Dysphagia Management

15 posts

Candles burning as hope for dysphagia

HOPE for Dysphagia: Got Your Speech-Language Pathologist?

Hope for Dysphagia: Got a Speech-Language Pathologist on Your Multidisciplinary Dysphagia Team? By Karen M. Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com This blog is in response to an article published by the Washington Post on February 25, 2018 in the Health & Science Perspective column titled: “Problems swallowing are a big killer, but the treatment can be horrible,” by Drs Douglas Jacobs and Joshua Lang of Brigham and Women’s Hospital in Boston. It seems to […]

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. […]

This picture shows a baby in diapers, symbolizing how the field of dysphagia is young. Clinicians need to stay open to listen to new information. Need to think critically about all research, especially electrical stimulation / e-stim.

E-stim Update: A Perspective on Ampcare, LLC

E-Stim Update: A Perspective on Ampcare, LLC by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com Yes, that cute baby is there for more than just to catch your attention! As clinicians working in the field of dysphagia, we need to realize how our field is really still in its infancy (early childhood at best). Jeri Logemann started researching swallowing and swallowing disorders in the late 1970’s to early 1980’s, well within my lifetime! The field […]

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 […]

Many people think that to not feed a person is to not give love. We need great recipes for people with dysphagia!

Recipes for People with Dysphagia: Don’t Forget Flavor

Recipes for People with Dysphagia compiled by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com Are you a foodie? Do you believe that food is love? Or do you just love to eat? Imagine if, due to difficulty swallowing (dysphagia), you could not eat your favorite foods. Imagine if everything was pureed and tasteless. Dysphagia diet modifications recommended by your speech-language pathologist (SLP) should not mean a loss of flavor and nutrition. SLPs and registered dietitians […]

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 […]

ENT Easy depiction of Cranial Nerve V

GOT TAPE? Elastic Therapeutic Taping

Elastic Therapeutic Taping with Kinesio® Tape: An Adjunct Modality for the SLP by Guest Bloggers for SwallowStudy.com: Judith Macias-Harris, M.S., CCC-SLP/BSLP/CKTI Elizabeth G Harvey, DPT, MSR, CKTP ******* SwallowStudy.com Disclosures: Financial Disclosure: SwallowStudy.com has no financial relationship with the organizations mentioned in this article. Non-Financial Disclosure: SwallowStudy.com is sharing this new modality for educational purposes, to promote discussion, and to suggest further exploration and research. This post does not to indicate endorsement. ******* Speech Language […]

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, […]

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 […]

When we review the medical record, we need to gather the numbers that are potentially valid markers of decreased host resistance and infection.

Critical Lab Values in Dysphagia?

Critical Lab Values to Monitor in Dysphagia Evaluations and Treatments by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com “Perfect numbers like perfect men (and women) are very rare.” (by René Descartes, French philosopher and mathematician, with “and women” added to be fair) Show me the numbers! What numbers may be markers of aspiration, dysphagia, decreased host resistance, frailty and infection? We want quick and easy answers, but unfortunately, it is just not that easy. On […]