Dysphagia Management

21 posts

Funny picture of cow pulling out a root vegetable with his tongue. Tongue exercises are important part of dysphagia treatment for many people with difficulty swallowing (dysphagia).

Lingual Strengthening: History & Rationale

Lingual Strengthening: History & Rationale By Amanda Warren, MS, CCC-SLP (guest blogger) and Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com   Mouth stretches, wagging the tongue back and forth, posterior consonants (like “ga”), blowing bubbles or blowing up a balloon… For decades, our field of swallowing therapy was full of well-meaning clinicians throwing all the tools in their toolboxes at patients to hope to improve their swallow function. This focus on oral-motor therapy lead industry […]

picture of typical clear jello cubes made from gelatin, which is not the same as dysphagia training jelly.

Jelly & Jell-O Surprise: What’s Up With Jell-O, Jelly Cups, Dysphagia Training Jelly

Jelly & Jell-O Surprise: Jell-O, Jelly Cups, Dysphagia Training Jelly (Transitional Foods Blog Part 3 of 3) By Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com with special contributions by Mari Kato-Nakao, MD, MA, (PhD candidate) on Japanese Dysphagia Training Jelly   Maybe you were just saying: “You had me at the Jell-O,” but I am not talking about Jell-O shots! You are tuning in for Part 3 of my three-part series on how Transitional Foods affect […]

Cotton Candy Therapy? Transitional Foods & Dysphagia Treatment

Cotton Candy Therapy? Transitional Foods as Potential Dysphagia Treatments By Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com Got your attention with the cotton candy, didn’t I? Imagine wandering through your town’s summer festival sucking that sickly-sweet cotton candy until it magically disappears on your tongue. What other foods start out as a solid and then change or transition into a liquid or a paste with the warmth and moisture of your mouth? (You know the dentists […]

Dysphagia Digest: A blog about the Dysphagia Research Society's 2018 Annual Meeting

Dysphagia Digest (Part 3): What is in Your Dysphagia Toolbox?

Truth is Stranger than Fiction – What is in Your Dysphagia Toolbox? (Part 3) By guest blogger: Amanda Warren, MS, CCC-SLP Edited by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com   Thanks for reading Part 1 and Part 2 of our of our Truth Is Stranger Than Fiction series.  You’ve found the last installment, part 3 in this 3 part series summarizing 5 more sessions at the 2018 Dysphagia Research Society’s (DRS) Annual Meeting. And remember, […]

Dysphagia Digest: A blog about the Dysphagia Research Society's 2018 Annual Meeting

DRS Dysphagia Digest 2018 (Part 2)

Truth is Stranger than Fiction – in the Latest Dysphagia Research (Part 2) By guest blogger: Amanda Warren, MS, CCC-SLP Edited by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com Thanks for reading part 1 of our Truth Is Stranger Than Fiction series.  You’ve found part 2 of our 3-part series summarizing swallowing research from the 2018 Dysphagia Research Society’s Annual Conference. We will cover 5 more dysphagia truths here, numbered 6-10. Be sure to come […]

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 […]

IDDSI revised the framework March 2019 to include the Easy To Chew Level 7

IDDSI Resources

INTERNATIONAL DYSPHAGIA DIET STANDARDISATION INITIATIVE (IDDSI) www.IDDSI.org IDDSI_framework_with_creative_commons_Mar2019 IDDSI Resources complied by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com & IDDSI Champion 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 start our implementation by the goal of May 1, 2019 in the USA, per the American Speech-Language and Hearing Association and the Academy […]

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, lump in the throat sensation, and more. I have heard people express fear of actually choking (asphyxiation – where the food […]

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 […]