Ethics and Evidence-Based Practice

3 posts

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 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 […]

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 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 […]

Evidence-Based Practice is Best Research Evidence, Clinical Expertise, and Patient Values/Preferences. But add to that all influencing values/morales, professional code of ethics, and medical ethical principles. It is more complicated than the typical Venn Diagram of EBP.

Is Evidence-Based Practice Misunderstood?

Is Evidence-Based Practice Misunderstood? By Karen Sheffler, MS, CCC-SLP, BCS-S Blog also appeared on 12/9/14. Re-printed with permission from Session Reviewed: Rosenbek, J. & Leslie, P. (2014, November). 1182: Ethics & Evidence in Practice. Session presented at the annual convention of the American Speech-Language-Hearing Association, Orlando, FL. This session was developed by the American Board of Swallowing and Swallowing Disorders, and it was presented by Dr Paula Leslie of University of Pittsburg and […]