Tag: Dysphagia
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What the Heck is the MBSImP?
The Modified Barium Swallow Impairment Profile (MBSImP™) standardizes the interpretation of Modified Barium Swallow Studies (MBSS) through a clear, evidence-based protocol. Developed by Dr. Bonnie Martin-Harris, it focuses on assessing and treating dysphagia by quantifying impairments, guiding rehabilitation, and enhancing clinical understanding of swallowing dysfunction.
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Cervical Auscultation
Cervical Auscultation (CA) uses a stethoscope to listen to swallow sounds, aiding in assessing swallowing and airway function. However, a systematic review reveals insufficient reliability and validity for diagnosing dysphagia in adults and children. CA should not be a stand-alone diagnostic tool, as sound patterns do not consistently correlate with physiological events.
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Go With the (Peak) Flow
Insurance companies prioritize objective data, making it vital to incorporate measures like Peak Expiratory Flow (PEF) in Clinical Swallow Evaluations (CSE) to assess cough strength and airway protection. PEF demonstrates a strong correlation with aspiration risks, thereby enhancing dysphagia management through reliable and quick assessments, allowing for better documentation and therapy tracking.
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The Yale Swallow Protocol
The Yale Swallow Protocol, based on the 3-Ounce Swallow Test, provides a quick screening method for dysphagia, focusing on cognition and oral motor function. Administering involves giving a patient three ounces of water to drink while observing for signs of aspiration. This tool is easy to teach, though not suitable for all patients.
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Assessing the Swallow: A Guide to the Clinical Swallow Evaluation
A thorough swallow assessment is essential in managing dysphagia, uncovering both the “what” and “why” of swallowing difficulties. This guide details the Clinical Swallowing Evaluation (CSE), emphasizing the importance of clarifying referrals, conducting comprehensive patient interviews, and recognizing the need for instrumental assessments to develop effective treatment plans.
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Swallowing Without a Tongue: Let’s Talk Glossectomy
I’ve worked with a number of patients over the years who’ve had partial glossectomiesbut recently, I’ve had five patients with total glossectomies. Let that sink in for a second. Total glossectomy. As in, no tongue. It sounds like a nearly impossible task: getting someone to eat or drink again when one of the primary driving…
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3 Reasons You Should Never “Fake it Till You Make it” in Dysphagia
Faking it in dysphagia therapy poses significant risks. Confidence is essential, but without proper knowledge, misdiagnoses and harmful recommendations can occur. The ASHA Code of Ethics emphasizes honesty and competence. Professionals should seek education, mentorship, and prioritize patient safety, ensuring informed, evidence-based interventions in dysphagia care.
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My Top Five (Ok TEN+) Continuing Education Courses in Dysphagia
The author reflects on their extensive experience with continuing education in dysphagia, highlighting both enjoyable and frustrating courses. They recommend several impactful CEU programs that are evidence-based and practical for medical SLPs. The conclusion emphasizes that meaningful education can rejuvenate passion and enhance clinical skills in the field.
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Not Nectar (Mildly) Thick: The Truth About Carbonated Beverages and Dysphagia
Carbonated beverages are being explored in dysphagia management as a sensory strategy to enhance swallowing safety, not as thickened liquids. Research indicates carbonation may stimulate the Trigeminal nerve, potentially improving swallow function for some patients. However, effectiveness varies individually, necessitating personalized assessment rather than substitution for thickened liquids.
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Compliance or Choice? Rethinking the “Noncompliant” Dysphagia Patient
The post discusses evolving perspectives on patient noncompliance in dysphagia management. It suggests reframing noncompliance as patient choice, emphasizing the importance of education and support rather than discharge. Highlighting that not all aspirators contract pneumonia, it advocates for individualized approaches in therapy that empower patients to make informed decisions about their care and safety.
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