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Tag: Dysphagia Therapy
The SLP and the Dining Room
My dining room story.... I can't even count how many times I have started work in a new building or started a new PRN job and been told meal times so that I can go sit with patients during their meals for their therapy time. It's easy, right. I go sit in the dining [...]
Cervical Auscultation
What is Cervical Auscultation? Using Cervical Auscultation (CA) involves the use of a stethoscope, placed on the throat to "listen" to the sounds of the swallow. Clinicians often use CA to assess swallow sounds and airway sounds. Judgements are made on the normality of the swallow or the degree of impairment of swallowing. Cervical [...]
What Would You Do?
I would love to share a story with you. Now keep in mind, I've been an SLP for a lot of years and feel that I do a pretty good job. Sometimes, I may even get a little over-confident in my skills and have to examine what I'm doing. Let's talk about a patient I've [...]
“Establishing a Multidisciplinary Head and Neck Clinical Pathway: An Implementation Evaluation and Audit of Dysphagia-Related Services and Outcomes”
If you are considering joining or starting a head and neck cancer program, this is the read for you! I was searching through articles this morning and found this very article stating the importance of a team approach and a systematic approach to head and neck cancer! "Head and neck cancer guidelines recommend multidisciplinary [...]
They won’t follow my recommendations so let’s burn them at the stake!!
OK, so we’re probably not going to be burning any patients at the stake. I’m fairly certain that you may lose your license for that! I’m sure we’ve all been there though. We do a thorough assessment of a patient. We obtain instrumental assessment just as we were advised. We make recommendations based on [...]
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)
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 [...]
Supraglottic and Super-Supraglottic Swallows and Tongue Pressure
Fujiwara, S, Ono, T, Minagi, Y, Fujiu-Kurachi, M, Hori, K, Maeda, Y, Boroumand, S, Nitschke, I, Ursula, V, Bohlender, J. Effect of Supraglottic and Super-supraglottic swallows on Tongue Pressure Production against Hard Palate. Dysphagia (2014) 29:655-662. The Super- and Supraglottic Swallows are maneuvers used to assist in early airway closure to prevent food or [...]
Variations in Tongue-Palate Pressures with Xanthan Gum Thickened Liquids
Steele, CM, Molfenter, SM, Peladeau-Pigeon, M, Polacco, RC, Yee, C. Variations in Tongue-Palate Swallowing Pressures When Swallowing Xanthan Gum-Thickened Liquids. Dysphagia (2014) 29:678-684. "Thickened liquids are frequently recommended to reduce the risk of aspiration in patients with oropharyngeal dysphagia." We know that tongue-palate pressures increase with thicker liquids, however little is known about the differences [...]