maneuver, effortful swallow, etc. They may aspirate food or liquid and contract pneumonia. They cover all major areas of treatment, from dysphagia to AAC. Presented by: Julie A. Huffman, MA, CCC-SLP. Handout: Dysphagia $ 0.99 $ 0.00. Bonus Section on Hope for Dysphagia: Just can’t stop at 10! • The patient will complete _____ swallowing maneuver (supraglottic swallow, Mendelson TIMELY or time-bound. what is their cognitive status and alertness?). The Role of SLP in Dementia Michelle DuBre, M.S.CCC-SLP Clinical Specialist, Genesis Rehab Services Master Clinician, Dementia . • The patient will complete daily oral-motor exercise to increase buccal tension to within To document skilled services, the clinician applies the tips listed below. Do they have anterior or posterior leakage as they eat? Co-Author: Giselle Carnaby, Ph.D., CCC-SLP, MPH, FASHA What is dysphagia rehabilitation? Puréed parsley, au gratin, scalloped potatoes, candied sweet potatoes, Sauces: cheese, tomato, barbecue, white, creamed. How long has swallowing difficulty been present? list clinical symptoms and history consistent with esophageal dysphagia. Pneumonia was MOST frequent in the “major aspirators/artificial feeding,” versus in the “major aspirators who were in the “oral feeding” group. Our customizable evidence-based program combine innovative technologies of Synchrony with customized clinical protocols and pathways, advanced therapist training and on-going support by ACP’s speech language pathologists to ensure you achieve better outcomes for your patients in the most efficient manner. She has been instrumental in devising new protocols to include consideration of the esophagus for both FEES and MBS studies throughout the continuum of care in her hospital system. • Client will maintain adequate hydration/nutrition with optimum safety and efficiency of This is achieved by generating and promoting original evidence-based content by global leaders in dysphagia research and practice. an article of clothing, food or grooming object) with . She currently serves as Preceptor for Speech-Language Pathology services at her hospital with a staff of 30 SLPs. list clinical symptoms and history consistent with esophageal dysphagia. SLP Praxis Study Guide; Blog; Free; Home; Speech Therapy Materials. A limit of 12 seconds made the activity more complex than that tried in the last session. Depending on the where the dysphagia is occurring will determine what techniques will make it safer and more effective for the person to swallow. They followed 152 SNF patients for 3 years in a prospective study, starting with Modified Barium Swallow Studies. It also provides information about how dysphagia can be assessed, diagnosed and treated by a speech-language pathologist. She has been teaching on the subject for over 12 years. Dysphagia Evidence-Based Clinical Programs. Dysphagia, 11, 104-109. LONG TERM GOALS – SWALLOWING This website provides a plethora of tips for someone who suffers from dysphagia. Dysphagia. • Patient will masticate food adequately to safely consume least restrictive diet with You’re welcome! • The patient will alternate liquids-solids bites to clear stasis in buccal cavity with (min/mod/max) visual, verbal and tactile cues, Click to access AdultGoalsandObjectives.pdf, http://www.asha.org/public/speech/swallowing/Swallowing-Disorders-in-Adults/, http://www.dysphagiaonline.com/en/pages/08_tips_for_managing_life_with_dysphagia.aspx, http://swallowingdisorderfoundation.com/the-hungry-games-a-true-short-story-of-life-with-dysphagia/, http://www.ucs.louisiana.edu/~ncr3025/roussel/codi531/assessment.html, http://www.nhs.uk/Conditions/Dysphagia/Pages/Treatment.aspx, http://jslhr.pubs.asha.org/article.aspx?articleid=1773397&resultClick=3, – Gather information: Review their chart thoroughly, conduct an interview with the client, consider psychological and situational factors (are they refusing to eat? The way we rethink dysphagia, is for the medical team to use the entire multidisciplinary deglutition team. DYSPHAGIA GOALSLONG TERM GOALS - SWALLOWING - Client will maintain adequate hydration/nutrition with optimum safety and efficiency of swallowing function on P.O. Compensatory Medical SLP Therapy Bundle; VNeST – Complete Bundle (Set I, II, III, IV) Activities and Worksheets. http://www.ncbi.nlm.nih.gov/books/NBK408/, Normal swallow: https://www.youtube.com/watch/?v=PwVreNrTKBw, Abnormal swallow with aspiration: http://www.youtube.com/watch?v=1sFNMk87558. swallowing function on P.O. Click here to view our policy: https://mobiledysphagiadiagnostics.com/cancellations-of-courses-and-events/, Please contact us at info@mobiledysphagiadiagnostics.com. Dysphagia Bundle; Speech-Language. ARTICLES, Goals & Evals, START HERE / By harmonyroaddesign. https://mobiledysphagiadiagnostics.com/cancellations-of-courses-and-events/, Website Terms of Use, Disclaimer, and Privacy Policy. A chin flex position can assist in airway closure. Frequency and Duration should be individualized and align with the time element. stimulation on 10/10 therapeutic trials to reduce the risk of food residue falling into the airway • Pt. KSHA 2017. Dysphagia Café’s mission is to be a quality, consistent, reliable and easily accessible resource community for every dysphagia clinician worldwide. These practice standards and guidelines apply to the delivery of services by a SLP to any patient with dysphagia, regardless of age, gender, ethnicity, aetiology or the setting in which the service is provided. Financial – Receives a payment as the owner and sole operator of Julie A. Huffman. Completing a clinical swallowing evaluation may lead to the implementation of brief treatment and the further need for instrumental assessment. Long Term versus Short Term Goals. • Complete a Clinical Swallow Evaluation to determine appropriateness of current diet/need for MBS … Following this procedure will give a very comprehensive look at the patient’s swallowing abilities. She also teaches FEES. intake without overt signs and symptoms of aspiration for the. Progress to foods that are harder to eat (chewier, crunchier, etc.) If you require accommodations to access these materials due to a disability, please email us at info@mobiledysphagiadiagnostics.com, Click here to find this webinar on the Medical SLP Collective. Do they have watery eyes or sneezing after they swallow? Dr. Humbert has co-founded among the first online learning platforms for swallowing and swallowing disorders. SLPs also recognize causes and signs/symptoms of esophageal dysphagia and make appropriate referrals for its diagnosis and management. KSHA 2017. Have SLPs not been a part of this team because physicians erroneously think that the SLP will just recommend NPO? Authors use sensationalistic writing with: Use terminology that reflects the clinician's technical knowledge. • The patient will keep food and liquid in the mouth while eating without losing the bolus out of the front of the mouth to safely consume least restrictive diet with (min/mod/max) verbal, visual and tactile cues However, perhaps before we travel down that path we … It begins with an explanation of how normal swallowing works, and then it explains how swallowing can be affected. Because of this danger, putting patients on a modified diet is crucial: https://www.youtube.com/watch/?v=PwVreNrTKBw, http://www.youtube.com/watch?v=1sFNMk87558, Cognitive Communication Initial Goal Areas, Motor Speech Disorders Initial Goal Areas. Is there excessive residue left in their mouth after they swallow? The Dysphagia Interventions and Strategies Med SLP Bundle includes the following files: Dysphagia Exercises Tracking Swallow exercise tracking sheet. • The patient will tolerate diet upgrade trials without signs and/or symptoms of aspiration with to safely least restrictive diet with (min/mod/max) verbal, visual and tactile cues • Patient will perform compensatory swallow strategies (chin tuck, multiple swallows, head turn, etc.) highest appropriate diet level. • Client will maintain adequate hydration/nutrition with optimum safety and efficiency of. appropriate diet level, Swallow Study Are they coughing, choking or have a wet vocal quality after they swallow? Goal Bank for Adult Speech Therapy (150 SLP Goals!) Dysphagia Teams Prepared by Special Interest Group 13 (Swallowing and Swallowing Disorders [Dysphagia]) SLPs as the Preferred Provider of Dysphagia Services Prepared by Special Interest Group 13 (Swallowing and Swallowing Disorders [Dysphagia]) Special Populations End-of-Life Issues; Swallowing and Feeding Disorders in Children Oral Coordination/ Sensation Julie Huffman is a speech-language pathologist at UNC Rex Hospital in Raleigh, NC. After this webinar, you will be able to… describe the role of the SLP in esophageal dysphagia. • Complete a Modified Barium Swallow/Fiberoptic Endoscopic Evaluation of the Swallow to fully assess physiology and anatomy of the swallow and to determine the appropriate diet and/or rehabilitation exercises. Esophageal Dysphagia: What the SLP Needs to Know. If you’d like to earn ASHA CEUs for the presentation, we can report your completion to ASHA. Has heartburn been associated with the dysphagia? )to improve oral motor weakness, tongue base retraction, Look for unilateral or bilateral weakness or incoordination in their movements, if they appear to have sensation of food or saliva in or around their mouth, and listen for frequent throat clearing and coughing which may indicate laryngeal or pharyngeal weakness. Measure only one issue per goal. COPD and Dysphagia (King, Michigan SLP.org) • Patients with dysphagia have greater than 7‐times chance of acquiring aspiration pneumonia (if found to aspirate during an MBSS) ( Martin‐Harris et al., 2012) • Patients who aspirate thickened liquids or semisolids, the She has had a special interest in esophageal disorders as they affect oropharyngeal swallowing for the last 16+ years. Pudding – thicker consistency, although this is more rarely used, Pureed – like baby food, applesauce, mashed potatoes. Does it take them a long time to chew and swallow? They are integral members of an interprofessional team. Bundles. • The patient will form food and liquid into a cohesive bolus as demonstrated by lack of residue on the tongue and in the lateral and anterior sulci after the swallow to safely consume least restrictive diet with (min/mod/max) verbal, visual and tactile cues She gives an honest and real description of what it is like living with chronic dysphagia and the hardships that come along with it. Dysphagia documentation need not only reflect skilled service, but should also contribute new, valuable information to the medical team and guide future dysphagia care. Speech-language pathologists (SLPs) with appropriate training and competence are involved in the diagnosis and management of oral and pharyngeal dysphagia. intake … Many purported treatment activities are being termed ‘exercise based’. 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