Diet Texture Modifications and Thickened Liquids

9 posts

International dysphagia diet standardization initiative (IDDSI) - dysphagia diet and liquid framework for people with difficulty swallowing. Perfect example of collaboration in dysphagia management.

IDDSI Resources

INTERNATIONAL DYSPHAGIA DIET STANDARDISATION INITIATIVE (IDDSI) www.IDDSI.org IDDSI Resources complied by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com Changing the world to this new dysphagia diet global standard will be no simple feat. However, it is crucial that we set goals for our facilities now in order to meet the implementation goal of January 1, 2019. The safety of people with difficulty swallowing (dysphagia) depends on this standardization. In an effort to make IDDSI easily […]

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. […]

International dysphagia diet standardization initiative (IDDSI) - dysphagia diet and liquid framework for people with difficulty swallowing. Perfect example of collaboration in dysphagia management.

IDDSI: Interview with an Early Adopter of IDDSI Framework

IDDSI: Interview with an Early Adopter by Karen M. Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com Introduction I had the pleasure to speak with Kim Bradley, PhD, SLP reg.CASLPO, who is a speech-language pathologist (SLP) and manager at St. Michael’s Hospital in Toronto, Canada. Bradley is also an Assistant Professor in the Department of Speech Language Pathology at the University of Toronto. I asked her: Why was it so important for you and your healthcare facility be early implementors of this […]

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 […]

International dysphagia diet standardization initiative (IDDSI) - dysphagia diet and liquid framework for people with difficulty swallowing. Perfect example of collaboration in dysphagia management.

“No Dysphagia Diet Modification without Standardization!”

Support Dysphagia Diet Standardization by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com Overview: On social media, in lectures and in blogs, I have been repeating: A global consensus on dysphagia diets, based on evidence, is coming soon. The International Dysphagia Diet Standarisation Initiative (www.IDDSI.org) now asking us to “spread the word.” I think it is very appropriate that I write this blog in Boston, inspired by Boston’s revolutionary past. About 265 to 255 years ago (1750-1760’s) in […]

This picture shows pills/medication crushed and not crushed.

Hard Pill to Swallow?

Blog by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com Hard Pill to Swallow is a reference to a Bill Lupkin. Listen: https://www.youtube.com/watch?v=hPSylawZnfk Let’s imaging a patient with dysphagia compensating well with a soft, moist, easy-to-chew diet and thin liquids, following strategies including upright positioning and small sips. We think all is well in the patient’s world of eating and swallowing. Then, along comes medication time! Examples: Patient A knows she has to take her 30ml of […]

Remember our roots in the field of dysphagia, like Jeri A. Logemann.

Remember Our Roots: Jeri A. Logemann

Remember Our Roots: Jeri A. Logemann By Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com Thank you Dysphagia Research Society for taking time at our annual meeting to reflect on our roots. We are honoring our mentor, Jeri A. Logemann, PhD, CCC-SLP, BCS-S. Do not miss the following memorial tributes: Thursday, March 12, 2015 at 8:00am (following the 7:50am Opening Remarks by our board president: Kulwinder Dua, MD, FRCP (London), FRCP (Edinburgh), FACP, FASGE). Kathy Lazarus, […]

A typical meal on the Dysphagia Advanced diet. Soft fish, well-cooked potatoes and vegetables.

Diet Safety: Terminology & Definitions Matter

Diet Safety: Terminology Matters! By Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com This blog is inspired by my own frustrations with different diet names across different institutions. Dysphagia ground, mechanically altered, mechanical soft, and chopped really mean the same thing? This blog is also based on the following session at the ASHA convention in 2014: Steele, C. (2014, November). 1038: Diet Texture Terminology: Establishing an International Consensus. Seminar presented at the annual convention of the American Speech-Language-Hearing […]