Glossectomy

Glossectomy

Glossectomy Let's talk total glossectomy for a minute.   I've actually worked with multiple partial glossectomies in my career and recently have had 2 total glossectomy patients. It seems like a pretty difficult task, right?  Getting someone to eat and drink again with no tongue. Taking the tongue out of the equation of swallowing makes the [...]

3 Things to Stop Doing in Dysphagia Assessment and Treatment

3 Things to Stop Doing in Dysphagia Assessment and Treatment

Have you ever taken a moment to look at and assess your own treatment and  evaluation techniques?  Have you been using the same techniques and exercises for 20 years? Too often we become content with what we're doing and stop looking to new research to continue to grow in our profession. Dysphagia is a rapidly [...]

Carbonated Beverages

Carbonated Beverages

Not Nectar Thick When patients have dysphagia, often sensory techniques, including carbonation can help increase aspects of the swallow.  For some reason, at one point in time, the research was translated to substitution of carbonated beverages, including soda to replace nectar thick liquids.   Carbonated Beverages Carbonated beverages have hit the dysphagia world by storm. [...]

The Patient Exercising Their Right to Choose (Formerly The Non Compliant Patient)

The Patient Exercising Their Right to Choose (Formerly The Non Compliant Patient)

  EDIT 1/4/17.  Due to a recent Facebook post, I wanted to change some wording on this post.  As with all areas of dysphagia, I continue to grow, learn and change my beliefs, mainly because of the patients I serve. Although my belief stands that those patients who do not follow my recommendation continue to [...]

To Tuck or Not to Tuck

To Tuck or Not to Tuck

The chin tuck.  I'm not talking about Chin Tuck Against Resistance (CTAR), I'm talking about the compensatory strategy.  That strategy that we've taught so well that nurses, respiratory therapists and doctors all tell patients, if you're having trouble swallowing, just tuck your chin.  Somewhere down the road, we've made the chin tuck the end-all be-all [...]