Hospital Acquired Pneumonia (HAP)

7 posts

Two bowls of soup that we could think of as the categories of "pneumonia soup."

Pneumonia Alphabet Soup (Part 2)

Pneumonia Alphabet Soup (Part 2): The Secret Ingredients by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com (Parts 1 & 2 first published by MedbridgeEducation.com) We began deciphering the recipe of pneumonia in Part 1 – Pneumonia Alphabet Soup: Reworking the Recipes. I suggested that it is more important to think about how the pneumonia was acquired, rather than where it was acquired [i.e., community-acquired pneumonia (CAP), health-care-associated pneumonia (HCAP)]. Causes for pneumonia are multifactoral, and the […]

Two bowls of soup that we could think of as the categories of "pneumonia soup."

Pneumonia Alphabet Soup (Part 1)

Pneumonia Alphabet Soup: Reworking the Recipe by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com CAP, HAP, NHAP, HCAP, VAP, DAP, NDAP… Do these all mean pneumonia? Imagine a bowl of alphabet soup with all these letters floating on the surface. What about the broth surrounding the letters? Taste the soup, close your eyes, and ask, “What else could be in there?” Now, here are the letters separated into two “bowls,” showing the complex flavors of each […]

Mature cryptobiotic soil is very lumpy and dark due to not only cyanobacteria, but also the lichen, algae, mosses, and more.

It’s Alive! Oral Microbiome

Microbiomes in the Environment to Your Oral Microbiome! by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com My travels this summer lead me to some pretty harsh environments as we park-hopped through some wondrous national parks, Utah state parks and national monuments. Before I dive into this blog, I want to thank our national park service. We have protected such a treasure in the United States! During our adventure, I was on the lookout for relationships […]

Picture of a dolphin laying back allowing a human to brush his teeth with an electric toothbrush.

How To Perform Effective Oral Care (Part IV)

How to Perform Effective Oral Care for Aspiration Pneumonia Prevention by Karen Sheffler, MS, CCC-SLP, BCS-S, at SwallowStudy.com Only 16% of nurses reported that they brush a patient’s teeth every 4 hours, and 33% reported brushing “rarely or not at all” (Cason, et al, 2007). However, this dolphin is receiving good oral care with an electric toothbrush!   We have explored the many reasons WHY the mouths of critically ill patients need good oral care […]

Picture of rod-shaped Escherichia Coli Bacteria. Commonly found in the lower intestines. However, pathogenic strains take the fecal->oral route of transmission to cause disease.

Take a Trip to the Lungs with 12 Bacterial Species (Part III: Oral Hygiene)

Part III of Oral Hygiene and Aspiration Pneumonia Prevention. By Karen Sheffler, MS, CCC-SLP, BCS-S As we are coming and going from our summer vacations, consider the travels that bacteria may take around the body. The germs in the mouth are the same germs that travel to the lungs to cause pneumonia, according to Shay (2014). These bacteria can be found in the hospital or nursing facility environment, on the staff and visitors, and on […]

The changes in soil composition and pH after a volcanic eruption may be analogous to changes in an oral microbiome or ecosystem after illness and infection.

What Do Volcanoes & Mouths Have in Common? (Part II: Oral Microbiome & Saliva)

Part II of Oral Microbiome and Saliva By Karen Sheffler, MS, CCC-SLP, BCS-S. SwallowStudy.com I was out in the beautiful pacific northwest the summer of 2014, learning about the region’s flora, fauna, volcanos and glaciers. Especially interesting was visiting Mount Saint Helens in Washington state. After 34 years, the destructive power of the 1980 volcanic eruption is still evident. However, this ecosystem or ecobiome is recovering. The ash-filled pumice plain is finally being recolonized. My […]

Oral Care and Aspiration Pneumonia Prevention

10 Trillion Microorganisms vs Your Toothbrush (Part I: Oral Hygiene)

This blog was inspired by the presentation: “Dental Perspectives on Aspiration Pneumonia Causes and Management” by Kennneth Shay, DDS, MS Dentist and Gerontologist Department of Veterans Affairs: Office of Geriatrics and Extended Care ASHA Healthcare & Business Institute April 12, 2014 “The mouth is dirty,” Dr Kenneth Shay stated frankly at the ASHA Institute, and it’s “the biggest hole in your body!” Warning: You may want to finish eating, brush your teeth, floss, use mouthwash, […]