Dysphagia Evaluation

14 posts

FNCE: Food & Nutrition Conference & Expo by the Academy of Nutrition & Dietetics. This sign shows that the AND and FNCE are 100 years old! This blog is about SLPs learning to collaborate in dysphagia field with dietitians.

Collaboration in Dysphagia

ASHA + AND = Better Together: SLP & RD Collaboration in Dysphagia by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com “Are you going to /fɛnsi/?” (Yes, that was the international phonetic alphabet (IPA) to show SLPs how to pronounce FNCE. I am a Speech-Language Pathologist (SLP) who has specialized in swallowing and swallowing disorders (dysphagia) since 1995. I have collaborated with numerous dieticians across the continuum of care, and I did not know what “FNCE” was. […]

Alcohol, sodas, acidic juices, and coffee can all put you at risk for acid reflux.

I Was Told I Have Reflux. What Next?

Gastro-Esophageal Reflux (GERD) & Laryngopharyngeal Reflux (LPR) by Karen M. Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com Introduction: Many people who have reflux come for evaluations by a Speech-Language Pathologist (SLP), who specializes in difficulty swallowing (dysphagia). Reflux can cause symptoms of dysphagia, namely feelings of choking, coughing during or after meals, food getting stuck, and more. I have heard people express fear of actually choking (asphyxiation – where the food blocks the airway). This sensation […]

Dysphagia Evaluations (aka, swallowing evaluations) can be murky; not like this crystal clear Caribbean water. Complete this survey and help define dysphagia evaluations in the literature.

Help Define the Dysphagia Evaluation

Help Define the Dysphagia Evaluation By guest student bloggers: Jillian DiTota, BS & Victoria Abolafia, BA Graduate Students from Southern Connecticut State University Authors of the Survey: Clinical Preferences and Practices of Speech-Language Pathologists for Swallowing Evaluation (Blog edited by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com) Introduction to Evidence-Based Practice Our first ever Communication Disorders lecture in college was structured around “Evidence-Based Practice” and its immense significance. The professor couldn’t stress enough the huge role […]

Know the warning signs and symptoms of stroke!

Post-Stroke Dysphagia & Risk Management

Post-Stroke Dysphagia & Risk Management by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com Every 40 seconds someone in the United States has a stroke (Go, et al., 2013; American Heart/Stroke Association, Inc www.StrokeAssociation.org). The public is advised to dial 911 to get to the hospital immediately. Education has been provided extensively on the warning signs and symptoms, such as Spot A Stroke FAST. However, once the patient is at the hospital, are steps being taken immediately […]

The SLP must use the latest evidence to be an agent of change, guiding clinical practice, pushing for the use of validated screens, and using critical thinking.

SLP as Agent of Change at #ASHA16

Agent of Change in Dysphagia by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com As Speech-Language Pathologists (SLPs) look forward to the American Speech-Language Hearing Association’s Convention in Philadelphia this November (#ASHA16), please remember those who will not be at the convention. The passing of Steven B. Leder, PhD, CCC-SLP on May 16, 2016 affected many in the dysphagia community. Our hearts have gone out to family, friends and close colleagues. Steven Leder was a constant agent […]

Will the patient agree with your recommendations, taking the straight path? When we use patient-centered communication, we see that decision-making is more complex than a yes or no.

Decision-Making in Dysphagia Management

by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com Negative Press Detracts from Main Issue: Decision-Making in Dysphagia Background: When a person has difficulty swallowing (dysphagia) with high risks for aspiration of thin liquids, one of the most difficult decisions for a Speech-Language Pathologist (SLP) is whether or not the person would benefit from thickened liquids. SLPs who specialize in dysphagia, know that taking away thin liquids can drastically affect the person’s intake and quality of […]

Two bowls of soup that we could think of as the categories of "pneumonia soup."

Pneumonia Alphabet Soup (Part 2)

Pneumonia Alphabet Soup (Part 2): The Secret Ingredients by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com (Parts 1 & 2 first published by MedbridgeEducation.com) We began deciphering the recipe of pneumonia in Part 1 – Pneumonia Alphabet Soup: Reworking the Recipes. I suggested that it is more important to think about how the pneumonia was acquired, rather than where it was acquired [i.e., community-acquired pneumonia (CAP), health-care-associated pneumonia (HCAP)]. Causes for pneumonia are multifactoral, and the […]

Plate, fork, knife outline with pills. Represents how medications (various drugs) can affect a person's ability to eat and swallow safely.

The ABAs of Drug-Induced Dysphagia

There is no magic pill to cure dysphagia. There are plenty of medications that can cause difficulties eating and swallowing. Introduction: When we evaluate a person’s eating and swallowing function, we have to put on our critical thinking caps, be detectives, and collaborate with the team. To determine if there may be a drug-induced dysphagia, we discuss symptoms and medications with the patient/family/caregivers, medical team, psychiatrists, pharmacists, and nurses. Lethargy, cognitive impairment, inattention, distractibility, tremors, […]

Both the blue and the green food coloring in these glasses contains the FD&C Blue No. 1.

Do You Still Do Green & Blue Dye?

Do You Still Use Green & Blue Dye in Your Swallow Studies? by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com You may be using food coloring in your holiday cookie decorating. In March, maybe you will have a green beer or two! Your kids may have marveled at blue ketchup. Here are my questions: Are you still using blue or green dye in your clinical bedside swallowing evaluations or endoscopic evaluations of swallowing? If you use […]

Dysphagia Evaluation Guides Treatment (Part 1)

Dysphagia Evaluation: Ask Many Questions! by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com ******* This is Part 1 of a blog I created for MedbridgeEducation.com.  I’ve partnered with MedBridge to provide a discounts on your subscription. MedBridge provides clinicians and healthcare organizations a comprehensive education platform that includes clinical education, patient education, and home exercise programs. They are growing the Speech-Language Pathology platform. Subscribers get unlimited access to ASHA-approved CEUs with topics including: Dysphagia, Cognition, […]

Picture of a real swallowtail butterfly

Do Your Swallow Studies Measure Up?

Do Your Swallow Studies Measure Up? A Blog about the Swallowtail software application from Belldev Medical, Inc. by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com (Disclosure: Nothing to disclose; No financial relationship) Imagine yourself reviewing your patients’ Modified Barium Swallow studies with a fellow clinician. Does this sound familiar? His swallow is a little delayed. His hyolaryngeal excursion is a little bit better since he started therapy, don’t you think? I think her residue is […]