oral care, multiple aspiration events, and poor overall health. But how do we know whether our patients have poor overall health?

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