Dysphagia Management

23 posts

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

The ABAs of Drug-Induced Dysphagia by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com 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 […]

Dysphagia Evaluation Guides Dysphagia 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.  For all your dysphagia evaluation & dysphagia treatment needs, 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 […]

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 […]

Picture shows people around a globe working together for the common purpose of standardizing diets for patient safety.

“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 […]

A play on Hamlet's "To be, or not to be?" This blog asks "to chin tuck, or not to chin tuck?" for safe swallowing or to make swallowing worse.

To Chin Tuck, or Not to Chin Tuck? That is the Question.

By Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com Or is it? In this article, I will attempt to address the many questions on this hot topic: Are we advising patients to tuck, tilt, flex or look down? What do we call it? How do we teach it? What are the pros and cons of the chin tuck? Why are therapists prescribing it without an instrumental examination to prove that it works? Why has the chin […]