Dysphagia management

23 posts

radiation risks from video fluoroscopy

Low Radiation Risks from Videofluoroscopic Swallow Studies (Adults)

Know the Facts: What are the True Radiation Risks from Videofluoroscopic Swallow Studies? By Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com in collaboration with Dr. Heather Shaw Bonilha, Ph.D., CCC-SLP   Are these common scenarios in your clinical day working with people who have difficulty swallowing (dysphagia)?   Your patient refuses a medically and therapeutically necessary swallowing evaluation with motion x-ray (aka, Videofluoroscopic Swallow Study/VFSS or Modified Barium Swallow Study/MBSS) due to radiation risks from videofluoroscopic swallow studies. The doctor […]

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

IDDSI Bitsy Bites: Idaho Does IDDSI!

Conquer It In IDDSI Bitsy Bites! Sue Linja, RDN, LD, Owner, S&S Nutrition Network, Inc. www.sandsnutrition.com When I was a little girl in small-town Idaho, we didn’t always have a lot to keep us busy. We often made up songs about people and their trials and tribulations, including this little ditty about my cousin, Mitzi.  While it didn’t go exactly like this, the rhyme has stuck in my head, so I thought I’d share it […]

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 […]

Complex pill boxes show the need to simplify how medications are taken. 3D Printed Pharmaceuticals can offer hope in the future.

Think Outside the (Pill) Box: 3D Printed Pharmaceuticals

Think Outside the (Pill) Box: 3D Printed Pharmaceuticals Meeting the Unmet Need of People with Difficulty Swallowing (Dysphagia) By Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com Introduction “He is non-compliant with his medications.” “She is really bad at taking her pills.”   Have you heard a doctor or healthcare provider say that before? Have they considered how difficult it is to swallow pills? (Not to mention the costs and the extreme complexity of taking many […]

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

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 […]

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 […]

DRS Digest 2017: news from the March 1-4, 2017 annual meeting of the Dysphagia Research Society. Held in Portland, OR.

DRS Digest 2017: Raising Awareness through Research

Dysphagia Digest 2017: Raising Awareness Regarding Swallowing Disorders & Treatment There was not much time to sample Portland, Oregon’s craft beers or Portland’s famous Salt & Straw ice cream, because the over 500 attendees at the Dysphagia Research Society‘s annual meeting were in stimulating sessions from March 1-4, 2017. DRS is celebrating its 25th anniversary this year – 25 years of raising awareness about dysphagia. Give DRS a big “cheers” with your craft beer and […]

@ on the keyboard can remind us of Advocacy for our patients, our field of Speech-Language Pathology, and for ourselves.

Advocacy in Dysphagia & Beyond (#ASHA16)

Introduction to Advocacy: Whether you work in the trauma ICU or in long-term care, advocating for your patients can feel like your full-time job (not to mention advocating for your department, your job and career, and for yourself). A nurse mentioned the other day how she has to constantly question and speak out on behalf of her patients. She joked: “no wonder I go home exhausted.” She said she started work one day telling herself: […]

#ASHA16. Challenging decision-making with so many great dysphagia courses at this year's convention.

#ASHA16: Real-Life Experience & Evidence

#ASHA16 is #Dysphagia by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com with Guest Blogger: Rinki Varindani Desai, M.S., CCC-SLP, CBIS The American Speech-Language Hearing Association’s 2016 convention (#ASHA16) slogan is: “Everyday leadership. Leadership every day.” Before and after the convention, I will highlight #dysphagia and the latest dysphagia-related evidence from the leaders in the field of Swallowing and Swallowing Disorders (dysphagia). #ASHA16 has the most dysphagia courses I have ever seen at an annual convention. I recently […]