End-of-Life Decision Making

3 posts

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 […]

Elderly man with "menu of your life" in front of him at restaurant. End-of-life decision making is The menu to discuss at a Palliative Care meeting with the medical team.

NPO & G Tube Feeding: What’s A Clinician To Do?

NPO and G Tube Feeding: What’s A Clinician To Do? By Guest Blogger: Yvette McCoy, MS, CCC-SLP, BCS-S Edited by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com The American Speech-Language and Hearing Association’s (ASHA) 2014 convention inspired us. Here is Yvette McCoy’s summary of a session by Dr. Towino Paramby of the University of Central Arkansas and Dr. Paula Leslie of the University of Pittsburg Paramby, T. & Leslie, P. (2014, November). 1135: Tube Feeding & […]

Young therapist holding hands with an elderly woman. Patient safety and compassion!

The Conversation & The SLP Role in Palliative Care

The Conversation & The Speech-Language Pathologist’s Role in Palliative Care  by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com Have you ever told a patient that he should AVOID thin liquid, including his favorite ice cream, and then found out that he passed away within days. I have. But, I have also had the opposite experience: “I’m so glad I ‘let’ him have that ice cream yesterday!” Evaluating swallowing in patients who are critically ill is […]