As mentioned previously, elderly patients with dementia and stroke may be dependent on others for feeding due to cognitive and/or physical limitations. Feeding dependence poses an increased risk for aspiration and related complications in patients with dysphagia due to factors such as rapid and uncontrolled presentation of food by feeders.81 This finding poses serious concern for patients with dysphagia on long-term modified diets. Implementing targeted feeding training can compensate for these difficulties and reduce related complications. For example, oral intake by targeted feeding (by trained individuals) in patients with dysphagia resulted in higher energy and protein intake compared to a control condition where no feeding assistance was provided