Archives

Risk of an Adverse Event in Individuals Who Aspirate: A Review of Current Literature on Host Defense and Individual Difference (2022)

June 1, 2022 by Ashley Zhinin.
With prandial or meal-related aspiration, there is an increased risk of developing dysphagia-related pulmonary diseases such as aspiration pneumonia, acute respiratory distress syndrome, pulmonary fibrosis, and even death. Even though these diseases are unfortunate, it does need to be noted these do not develop solely because of aspiration. They develop because of the person’s ability […]
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A Tutorial on Saliva’s Role in Swallowing With a Focus on Sjogren’s Syndrome (2020)

May 1, 2022 by Ashley Zhinin.
There is growing knowledge about saliva playing a role in oral preparation and swallowing biomechanics such as oral perceptions (sensing texture, viscosity, taste), bolus cohesion, signaling the swallow to be initiated, and overall swallowing coordination. There are various places saliva is produced in the mouth. About 60% comes from the submandibular glands, ~25% comes from […]
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International Dysphagia Diet Standardization Initiative (IDDSI) Implementation in Health Care

April 12, 2022 by Ashley Zhinin.
This course will review the International Dysphagia Diet Standardization Initiative (IDDSI) implementation in the acute care setting, including the rationale for utilization of IDDSI’s standardized naming and testing approach, key starting points/contacts for implementation of a new diet system within the health care setting, and various IDDSI levels and restrictions required for each level.
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Cranial Nerve Treatment Options

March 1, 2022 by Ashley Zhinin.
This handout gives a general overview of the nerve functions and treatment options. This is not meant to be an exhaustive list of treatment options since every approach is specific to the injury. Goyal, H., & Koley, S. (2021). Comparison of Proprioceptive Neuromuscular Facilitation and Neuromuscular Re-education with Conventional Treatment and Home Based Exercise Plan […]
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When Food is No Longer a Comfort

March 1, 2022 by Ashley Zhinin.
Facing the end of life for a loved one is challenging. This handout will explain why some people stop eating and drinking toward the end of life and how family members can continue showing love and care in other ways. Askren, A. N., & Kershner, M. (2020). Eating, drinking, and comfort at end-of-life: Promoting a […]
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Preventative Swallowing Exercises During Chemoradiotherapy for Head and Neck Cancer

March 1, 2022 by Ashley Zhinin.
This material provides information on the importance of consulting speech therapy prior to chemoradiotherapy (CRT), changes or complications in swallowing function that can be seen following CRT, and the effectiveness of implementing a preventative, high-intensity behavioral intervention by a speech-language pathologist (SLP) to preserve musculature and functional swallowing ability. Carnaby-Mann, G., Crary, M.A., Schmalfuss, I, […]
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Effects of Cued and Uncued Swallowing in Patients with Dementia (2021)

March 1, 2022 by Ashley Zhinin.
It is well known that swallowing changes typically develop as dementia causes neurological degeneration of cognition and motor function. Swallowing is a growing concern for individuals with dementia, with a prevalence of dysphagia of 13% to 57%. Cognitive awareness is needed for safe swallowing to recognize foods, motor planning and execution, and physiological and sensorimotor […]
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Three Swallowing Exercises for People with Parkinson’s

February 24, 2022 by Megan Berg.
This handout visualizes three exercises featured in the evidence base for people with Parkinson’s, including: Expiratory muscle strength training (EMST), the Masako, and chin tuck against resistance (CTAR).
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Chronic Obstructive Pulmonary Disease and Dysphagia: What Have We Learned So Far and What Do We Still Need to Investigate? (2021)

January 31, 2022 by Megan Berg.
Chronic obstructive pulmonary disease (COPD) is a serious respiratory disorder that causes persistent airflow obstruction, inflammatory response, and systemic manifestation. Before the COVID-19 pandemic, COPD was projected to be the third leading cause of death internationally by 2021. This article reviewed various clinical questions about dysphagia and COPD with current research available.  The team wanted […]
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Basic Cheat Sheet for the use of Passy Muir Speaking Valve with Ventilation

January 31, 2022 by Megan Berg.
Working with the ventilation population can be initially daunting as a speech-language pathologist (SLP). This material provides a basic review of types of ventilation and ventilator settings that are important to know and understand before initiating Passy Muir speaking valve (PMV) trials. Furthermore, a review of the benefits of PMV use and collaboration with a […]
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